Author(s)

Song Qin, Qiu Shihong

Corresponding Author

Qiu Shihong

Abstract

This study aimed to investigate the application and effectiveness of Teach-back combined with Six Sigma management in reducing the risk of venous thrombosis in patients undergoing laparoscopic liver resection. A total of 120 patients who underwent laparoscopic liver resection at the Hepatobiliary Surgery Department of Chongqing Medical University’s Affiliated Yongchuan Hospital from January 1, 2022, to December 31, 2024, were selected for the study. These patients were randomly divided into two groups using a random number table and analyzed prospectively. The control group consisted of 60 patients who received conventional management, and the observation group consisted of 60 patients who received Teach-back combined with Six Sigma management. The pain scores before and after the intervention, postoperative venous thrombosis, were compared between the two groups, along with improvements in self-care ability and quality of life. Additionally, the patients' treatment compliance, satisfaction with care, and length of hospitalization were evaluated. The VAS scores at 6h, 24h, 48h, and 72h postoperatively were significantly lower in the observation group (P < 0.05). The incidence of postoperative venous thrombosis was significantly lower in the observation group (P < 0.05). The self-care skills, sense of self-care responsibility, self-concept, and health knowledge scores in the observation group were significantly higher (P < 0.05). The symptom scores in the observation group were significantly lower (P < 0.05), overall quality of life scores were significantly higher (P < 0.05).

Keywords

Teach-back; Six Sigma management; laparoscopic liver resection; venous thrombosis risk