同伴教育在提高PCI患者术后自我管理行为和服药依从性中的应用

Influence of peer education on improving postoperative self-management behavior and drug compliance in PCI patients

目的探讨同伴教育对提高PCI患者术后自我管理行为和服药依从性的影响。方法选取2016年7月1日-12月31日期间在哈尔滨医科大学附属第二医院接受PCI手术患者120例为研究对象。按照患者接受PCI的顺序进行编号,其中奇数为观察组,偶数为对照组,两组患者各60例。对照组患者采用常规健康指导,观察组患者采用同伴教育法。比较两组患者服药依从性和自我管理行为得分情况。结果干预后观察组患者服药依从性量表得分(6.97±0.89)分,高于对照组的(6.12±1.22)分,两组比较差异有统计学意义(t=2.667,P=0.009)。干预后观察组患者自我管理行为量表各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论同伴教育能够提高PCI患者术后自我管理行为和服药依从性,值得推广应用。

Objective To investigate the influence of peer education on improving postoperative self-management behavior and medication compliance in percutaneous coronary intervention (PCI)patients. Methods A total of 120 patients undergoing PCI in the Second Hospital Affiliated to Harbin Medical University from July 1st,2016 to December 31st,2016 were selected as the study subjects.The patients were numbered according to the sequence of PCI.The odd number was the observation group and the even number was the control group.There were 60 patients in each group.The patients in the control group were given routine health education,while the observation group adopted peer education.The score of medication compliance and self-management behavior were compared.Results After the intervention,the medication compliance score of the observation group was (6.97±0.89),which was higher than that of the control group (6.12±1.22), and the difference was statistically significant (t=2.667,P=0.009).After the intervention,The scores of the self-management behavior scale of the observation group were higher than those of the control group,and the differences were statistically significant (P <0.05).Conclusions Peer education can improve self-management behavior and medication compliance of postoperative patients with PCI,which is worth popularizing and applying.