群组看病及同伴教育对痤疮患者遵医行为的影响

目的 评价群组看病及同伴教育对痤疮患者遵医行为的影响，探讨痤疮患者的有效健康教育方式。方法 选取2016年12月在中国医学科学院皮肤病医院就诊的80例痤疮患者作为研究对象，按单纯随机分组方法分为干预组和对照组，每组40例。干预组给予常规健康教育的同时接受群组看病及同伴教育，对照组给予常规健康教育。在干预后1、2、4周进行遵医行为调查，比较两组的遵医行为。结果 因拒访和无应答原因脱落18例，最终干预组32例、对照组30例纳入分析。在干预1、2、4周后，干预组遵医行为总分分别为83.6 ± 9.3、85.9 ± 9.1、91.2 ± 8.4，对照组分别为77.1 ± 7.3、77.1 ± 8.6、79.1 ± 10.2，干预组遵医行为的提高显著优于对照组（P组间＜0.05），随着干预时间的增加显著性地提高（P时间＜0.05），时间和分组之间有交互作用（P交互＜0.05）。结论 群组看病及同伴教育的健康教育模式能提高痤疮患者遵医行为。

Effects of group medical visits and peer education on compliance behaviors of patients with acne vulgaris

Liu Qian, Cao Chunyan, Zhang Xincui, Xu Changchun, Pan Yuwei, Li Jing, Yu Meiwen Department of Plastic Surgery, Hospital of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China （Liu Q, Li J）; Department of Nursing, Hospital of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China（Cao CY）; Department of Integrated Traditional Chinese and Western Medicine, Hospital of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China（Zhang XC, Xu CC, Pan YW）; Department of Leprosy Control, Hospital of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China（Yu MW） Corresponding author: Yu Meiwen, Email: yumeiwen@163.com 【Abstract】 Objective To evaluate the effects of group medical visits and peer education on the compliance behaviors of patients with acne vulgaris, and to explore the effective health education approaches for patients with acne vulgaris. Methods A total of 80 patients with acne vulgaris were enrolled from Hospital of Dermatology, Chinese Academy of Medical Sciences during December 2016. They were randomly and equally divided into 2 groups: intervention group receiving conventional health education combined with group medical visits and peer education, and control group receiving conventional health education alone. At week 1, 2 and 4 after the intervention, the compliance behaviors were compared between the 2 groups. Results Totally, 18 patients were lost to the follow-up due to refusals and non-response, and 32 patients in the intervention group and 30 patients in the control group finally completed the study. At week 1, 2 and 4 after the intervention, the scores of compliance behaviors were significantly higher in the intervention group （83.6 ± 9.3, 85.9 ± 9.1, 91.2 ± 8.4 respectively） than in the control group （77.1 ± 7.3, 77.1 ± 8.6, 79.1 ± 10.2 respectively; all P < 0.05）. Moreover, the scores of compliance behaviors significantly increased over time （P < 0.05）, and there was a significant interaction effect between the intervention methods and treatment duration （P < 0.05）. Conclusion Health education approaches including group medical visits and peer education can improve the compliance behaviors of patients with acne vulgaris.