同伴教育在 PCI 住院患者健康教育中的作用

摘要

Objective To evaluate the role of peer-assisted education in the health education for inpatients treated with percutaneous coronary intervention.Method 105 in-patients having undergone PCI were chosen as the subjects and divided into an experimental group (n =55) and a control group (n =50).The control group were administered with conventional health.The experimental group were administered with peer -assisted education.HAMA and a self-designed PCI knowledge questionnaire were then used for the assessment of the subjects’degree of satisfaction and surgery compliance.Findings After the education,the surgery compliance and the degree of satisfaction of the experimental group were significantly higher than those in the control group (P <0.01).The HAMA score of the experimental group as observed 2 hours before surgery was significantly lower than that of the control group (t =2.902,P<0 .01).The score of self-designed PCI knowledge of the experimental group was significantly higher than that of the control group (t =5.889,P<0.001).Conclusion Peer-assisted education can effectively reduce PCI patients’anxiety, improve their command of PCI knowledge, and facilitate surgery compliance.%目的：观察同伴教育在经皮冠状动脉介入治疗（percutaneous transluminal coronary intervention，PCI）住院患者健康教育中的作用。方法选取105例心内科行 PCI 手术的住院患者，按病区分成干预组55例和对照组50例，对照组给予心内科护理常规健康教育，干预组接受同伴教育，于不同时间借助 HAMA 焦虑量表、PCI 手术相关知识问卷、手术依从性和护理满意度问卷对患者进行评估。结果干预后，干预组手术依从性、护理满意度均高于对照组（均 P＜0．01）；干预组患者术前2小时 HAMA 评分显著低于对照组（t ＝2．902，P ＜0．007），PCI 相关知识掌握问卷总分显著高于对照组（t ＝5．889，P ＜0．001）。结论在 PCI 患者护理中进行同伴教育，可以显著改善患者焦虑状态、协助掌握 PCI 相关知识、提高手术依从性。