{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T16:51:11Z","timestamp":1782319871158,"version":"3.54.5"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Aortic dissection (AD) was a severe cardiovascular condition requiring comprehensive postoperative management. The teach-back method, a patient-centered educational strategy, may enhance patient comprehension and adherence to self-management practices post-surgery, potentially reducing negative emotions and improving outcomes. This study aimed to evaluate the impact of the teach-back method on self-management behaviors and negative emotions in postoperative AD patients at a tertiary hospital in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study was conducted at The First Affiliated Hospital of Nanchang University, China. It analyzed 210 postoperative AD patients from March 2021 to March 2023, divided evenly into a routine nursing group and a teach-back method group. Various assessments, including the Health Education Knowledge Acquisition Survey, Visual Analog Scale (VAS), Hamilton Anxiety (HAMA) and Depression (HAMD) Scales, Self Care Level Scale (ESCA), and WHO Quality of Life Inventory (WHOQOL-BREF), were performed pre- and post-intervention. Between-group comparisons were performed using independent\n                      <jats:italic>t<\/jats:italic>\n                      -tests or chi-square tests, with a significance level of\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients in the teach-back group showed higher mastery of health education knowledge (96.19% vs. 88.57%;\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20094.33,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.037) and significant reduction in anxiety levels [HAMA: 11.85\u2009\u00b1\u20094.00 [11.08, 12.62] vs. 13.15\u2009\u00b1\u20094.92 [12.20, 14.10];\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20092.097,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.037]. Self-management scores improved significantly in knowledge level and self-protective skills, with mean scores higher in the teach-back group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). However, no significant differences were observed in pain scores or postoperative complications between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The teach-back method significantly enhances knowledge acquisition and anxiety reduction in postoperative AD patients, showing potential as a beneficial adjunct to routine nursing care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcvm.2025.1631750","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T15:58:32Z","timestamp":1782316712000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of nursing intervention based on teach-back method on self-management behavior and negative emotions of postoperative patients with aortic dissection"],"prefix":"10.3389","volume":"12","author":[{"given":"Qin","family":"Zeng","sequence":"first","affiliation":[{"name":"Chest Surgery, Wuhan Jinyintan Hospital","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangrong","family":"Li","sequence":"additional","affiliation":[{"name":"Trauma Surgery, Wuhan Jinyintan Hospital","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Liu","sequence":"additional","affiliation":[{"name":"Chest Surgery, Wuhan Jinyintan Hospital","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1703","DOI":"10.1016\/j.jacc.2020.07.061","article-title":"Type A aortic dissection-experience over 5 decades: JACC historical breakthroughs in perspective","volume":"76","author":"Zhu","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"102040","DOI":"10.1016\/j.cpcardiol.2023.102040","article-title":"Research progress on the pathogenesis of aortic aneurysm and dissection in metabolism","volume":"49","author":"Zhou","year":"2024","journal-title":"Curr Probl Cardiol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1564","DOI":"10.1093\/cvr\/cvab109","article-title":"Anxa1 in smooth muscle cells protects against acute aortic dissection","volume":"118","author":"Zhou","year":"2022","journal-title":"Cardiovasc Res"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1093","DOI":"10.1016\/j.athoracsur.2022.12.025","article-title":"Does acute type A aortic dissection equal emergency aortic surgery?","volume":"115","author":"Yang","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"2106","DOI":"10.1016\/j.jacc.2021.09.022","article-title":"Acute aortic syndrome revisited: JACC state-of-the-art review","volume":"78","author":"Vilacosta","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1001\/jama.2023.0265","article-title":"Management of thoracic aortic dissection","volume":"329","author":"Hameed","year":"2023","journal-title":"Jama"},{"key":"B7","doi-asserted-by":"publisher","first-page":"122249","DOI":"10.1016\/j.lfs.2023.122249","article-title":"Epigenomics in aortic dissection: from mechanism to therapeutics","volume":"335","author":"Tao","year":"2023","journal-title":"Life Sci"},{"key":"B8","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1053\/j.semvascsurg.2022.02.009","article-title":"Knowledge gaps in surgical management for aortic dissection","volume":"35","author":"Tanaka","year":"2022","journal-title":"Semin Vasc Surg"},{"key":"B9","first-page":"8496","article-title":"Impact of dietary management using teach-back method on glucose and lipid metabolism and quality of life in patients with hepatitis B complicated by diabetes","volume":"13","author":"Xia","year":"2021","journal-title":"Am J Transl Res"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e30869","DOI":"10.1097\/MD.0000000000030869","article-title":"The effectiveness of multimedia combined with teach-back method on the level of knowledge, confidence and behavior of professional caregivers in preventing falls in elderly patients: a randomized non-blind controlled clinical study","volume":"101","author":"Wang","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"B11","doi-asserted-by":"publisher","first-page":"100745","DOI":"10.1016\/j.tvir.2021.100745","article-title":"Aortic dissection: introduction","volume":"24","author":"Khaja","year":"2021","journal-title":"Tech Vasc Interv Radiol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e17","DOI":"10.17533\/udea.iee.v40n1e17","article-title":"Promoting health literacy through the teach back method among Iranian health ambassadors: a randomized controlled trial","volume":"40","author":"Sotoudeh","year":"2022","journal-title":"Invest Educ Enferm"},{"key":"B13","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1002\/jaba.966","article-title":"An evaluation of the teach-back method for training new skills","volume":"56","author":"Sleiman","year":"2023","journal-title":"J Appl Behav Anal"},{"key":"B14","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1016\/j.pec.2020.07.026","article-title":"Definitions and use of the teach-back method in healthcare consultations with patients: a systematic review and thematic synthesis","volume":"104","author":"Shersher","year":"2021","journal-title":"Patient Educ Couns"},{"key":"B15","doi-asserted-by":"publisher","first-page":"e32931","DOI":"10.1097\/MD.0000000000032931","article-title":"The impact of teach-back method on preoperative anxiety and surgical cooperation in elderly patients undergoing outpatient ophthalmology surgery: a randomized clinical trial","volume":"102","author":"Shen","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"B16","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1111\/crj.12198","article-title":"Validation of a visual analogue score (LRTI-VAS) in non-CF bronchiectasis","volume":"10","author":"Altenburg","year":"2016","journal-title":"Clin Respir J"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1029846","DOI":"10.3389\/fpsyg.2023.1029846","article-title":"Validity and reliability of a Chinese version of the Bergen Work Addiction Scale","volume":"14","author":"Liu","year":"2023","journal-title":"Front Psychol"},{"key":"B18","doi-asserted-by":"publisher","first-page":"77","DOI":"10.3917\/rsi.054.0077","article-title":"French validation of the \u201cexercise of self-care agency\u201d scale for heart patients","volume":"54","author":"Robichaud-Ekstrand","year":"1998","journal-title":"Rech Soins Infirm"},{"key":"B19","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1093\/jjco\/28.2.134","article-title":"Results of a qualitative and field study using the WHOQOL instrument for cancer patients","volume":"28","author":"Tazaki","year":"1998","journal-title":"Jpn J Clin Oncol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/s13037-022-00322-z","article-title":"Utilizing the \u201cteach-back\u201d method to improve surgical informed consent and shared decision-making: a review","volume":"16","author":"Seely","year":"2022","journal-title":"Patient Saf Surg"},{"key":"B21","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1186\/s13037-022-00342-9","article-title":"The \u201cteach-back\u201d method improves surgical informed consent and shared decision-making: a proof of concept study","volume":"16","author":"Seely","year":"2022","journal-title":"Patient Saf Surg"},{"key":"B22","doi-asserted-by":"publisher","first-page":"8897881","DOI":"10.1155\/2020\/8897881","article-title":"The effect of the teach-back method on knowledge, performance, readmission, and quality of life in heart failure patients","volume":"2020","author":"Rahmani","year":"2020","journal-title":"Cardiol Res Pract"},{"key":"B23","doi-asserted-by":"publisher","first-page":"107559","DOI":"10.1016\/j.pec.2022.11.001","article-title":"Effectiveness of discharge education using teach-back method on readmission among heart failure patients: a systematic review and meta-analysis","volume":"107","author":"Oh","year":"2023","journal-title":"Patient Educ Couns"},{"key":"B24","doi-asserted-by":"publisher","first-page":"104453","DOI":"10.1016\/j.ijnurstu.2023.104453","article-title":"Effects of discharge education using teach-back methods in patients with heart failure: a randomized controlled trial","volume":"140","author":"Oh","year":"2023","journal-title":"Int J Nurs Stud"},{"key":"B25","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1097\/PTS.0000000000000596","article-title":"Effectiveness of discharge education with the teach-back method on 30-day readmission: a systematic review","volume":"17","author":"Oh","year":"2021","journal-title":"J Patient Saf"},{"key":"B26","doi-asserted-by":"publisher","first-page":"e13921","DOI":"10.1111\/ijcp.13921","article-title":"The impact of teach-back educational method on diabetes knowledge level and clinical parameters in type 2 diabetes patients undergoing insulin therapy","volume":"75","author":"Nas","year":"2021","journal-title":"Int J Clin Pract"},{"key":"B27","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1080\/07399332.2021.2021915","article-title":"Effect of teach-back method on breastfeeding success: a single blind randomized controlled study","volume":"44","author":"Kul U\u00e7tu","year":"2023","journal-title":"Health Care Women Int"},{"key":"B28","doi-asserted-by":"publisher","first-page":"e226","DOI":"10.3928\/24748307-20210719-01","article-title":"Assessing teach-back utilization in a downtown medical center","volume":"5","author":"Komondor","year":"2021","journal-title":"Health Lit Res Pract"},{"key":"B29","doi-asserted-by":"publisher","first-page":"248","DOI":"10.4103\/jehp.jehp_1481_20","article-title":"Comparing the effects of teach-back method, multimedia and blended training on self-care and social support in patients with heart failure: a randomized clinical trial","volume":"10","author":"Karami Salaheddin Kola","year":"2021","journal-title":"J Educ Health Promot"},{"key":"B30","doi-asserted-by":"publisher","first-page":"328","DOI":"10.4103\/jehp.jehp_1569_21","article-title":"Investigating the effect of teach-back method on improving the lifestyle of health ambassadors in Urmia","volume":"11","author":"Jadgal","year":"2022","journal-title":"J Educ Health Promot"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1631750\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T15:58:33Z","timestamp":1782316713000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1631750\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,24]]},"references-count":30,"alternative-id":["10.3389\/fcvm.2025.1631750"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2025.1631750","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,24]]},"article-number":"1631750"}}