护士主导的同伴教育在骨质疏松症患者中的应用效果  

Effects of nurse-led peer education in patients with osteoporosis

作　　者：何芳[1] 周文华[1] 董亚秀[1] 刘晓颖[1] 夏维波[1] He Fang;Zhou Wenhua;Dong Yaxiu;Liu Xiaoying;Xia Weibo(Department of Endocrinology,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院内分泌科,北京100730

出　　处：《中华现代护理杂志》2024年第29期4030-4034,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨护士主导的同伴教育对骨质疏松症患者疾病知识水平、服药依从性、跌倒功效的影响。方法采用便利抽样法,选取2022年6月—2023年5月在北京协和医院骨代谢专科门诊就诊的63例骨质疏松症患者为研究对象。采用随机数字表法,将患者分为对照组(n=32)和观察组(n=31),对照组采用常规健康教育方法,观察组在对照组基础上采取护士主导的同伴教育模式进行干预。干预前后比较两组患者骨质疏松知识、服药依从性、跌倒功效得分。结果对照组失访2例,观察组失访1例,最终观察组和对照组各纳入30例。干预前,两组患者骨质疏松知识、服药依从性、跌倒功效得分差异均无统计学意义(P>0.05);干预后,观察组患者骨质疏松知识、服药依从性、跌倒功效得分均高于对照组,差异均有统计学意义(P<0.05)。结论由护士主导的基于网络平台的同伴教育能够提高骨质疏松症患者的骨质疏松知识水平、服药依从性、跌倒功效评分,值得在骨质疏松症患者健康教育中推广和应用。Objective To explore the effect of nurse-led peer education on the disease knowledge,medication adherence,and fall efficacy of osteoporosis patients.Methods From June 2022 to May 2023,convenience sampling was used to select 63 patients with osteoporosis who visited the Bone Metabolism Clinic of Peking Union Medical College Hospital as participants.The patients were divided into a control group(n=32)and an observation group(n=31)using a random number table method.Control group received conventional health education,while observation group was treated with nurse-led peer education on the basis of control group.The osteoporosis knowledge,medication adherence,and fall efficacy scores were compared between the two groups of patients before and after intervention.Results Two cases were lost to follow-up in control group,one case was lost to follow-up in observation group,and ultimately 30 cases were included in both observation group and control group.Before intervention,there was no statistically significant difference in osteoporosis knowledge,medication adherence,and fall efficacy scores between the two groups of patients(P>0.05).After intervention,observation group had higher scores in osteoporosis knowledge,medication adherence,and fall efficacy than control group,and the differences were statistically significant(P<0.05).Conclusions Nurse-led peer education based on online platforms can improve the knowledge,medication compliance,and fall efficacy score of osteoporosis patients,and is worthy of promotion and application in health education for osteoporosis patients.

关 键 词：骨质疏松症 同伴教育 知识水平 服药依从性 跌倒 

分 类 号：R473.5[医药卫生—护理学]