同伴教育在PCI住院患者健康教育中的作用  

An evaluation of the role of ‘peer assisted education' in the health education for inpatients treated with PCI

作　　者：袁爱珠[1] 吴红斌[1] 赵玲[1] 

机构地区：[1]杭州师范大学附属医院心内科,浙江杭州310015

出　　处：《健康研究》2015年第3期243-245,共3页Health Research

基　　金：2010杭州市卫生科技一般项目:A类(2010A010);浙江省康恩贝医院管理软科学资助项目(2010ZHA-KEB317)

摘　　要：目的观察同伴教育在经皮冠状动脉介入治疗(percutaneous transluminal coronary intervention,PCI)住院患者健康教育中的作用。方法选取105例心内科行PCI手术的住院患者,按病区分成干预组55例和对照组50例,对照组给予心内科护理常规健康教育,干预组接受同伴教育,于不同时间借助HAMA焦虑量表、PCI手术相关知识问卷、手术依从性和护理满意度问卷对患者进行评估。结果干预后,干预组手术依从性、护理满意度均高于对照组(均P<0.01);干预组患者术前2小时HAMA评分显著低于对照组(t=2.902,P<0.007),PCI相关知识掌握问卷总分显著高于对照组(t=5.889,P<0.001)。结论在PCI患者护理中进行同伴教育,可以显著改善患者焦虑状态、协助掌握PCI相关知识、提高手术依从性。Objective To evaluate the role of peer-assisted education in the health education for inpatients treated with percutaneous coronary intervention.Method 105 in-patients having undergone PCI were chosen as the subjects and divided into an experimental group （n =55） and a control group （n =50）.The control group were administered with conventional health.The experimental group were administered with peer -assisted education.HAMA and a self-designed PCI knowledge questionnaire were then used for the assessment of the subjects’degree of satisfaction and surgery compliance.Findings After the education,the surgery compliance and the degree of satisfaction of the experimental group were significantly higher than those in the control group （P 〈0.01）.The HAMA score of the experimental group as observed 2 hours before surgery was significantly lower than that of the control group （t =2.902,P〈0 .01）.The score of self-designed PCI knowledge of the experimental group was significantly higher than that of the control group （t =5.889,P〈0.001）.Conclusion Peer-assisted education can effectively reduce PCI patients’anxiety, improve their command of PCI knowledge, and facilitate surgery compliance.

关 键 词：同伴教育 经皮冠状动脉介入治疗 健康教育 

分 类 号：R473.05[医药卫生—护理学]