同伴教育在高脂血症社区健康教育中的作用

Role of Peer Education in Community Health Education on Hyperlipidemia

目的 调查同伴教育在高脂血症社区健康教育中的作用。方法 选择北京市西城区 4个社区志愿参与本研究的常住居民进行血脂筛查 ,共筛查出高脂血症患者及血脂偏高者 2 40人 ,对其进行为期 6个月的高脂血症综合健康教育 ,并从其中抽取 40人同时进行同伴教育 (教育 2组 ) ,另 2 0 0人作为对照组 (教育 1组 )。在教育前后进行高脂血症相关知、信、行的问卷调查 ,并作分析比较。结果 教育 1组和教育 2组在健康教育前关于高脂血症的知、信、行测试得分分别为 43 5 4± 5 0 6和 40 2 1± 5 68,无显著差异。实施教育后教育 1组得分仅增加 2 65 ,明显低于第 2组增加分数 5 0 5 (P <0 0 5 )。结论 同伴教育对高脂血症患者的健康教育更为有效。

Objective To investigate the role of peer education in community health education on hyperlipidemia. Methods Comprehensive health education on hyperlipidemia,including lecture,recording of daily life events,expert counseling,health education materials,poster,etc. was conducted for 6 months among 240 persons,in 4 communities of Xicheng District,Beijing. Four to five persons in these communities were selected from the 240 persons on a voluntary basis to be receive one-month training so as to become peer educators. Then they were asked to perform peer education,in the forms of lecture,discussion,practical operation,games,etc,for 40 persons (group 2). The other 200 persons receiving comprehensive health education without peer education were categorized as group 1. A questionnaire survey on the KAP about hyperlipidemia was conducted before and after the health education and the outcomes between these 2 groups were compared. Results The KAP scores of group 1 and group 2 before health education were 43.54±5.06 and 40.21±5.68 respectively,without significant different and the increase of KAP scores of group 1 after health education were 2.65,significantly lower than that of the group 2 (5.05,P<0.05).Con- clusion Peer education is more effective in health education,for example,on hyperlipidemia.