同伴教育对冠心病患者心脏康复锻炼依从性的影响

Effect of peer education on improving compliance of cardiac rehabilitation in patients with coronary heart disease

目的探讨同伴教育干预模式对冠心病患者心脏康复锻炼依从性的影响。方法选取2018年10月至2019年10月入住心内科64例冠心病患者为研究对象,按照随机数字表法随机分为试验组和对照组,每组32例。对照组采用常规的健康教育与护理干预,试验组在对照组的基础上,采用同伴教育干预模式,共持续6个月;观察2组患者心脏康复锻炼的依从性及干预前后生命质量的变化。结果干预1、3、6个月后,干预组心脏康复依从性较对照组分别提高了18.75%、21.37%、21.88%。在干预第1、3个月后,干预组与对照组康复锻炼依从率的比较,差异有统计学意义(χ^2值分别为18.050、16.946,P<0.05),而在干预后第6个月,2组患者心脏康复锻炼依从性比较,差异无统计学意义(χ^2值为6.489,P>0.05)。干预1、3、6个月后,干预组生命质量得分依次为(88.68±6.65)、(81.90±6.78)、(76.33±5.90)分,对照组生命质量得分依次为(84.75±4.72)、(75.67±5.88)、(74.71±9.47)分。2组患者的生命质量得分在干预后第1个月、第3个月比较差异有统计学意义(t值分别为2.235、2.520,P<0.05);而在干预后的第6个月,2组患者得分比较差异无统计学意义(t值为1.049,P>0.05)。结论同伴教育干预模式能够有效提高冠心病患者心脏康复锻炼依从性,至少能延长至干预的3个月内,同时能够有效改善患者的生命质量,但对6个月以后的影响有待进一步研究。

Objective To evaluate the effect of peer education on improving compliance of cardiac rehabilitation in patients with coronary heart disease.Methods Totally 64 patients were randomly divided into two groups,namely,the experimental group and the control group with 32 cases in each group.Patients in the experimental group received routine education,nursing,and rehabilitation,plus the peer education treatment,whereas the control group only received routine treatment.The time lasts for 6 months.The compliance of cardiac rehabilitation and the score of China Questionnaire of Quality of Life in Patients with Cardiovascular Diseases(CQQC)were measured after 1 month,3month and 6 month.Results After 1,3,and 6 months of intervention,the compliance of cardiac rehabilitation in the intervention group increased by 18.75%,21.37%,and 21.88%,respectively,compared with the control group.After the first and third months of intervention,there was a statistically significant difference in the compliance rate of rehabilitation exercise between the intervention group and the control group(χ^2 values were 18.050,16.946,respectively,P<0.05),and at the sixth month after intervention,the compliance of the two groups of patients with cardiac rehabilitation was not statistically significant(χ^2 value was 6.489,P>0.05).After 1,3,and 6 months of intervention,the quality of life scores of the intervention group were(88.68±6.65),(81.90±6.78),and(76.33±5.90)points,and the quality of life scores of the control group were(84.75±4.72),(75.67±5.88),and(74.71±9.47)points.There was significant difference in the scores of the two groups in the first and third months after the intervention(t values were 2.235,2.520,respectively,P<0.05);and in the sixth month after the intervention,the difference in the scores of the two groups wasn`t statistically significant(t value was 1.049,P>0.05).Conclusion Peer education can improve the compliance of cardiac rehabilitation and the score of CQQC in patients with coronary heart disease in 3 month,but further research is needed to confirm the long-term effect of peer education.