同伴教育对银屑病患者社会心理适应的影响

发布时间：2018-05-23 11:03

本文选题：银屑病 + 社会　；参考：《中国皮肤性病学杂志》2014年10期

【摘要】：目的探讨同伴教育对银屑病患者社会心理适应的影响。方法招募5例有5年以上银屑病史的志愿者,由皮肤科医师和护士对其进行培训,考核合格后对实验组的患者在出院后,同伴教育者对实验组患者每月实施电话访问1次,干预内容包括:1宣传预防银屑病复发的健康知识;2根据美国心理学家艾理斯的理性-情绪疗法的ABC理论,指导小组成员提高社会心理适应水平。对照组仅由主管医生、责任护士按照档案册,每月对患者电话访问1次,宣教预防银屑病复发的健康知识、解答患者的各种社会心理适应不良问题。在出院前和出院后1年,分别评估两组患者掌握预防银屑病复发知识的程度和社会心理适应水平;根据PASI评估两组银屑病患者病情及复发率。结果干预后1年时,两组患者预防银屑病复发知识的知晓率(包括运动、饮食、心理、药物、预防感染、气候环境6个方面)均达到91.83%以上,两组的差异无统计学意义(P0.05);但实验组患者社会心理适应水平优于对照组,差异有统计学意义(P0.01)。而且实验组未复发银屑病的患者(86.67%)明显高于对照组(60.00%),差异也有统计学意义(P0.05)。结论同伴教育能有效提高银屑病患者社会心理适应水平,并能有效降低银屑病复发。
[Abstract]:Objective to explore the effect of peer education on psychosocial adaptation of psoriasis patients. Methods five volunteers with a history of psoriasis for more than 5 years were recruited and trained by dermatologists and nurses. After the patients in the experimental group were discharged from hospital, the patients in the experimental group were interviewed by peer educators once a month. Intervention included: 1 to promote health knowledge to prevent the recurrence of psoriasis. 2 according to the ABC theory of rational and emotional therapy by American psychologist Alex, the members of the group were instructed to improve the level of psychosocial adaptation. In the control group, only the doctor in charge and the responsible nurse visited the patient by telephone once a month according to the dossier, to preach the health knowledge of preventing the recurrence of psoriasis and to answer the various social and psychological problems of the patients. Before discharge and 1 year after discharge, the degree of knowledge of prevention of psoriasis recurrence and the level of psychosocial adaptation were evaluated, and the state of psoriasis and recurrence rate were evaluated according to PASI. Results at one year after intervention, the rate of knowledge about prevention of psoriasis recurrence (including exercise, diet, psychology, drugs, prevention of infection, climate and environment) in both groups was above 91.83%. There was no significant difference between the two groups (P 0.05), but the level of psychosocial adaptation of the patients in the experimental group was better than that in the control group, and the difference was statistically significant (P 0.01). Moreover, the patients without recurrent psoriasis in the experimental group (86.67) were significantly higher than that in the control group (60.005%), and the difference was statistically significant (P 0.05). Conclusion Peer education can effectively improve the level of psychosocial adaptation and reduce the recurrence of psoriasis.
【作者单位】：林医学院附属医院皮肤性病科;哈尔滨医科大学;
【基金】：广西壮族自治区卫生厅计划课题(Z2012442)
【分类号】：R758.63

【参考文献】