同伴教育模式对类风湿关节炎患者健康教育效果评价

目的 探索同伴教育模式对类风湿关节炎(RA)患者的健康教育效果。方法 应用随机数字表法,选取在滨州市某三甲医院出院的RA患者160例,分为对照组80例和干预组80例。对照组采用常规电话回访健康教育干预模式,干预组采用同伴教育模式,干预时间为3个月,比较干预前后两组患者生活质量(采用SF-36量表)、焦虑抑郁情况(采用SAS、SDS量表)、服药依从性(采用Morisky服药依从量表)。结果 与对照组相比,干预后干预组患者的生活质量8个维度中在精力(VT)、社会功能(SF)、情绪职能(RE)、精神健康(MH)方面评分明显增高(P<0.05);与对照组相比,干预组患者的SAS、SDS评分明显增高(P<0.05);与对照组相比,出院3个月后,干预组患者服药依从性优于对照组(P<0.05)。结论 同伴教育能有效改善RA患者焦虑抑郁情绪,促进患者积极配合,提高服药依从性,从而进一步提高患者生活质量。

Effect evaluation of the peer education model on health education in patients with rheumatoid arthritis

Objective To investigate the effect of peer education mode on education in RA patients. Methods By using the random number table method, 160 RA patients discharged from a tertiary hospital in Binzhou were selected and divided into the control group 80 cases and the intervention group 80 cases. The control group adopted the regular telephone follow-up health education intervention mode, while the intervention group adopted the peer education mode, and the intervention period was 3 months. The quality of life (SF-36 scale), anxiety and depression (SAS and SDS scale) and medication compliance (Morisky medication compliance scale) of the two groups before and after the intervention were compared. Results The scores of energy VT, social function SF, emotional function RE and mental health MH in the intervention group were higher than those in the control group (P<0.05); the SAS and SDS scores of the intervention group were higher than those of the control group (P<0.05). Three months after discharge, The medication compliance of the intervention group was better than that of the control group (P<0.05). Conclusion Peer education can effectively improve patients'anxiety and depression, promote their active cooperation, improve their medication compliance, and further improve their quality of life.