同伴支持教育对慢性萎缩性胃炎患者健康行为及生活质量的影响

Impact of peer support education on health behavior and quality of life in patients with chronic atrophic gastritis

背景慢性萎缩性胃炎为临床常见疾病,其病因及发病机制较为复杂,不仅与某些病理因素有关,个体对疾病的认知水平、心理状态、健康行为方式等也与之有关.从心理学角度来讲,适当的心理管理在疾病管理中的意义显著,尤其是在慢性疾病管理中的效果值得肯定.本研究以同伴支持教育为主要干预手段,分析其对慢性萎缩性胃炎患者健康行为及生活质量的影响.目的探讨同伴支持教育对慢性萎缩性胃炎(chronic atrophic gastritis,CAG)患者健康行为及生活质量的影响.方法选择2017-01/2017-12符合标准的CAG患者107例为研究对象,采用随机数字表法分为干预组55例、对照组52例.对照组给予包括疾病认知、健康行为、并发症预防等在内的常规健康教育,干预组联合应用同伴支持教育.随访6 mo,比较两组患者健康行为、生活质量、健康教育满意度等指标.结果干预组CAG患者合理膳食、运动锻炼、情绪控制、戒烟戒酒达标率明显高于对照组(87.27%vs 71.15%,89.09%vs 73.08%,85.45%vs 69.23%,89.09%vs 71.15%,χ2=4.252,4.510,4.044,5.4582,P<0.05);生理职能、总体健康、活力、社会功能、情感职能、精神健康评分明显高于对照组(76.62±8.21 vs 70.10±8.32,67.45±7.26 vs 61.24±7.32,70.12±8.23 vs 62.45±7.41,82.45±8.36 vs 76.45±8.45,73.12±8.42 v s 65.12±7.56,72.65±8.22 v s 64.78±8.34,t=4.079,4.405,5.056,3.691,5.161,4.915,P<0.05),健康教育满意度96.36%明显高于对照组84.62%(χ2=4.354,P<0.05).结论同伴支持教育更容易被CAG患者所接受,有助于促进患者健康行为方式的养成,进而改善患者生活质量.

BACKGROUND Chronic atrophic gastritis(CAG)is a kind of life related disease.Its occurrence and development are obviously related to individuals’disease cognition level,mental state,and healthy behavior pattern.Peer support education is a mutual support system composed of individuals with the same background or experience,and its effect is worthy of affirmation in the management of chronic diseases.But there are few reports on the application of peer support education in CAG as well as the healthy behavior of CAG patients.AIM To investigate the effect of peer support education on health behavior and quality of life in patients with CAG.METHODS A total of 107 patients with CAG diagnosed from January 2017 to December 2017 were divided into an intervention group(55 cases)and a control group(52 cases).Both groups were given routine health education,including disease cognition,health behavior,and complication prevention.The intervention group was additionally given peer support education.The patients were followed for 6 mo,and health behavior,quality of life,and degree of satisfaction with healt movement exercise,emotional control,and smoking and drinking quitting were significantly higher in the intervention group than in the control group(87.27%vs 71.15%,89.09%vs 73.08%,85.45%vs 69.23%,and 89.09%vs 71.15%,respectively;χ2=4.252,4.510,4.044,and 5.4582,respectively;P<0.05).Physiological function,general health,vitality,social function,emotional function,and mental health scores were significantly higher in the intervention group than in the control group(76.62±8.21 vs 70.10±8.32,67.45±7.26 vs 61.24±7.32,70.12±8.23 vs 62.45±7.41,82.45±8.36 vs 76.45±8.45,73.12±8.42 vs 65.12±7.56,and 72.65±8.22 vs 64.78±8.34,respectively;t=4.079,4.405,5.056,3.691,5.161,and 4.915,respectively;P<0.05).The degree of satisfaction with health was significantly higher in the intervention group than in the control group(96.36%vs 84.62%,χ2=4.354,P<0.05).CONCLUSION Peer support education is more likely to be accepted by patients with CAG,which is conducive to promoting the development of health behavior and improving quality of life.