同伴教育对社区老年膝骨性关节炎患者干预效果的分析  

Intervention effect of peer education to the elderly patients with knee osteoarthritis in community

作　　者：汪凤兰[1] 董胜莲[1] 张艳梅[2] 张小丽[1] 邢凤梅[1] 

机构地区：[1]河北联合大学护理与康复学院,河北唐山063000 [2]河北联合大学冀唐学院,河北唐山063000

出　　处：《现代预防医学》2015年第5期827-830,共4页Modern Preventive Medicine

基　　金：国家社科基金资助项目(13BRK005)

摘　　要：目的在社区老年膝关节骨性关节炎(Knee Osteoarthritis,KOA)患者中开展同伴教育并进行效果评价。方法整群随机抽取唐山市两个社区,对自愿报名参加的老年KOA患者以社区为单位随机命名为干预组和对照组,每组50例。干预组由培训合格的普通KOA患者作为小组长进行同伴教育活动,对照组仅发放《膝骨性关节炎自我管理手册》,干预6个月后采用骨关节炎指数评估表(WOMAC)、关节炎生活质量测量问卷((AIMS2-SF))、自设的一般情况调查表进行效果评价。结果干预6个月后,干预组的WOMAC评分由(36.10±8.12)分下降到(29.30±10.49)分,下降了18.8%,与对照组比较差异有统计学意义(F=168.321,P<0.01);关节炎生活质量评分由(74.60±10.05)分提高到(83.12±6.38)分,提高了11.42%,与对照组比较差异有统计学意义(F=31.910,P<0.01)。结论同伴教育干预能有效改善KOA患者的关节功能及症状,提高患者的生活质量。说明在社区开展KOA患者的同伴教育是一种有效、可行的健康教育形式。Objective To assess the effect of peer education to the elderly patients with knee osteoarthritis （KOA） in community. Methods The cluster random sampling method was used in this survey. 100 people with clinically diagnosed KOA were recruited from the two communities in Tangshan City and randomly allocated to a control group and an intervention group, 50 cases in each group. In the intervention group, peer education program was conducted by the trained KOA patient as the group leader. The control group was only offered the KOA self-management handbooks. The primary outcomes were measured after 6 months of intervention by the Western Ontario and McMaster Universities Osteoarthritis Index （WOMAC）, the Arthritis Impact Measurement Scale 2nd version-Short Form （AIMS2-SF） and the questionnaire of the general situation which was designed by ourselves. Results From baseline to 6 months, the WOMAC total score decreased from 36.10 ± 8.12 to 29.30 ±10.49, with a significant decline of 18.8% in the intervention group. The difference compared with the control group is statistically significant （F=168.321, P〈0.01）. In the intervention group the score of AIMS2-SF improved 11.42% from 4.60±10.05 to 83.12 ±6.38, and two groups exhibited a significant difference （F=31.910, P〈0.01）. Conclusion The peer education can effectively improve the function and symptoms of arthrosis and the quality of life among KOA patients. The peer education is a practicable and effective health education model for elderly patients in community.

关 键 词：老年人 膝骨性关节炎 同伴教育 生活质量 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]