同伴教育在社区老年骨质疏松患者中的应用研究

Effects of a peer education program in elderly patients with osteoporosis in the community

目的 探讨同伴教育对社区老年骨质疏松患者知信行的影响。 方法 采用便利抽样法抽取乌鲁木齐市内两个社区,并随机分为对照组和干预组,每个社区纳入老年骨质疏松患者73例。对照组给予常规健康教育,干预组在常规健康教育的基础上给予同伴教育。分别比较干预前后2组老年患者骨质疏松相关知识、自我效能、健康相关行为得分。 结果 干预前骨质疏松相关知识、自我效能、健康相关行为得分干预组分别为(12.60 ± 2.57)、(55.74 ± 2.07)、(6.08 ± 1.44)分,对照组分别为(12.53 ± 2.90)、(55.75 ± 2.05)、(6.12 ± 1.04)分,2组比较差异无统计学意义(P>0.05)。干预后骨质疏松相关知识、自我效能、健康相关行为得分干预组分别为(17.02 ± 1.56)、(55.74 ± 2.07)、(7.01 ± 1.19)分,高于对照组的(15.07 ± 2.02)、(55.75 ± 2.05)、(6.23 ± 1.35)分,2组比较差异有统计学意义(P<0.01)。 结论 同伴教育模式能够有效提高社区老年骨质疏松患者相关知识,促进个体的自我效能,改善其健康相关行为。

Objective To explore the impact of peer education on the knowledge,self-efficacy and behavior of elderly patients with osteoporosis in community. Methods Two communities in Urumqi were sampled by convenient sampling method,and were randomly divided into control community and intervention community. Each community included 73 elderly patients with osteoporosis. In contrast to the community to give regular health education, intervention community to give peer education on the basis of regular health education. The knowledge, self-efficacy and health related behavior scores of osteoporosis were compared between the two groups before and after the intervention. Results Before intervention, the intervention group′s scores (12.60 ± 2.57, 55.74 ± 2.07, 6.08 ± 1.44) about osteoporosis related knowledge, self-efficacy and health related behavior were like and the control group(12.53 ± 2.90, 55.75 ± 2.05, 6.12 ± 1.04) points. There was no statistically significant difference between the two groups (P > 0.05). The post-intervention intervention group(17.02 ± 1.56, 55.74 ± 2.07, 7.01 ± 1.19) scored higher than the control group (15.07 ± 2.02, 55.75 ± 2.05, 6.23 ± 1.35) score on knowledge, self-efficacy, and health-related behavior related to osteoporosis. The difference was statistically significant (P<0.01). Conclusion Peer education model can effectively improve the knowledge, self-efficacy and health-related behavior of the elderly patients with osteoporosis in the community.