Study of Peer-led Intervention on Reproductive Health Education and AIDS Prevention in Joint Venture Factories in Kunshan County

Objective To disseminate the knowledge of contraception and STD/AIDS prevention to unmarried young adults.Methods A peer-led 8-month intervention on reproductive health promotion and STD/ AIDS preve,tion was conducted in joint venture factories in Kunshan County through existing famity planning service network. A quasi-experimental design was used. Results The contraception. STD/AIDS related knowledge and attitudes improved significantly, and the use of condom also increased significantly in experimental group after the intervention. No such changes occurred in control group. Conclusion This study demonstrates that the peer-led education is an effective approvach of expanding reproductive health and AIDS prevention services to unmarried young adults in the joint venture factories.

Effects of Peer Health Education on Sexual Health Knowledge and Attitudes of Tertiary Institution Students in Imo State, Nigeria

This study was designed to determine effects of peer-health-education on sexual health knowledge and attitudes of tertiary institution students in Imo State Nigeria by determining the mean gain scores of sexual health knowledge and attitudes after peer health education. Quasi-experimental (pre-test-post-test) research design was employed. Two hundred students drawn from the University, Polytechnic and College of Education, using a multi-stage sampling technique participated in the peer sessions which were facilitated by trained peer educators. Data were analyzed using ANCOVA and Z-test. Findings revealed improved knowledge and attitudes on sexual health, as depicted by positive mean gain scores. Age group 16 - 20 years had the highest mean gain score (<img src="Edit_8e8f0539-e2c6-47bc-80f1-ccaee4c06df5.png" alt="" /> = 22.31) of sexual health knowledge than the rest, while age group 26 - 30 years had the highest mean gain score (<img src="Edit_dec53aa0-f549-425f-baf4-08f39aaf05fd.png" alt="" /> = 10.59) of sexual health attitudes. Males had higher mean gain score (<img src="Edit_e767bc6a-c1f3-4f0a-8b31-814581d9dd64.png" alt="" /> = 26.05) of sexual health knowledge, while females had higher mean gain score (<img src="Edit_79f87968-38f8-4873-8516-f5370ba691df.png" alt="" /> = 9.77) of sexual health attitudes. The first years (100 level students) had the highest mean gain score (<img src="Edit_3f417e44-7627-4d69-860e-94c94ae7db0e.png" alt="" /> = 25.71) of sexual health knowledge and also had the highest mean gain score (<img src="Edit_2a60fbc7-0a2c-49fe-b9a2-1cea354966a3.png" alt="" /> = 14.12) of sexual health attitudes. Level of study was significant both for knowledge and attitudes (P < 0.01). It is recommended that peer-health-education be explored further as a method of communicating sexual health issues to tertiary institution students and youths generally.

Impact of Relaxation and Group Psycho-Education on Health Outcomes Using Integrated Care Models and Quality Improvement

The purpose of this Integrated Care Practice Change and Quality Improvement (ICPCQI) initiative was to evaluate the impact of wellness and relaxation and group psycho-education on health out-comes in an integrated care setting. Individuals diagnosed with mental illness and a co-occurring chronic medical condition participated in the ICPCQI initiatives which were run by peer support and wellness experts in an integrated care setting over the one-year project implementation period. Evaluation of outcome measures revealed an overall decline of 8.3% (p < 0.0001) and 7.3% (p < 0.0001) in the average systolic and diastolic blood pressure respectively. There was a 12.3% (p = 0.02) reduction on the average PHQ-9 scores. GAD-7 (p = 0.9) scores had a mean reduction of 1.5%. These preliminary results suggest that the evidence-based ICPCQI initiatives positively impact health outcomes among individuals with mental illness and chronic medical conditions.

Lay health educator role in improving cancer screening rates in underserved communities

There are inequities in cancer screening among people living in one large province in Canada;these include breast, cervical and colorectal cancer screening. The use of peer support or lay health educator models is often used in promoting health behaviours to communities. This paper outlines some of the conceptual understandings of peer support and lay health educator models and describes an application of a lay health educator program called Screening Saves Lives. The program structure and activities are discussed as well as lessons learned over a period of six years. Three key theoretical perspectives support the design of the model— Health Belief Model, Stages of Change model and PRECEDE model. The program has reached over 35,000 community members within one region using laypersons who are trained in providing tailored messages on cancer screening, supporting and follow-up. Additionally, the program has been a catalyst in identifying barriers to cancer screening and enables positive changes in the health care system. Screening Saves Lives is currently being scaled to other communities in the province.

Selection, Training and Supervision of Breast Cancer Peer Educators： a literature review

Breast cancer is one of the most serious malignant and it seriously affects the quality of life and mental health of the patients. Research shows that peer education can improve breast cancer patients＇ quality of life, treatment compliance, and self-management behavior. Its selection, training and supervision are particularly important due to the core role of peer educators in peer support. This article reviewed the research status and progress in the selection, training and supervision of breast cancer peer educators abroad in order to provide references for further study.

The perspective of peer educators: What are their experiences, feelings, and thoughts?

Introduction: Although peer education is accepted as one of the most effective methods for sexual and reproductive health education, the feelings, thoughts and self-affection of peer educators are not very well known. Our aim is to investigate what it is like to be a peer educator. Methods: This phenomenological study was conducted in Izmir as a part of “Modern Stork Legends” project supported by the European Union. Two focus group interviews were made with 18 peer educators of the project. Data were analyzed with NVivo 8 BS software. Results: All of the students stated that they participate in the project “to enhance their knowledge” and “to inform their social circle”. They are concerned about the tasks and expectations, and anxious about the subject of counseling. They think that anything related with sexuality is taboo in Turkey and it was also the same for them. They observed that, gender defined roles are reflected on students’ behaviors and attitudes. Their tolerance in understanding of inhibitions and hesitations of their peers formed the basis of their success. They stated that working in this project helped them to overcome their prejudices and contributed their development in many ways. Conclusion: Peer educators internalize substantial amount of knowledge and gain self-confidence and important skills such as communication, problem solving and access to information.

“医学同伴”模式在大学生生殖健康教育中的应用

目的探讨“医学同伴”模式在大学生生殖健康教育中的可行性和有效性。方法选择西安市4所高校的857名大学生,对其进行匿名问卷调查,了解其对于各类生殖健康教育模式的效果感知及对同伴教育模式的认知情况。结果大学生对课堂讲授、新媒体、专家宣讲、同伴教育的感知度分别为56.7%、80.7%、73.0%,以及92.3%;“医学同伴”模式在专业性、经验性、指导性、包容性上的接受度分别为92.6%、88.1%、90.5%,以及84.5%,远高于传统同伴教育模式(χ^(2)分别为148.9、355.3、269.5,以及60.9,P<0.01),但参与过“医学同伴”教育活动的大学生仅占8.5%。结论首先,大学生对同伴教育模式在生殖健康干预中的接受度和认知度较高;其次,传统同伴教育模式在专业性、经验性、指导性、包容性四个维度上同样存在明显不足,表现为实践操作、效果评价等方面的偏差;再次,应重视“医学同伴”模式在大学生生殖健康教育中的应用,充分利用区域医学院校资源,吸纳、组织、培训具有专业医学知识、与大学生年龄相仿的医学院校学生、年轻住院医师等,形成同伴教育团队,具有较强的必要性、可行性和务实性,从根本上保障同伴教育在大学生生殖健康干预领域效能的发挥。

微视频联合同伴教育在住院老年患者跌倒管理中的应用

目的 探讨微视频联合同伴教育在住院老年患者跌倒管理中的应用效果,为寻求防跌倒的健康教育模式提供思路。方法 159例住院老年患者分为对照组79例和观察组80例,对照组予以常规预防跌倒健康教育,观察组在此基础上实施基于微视频联合同伴教育的健康教育模式。比较2组患者干预前后的跌倒知识、态度、行为评分,以及住院期间的跌倒发生率和护理满意度。结果 2组患者干预后跌倒知识、态度、行为评分均高于本组干预前,且观察组各项评分高于对照组,差异有统计学意义(均P<0.01);观察组跌倒发生率(2.50%)低于对照组(10.13%),护理满意度(98.75%)高于对照组(89.87%),差异有统计学意义(均P<0.05)。结论 基于微视频联合同伴教育的健康教育模式能提高住院老年患者的跌倒知信行水平,使其主动参与患者安全管理,自觉践行正向的行为,减少跌倒的发生。

基于计划行为理论的生活方式干预结合同伴教育对妊娠期糖尿病患者健康行为及血糖变异性的影响

目的分析基于计划行为理论的生活方式干预结合同伴教育对妊娠期糖尿病(GDM)患者健康行为及血糖变异性的影响。方法选择2019年3月至2022年4月收治的70例GDM患者为研究对象,以随机数字表法将其分为对照组和观察组,各35例。对照组接受常规护理,观察组在对照组基础上加施基于计划行为理论的生活方式干预结合同伴教育。比较两组的干预效果。结果干预后,观察组的健康意识、健康态度及健康行为评分高于对照组(P<0.05)。干预后,观察组的血糖变异系数(CV)、空腹血糖变异系数(CV-FBG)低于对照组(P<0.05)。观察组的不良妊娠结局总发生率低于对照组(P<0.05)。结论基于计划行为理论的生活方式干预结合同伴教育可提高GDM患者健康行为,改善血糖变异性,降低不良妊娠结局发生率。

高校朋辈心理互助平台“1+”系列建设路径探析

心理健康教育工作是高校思想政治工作的重要内容,除了发挥心理健康教育专职教师的作用,更要重视高校心理健康教育网络和平台建设。朋辈互助在日常预警防控、心理援助服务、跟踪评估反馈等方面有独特优势,能够为高校心理健康教育带来新思路。当前高校朋辈心理互助平台建设时间短、专业化程度低、交互能力弱,朋辈互助作用尚未充分发挥。通过分析当前高校朋辈心理互助平台建设现状,结合学校社会工作的专业优势,从形成“1+1”帮扶互助、搭建“1+4”密合型互助体系、打造“1+100”团体心理互助模式、创新“1+N”平台结构四个方面,探索高校朋辈心理互助平台建设路径。

同伴教育在医学院校公共卫生事件健康教育干预中的效果

目的分析在医学院校公共卫生事件健康教育干预中应用同伴教育的效果。方法在某医学院校抽取两个班级,按照班级分为对照组和观察组。对照组实施常规公共卫生事件健康教育,观察组实施同伴教育,并评估两组学生的健康教育效果。结果干预前,两组医学生的公共卫生事件知识水平和健康行为评分差异无统计学意义。干预后,两组学生的公共卫生事件知识水平和健康行为评分均有明显提升,观察组学生的提升水平更加显著。结论在医学院校公共卫生事件健康教育干预中应用同伴教育,可加强医学生们的健康意识,促使其选择更利于自身和公共卫生事件应对的健康行为以及提高自我综合管理能力,利于其饮食、生活习惯等各方面的正向发展,同时还可提高学生们的健康素养,实现良好的校内自我安全管理。

健康科普:同伴教育对大学生健康生活方式的影响研究

目的:探讨同伴教育在大学健康科普中的应用及对健康生活方式的影响,为高校开展健康科普提供科学依据,助力校园和谐健康发展。方法:选取研究对象并进行健康生活方式测评,组建健康科普同伴教育团队并培养其健康教育能力。健康科普团队对研究对象进行为期1个月的同伴教育干预并进行健康生活方式和健康教育满意度的测评,对比分析研究对象干预前后测评结果。结果:干预后研究对象的健康生活方式测评得分和对健康科普教育满意度均高于干预前,差异均具有统计学意义(P<0.05)。结论:同伴教育对大学生健康生活方式具有正向影响,且高校开展健康科普同伴教育具有可行性和推广性。

Increasing Employees’ Fruit Consumption through Access and Peer Support at Work

Objective: To assess the effect of providing free fruit and peer support in the workplace, on employees’ consumption of fruits and high fat snacks at work and home. Methods: Three worksites, including 75 employees, were randomly assigned to a free fruit condition (Group A), a free fruit and peer education and modelling condition (Group B), and a control group (Group C). Groups A and B had free fruit delivered to their workplace each morning for four weeks. Consumption of fruit and high fat snacks was measured pre- and post-intervention, and after a two week maintenance period. Results: Despite a small sample, the intervention increased employees’ fruit intake at work, decreased high fat snacks and was more successful in those who were not currently meeting the recommendations of two pieces of fruit per day. Peer support led to increased fruit consumption at work and sustained decreases in unhealthy snacks post-intervention. Conclusions: The provision of fruit in the workplace with peer support is a simple and effective method for improving fruit consumption at work in the short-term, particularly in those not meeting current recommendations. In addition, those participating in the intervention reduced their consumption of high fat snacks. Further research is necessary to determine whether a longer larger scale intervention can sustain dietary changes and thereby reduce risk for chronic disease in the Australian population.

大学生朋辈心理互助及其基层工作体系的构建

大学生是心理问题高发人群。当前我国高校心理健康教育工作已经全面铺开,但其有效性有待进一步提高。朋辈心理互助模式具有涉及对象广、接触频繁、操作简便和兼顾自助与互助等特点,已成为大学生心理健康教育工作体系的重要补充,但目前仍存在重视程度不够、工作机制不全、实施效果不佳等问题,可在强化朋辈互助网络构建、完善培训与考核机制、搭建朋辈线上线下互助平台等方面下功夫,以提高大学生朋辈心理互助的实效。

基于朋辈交流模式的大学生结核病健康教育创新策略研究

目的通过对大学生结核病健康教育的模式、效果开展比较研究,探讨朋辈交流教育模式在高校结核病防治健康教育工作中的应用前景,为进一步拓展、优化高校结核病健康教育工作提供参考。方法应用随机整群抽样法,选取烟台某高校2022年9月入学的新生927人分为A组和B组,分别采用常规教育模式和朋辈交流教育模式开展大学生结核病防治健康教育,并在教育干预前后开展问卷调查和组间比较,对2种模式的健康教育干预效果进行比较和评价。结果干预前,A组与B组研究对象结核病防治核心知识总知晓率分别为36.32%和33.70%,二者比较,差异无统计学意义(χ^(2)=0.689,P=0.407)。干预后,B组研究对象的知识维度各类条目知晓率和结核病防治核心知识总知晓率均高于A组,差异均有统计学意义(P<0.05)。干预前,A组与B组研究对象在结核病防治态度维度3个条目上的得分差异均无统计学意义(P>0.05)。干预后,B组研究对象在结核病防治态度维度3个条目上的得分均高于A组,差异均有统计学意义(P<0.05)。干预前,A组与B组研究对象在结核病预防行为维度3类条目上的得分差异均无统计学意义(P>0.05)。干预后,B组研究对象在结核病预防行为维度3类条目上的得分均高于A组,差异均有统计学意义(P<0.05)。结论朋辈交流教育模式是符合新时代大学生行为特征、交流方式的新型高校结核病防治健康教育模式,其在提升大学生结核病防治核心知识知晓率及知信行水平方面效果明显,前景可期。

分析同伴支持联合健康宣教对HIV感染患者心理状态及睡眠质量的影响

目的:分析同伴支持联合健康宣教对HIV感染患者心理状态及睡眠质量的影响。方法:选取2022年1月至2023年1月厦门大学附属第一医院感染科收治的HIV感染患者60例作为研究对象,按照随机表法分为对照组和观察组,每组30例。对照组患者给予一般性护理,观察组患者在对照组的基础上给予同伴支持联合健康宣教护理干预。采用行为检查量表(BCL)比较2组患者焦虑、退缩、抑郁3项指标,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化。结果:护理干预后,观察组焦虑、退缩、抑郁指标改善幅度优于对照组,观察组PSQI评分显著低于对照组,差异均有统计学意义(均P<0.05)。结论:同伴支持联合健康宣教能有效促进HIV感染患者心理状态及睡眠质量改善,值得推广使用。

以微信群为载体同伴支持健康教育在老年肠造口患者中的应用效果

目的:探讨以微信群为载体的同伴支持健康教育在老年肠造口患者中的应用效果。方法:选取2021年1月—2022年12月于重庆医科大学附属第一医院胃肠外科收治的老年肠造口患者68例为研究对象,根据手术时间将2021年1—12月的患者分为对照组(n=32),将2022年1—12月的患者分为观察组(n=36)。对照组采用胃肠外科常规健康教育,观察组在对照组的基础上采取以微信群为载体的同伴支持健康教育。比较干预3个月后两组患者自我效能[采用造口患者自我效能量表(SSES)评价]、自我护理能力[采用自我护理能力量表(ESCA)评价]和生活质量[采用造口患者生活质量量表(Stoma-QOL)评价]。结果:干预3个月后,两组患者SSES各项目评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组患者ESCA各项目评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组患者Stoma-QOL各项目评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:以微信群为载体的同伴支持健康教育可提高老年肠造口患者自我效能及自我护理能力,改善患者生活质量,值得临床应用。

“互联网+”集中群组干预模式在孕晚期初产妇中的应用研究

目的探讨“互联网+”集中群组干预模式(远程团体产前教育模式)对孕晚期初产妇孕产期心理的影响。方法招募120例定期在院胎心监护室检查的孕晚期初产妇,随机分为试验组(n=60)与对照组(n=60),两组均给予医院常规健康教育(每次产前检查时的医护宣教、助产士门诊健康宣教等),在此基础上,对照组给予孕妇学校的线下孕晚期课程;试验组则给予以孕晚期保健知识、分娩应对、临产指导、产后护理为核心内容的“互联网+”集中群组保健模式的干预。试验组59例初产妇、对照组57例初产妇完成了研究。比较干预前后两组初产妇的妊娠压力及分娩期望。结果干预后,试验组的妊娠压力总均分为0.53(0.26,0.70),对照组的为0.70(0.35,1.13),差异有统计学意义(Z=2.233,P=0.026);试验组的医疗环境、配偶支持因子得分高于对照组(P<0.05)。结论运用“互联网+”集中群组干预模式对孕晚期初产妇进行远程教育,能降低孕妇的产前妊娠压力,提高其对医疗环境与配偶支持的分娩期望,是线下健康教育的有益补充。

新时代高校朋辈心理辅导的实践路径探究

大学生朋辈心理辅导是指在高校中年龄相当者对周围需要心理帮助的同学、朋友给予心理开导、安慰和支持,提供具有心理咨询功能的帮助。朋辈心理辅导是提升高校心理健康教育工作质量的重要方式之一。文章结合新时代高校朋辈心理辅导的现状,剖析了当前高校朋辈心理辅导在实践中存在的若干问题,并提出开展相应的实践路径。充分发挥高校朋辈心理辅导的积极作用,有利于促进大学生健康成长和全面发展,培养优良品质,助力高校培养担当民族复兴大任的时代新人。

反馈式健康教育联合同伴互动支持干预在糖尿病肾病患者中的应用效果

目的 探讨反馈式健康教育联合同伴互动支持干预应用于糖尿病肾病(ND)患者的效果。方法 选择2020年3月至2022年4月空军军医大学第二附属医院诊治的120例ND患者,根据随机数字表法将其分为参照组和研究组,各60例。参照组行常规护理,研究组在常规护理基础上行反馈式健康教育联合同伴互动支持干预。观察两组干预前后自我管理能力、希望水平等变化情况。结果 干预后,两组自我管理量表中自我监测、疾病知识掌握、核心管理能力评分均低于干预前,且研究组低于参照组,差异有统计学意义(P<0.05);干预后,两组Herth希望量表、总体幸福感量表评分高于干预前,且研究组高于参照组,差异有统计学意义(P<0.05)。结论 反馈式健康教育联合同伴互动支持干预用于ND患者,在自我管理能力提高、希望水平提升方面均发挥明显作用。