CAJ | 학술논문

目的：探讨同伴教育对全髋置换术后患者社会心理适应的影响。方法招募10例在我院行全髋置换术的患者，培训合格后成为同伴教育者。将2009－01～2015－01间在我院行全髋置换手术患者120例随机分成观察组和对照组，每组60例，患者出院后观察组由同伴教育者定期访问交流，对照组由护士定期访问交流。患者出院前及出院后一年，评估两组患者全髋置换术相关知识和社会心理适应水平。结果两组干预后全髋置换术相关知识得分及社会心理适应得分均高于干预前（ P＜0.05）；干预前全髋置换术相关知识得分及社会心理适应得分两组间比较无显著性差异（ P＞0.05）；干预后两组全髋置换术相关知识得分差异无统计学意义（P＞0.05），观察组社会心理适应得分高于对照组，差异有统计学意义（P＜0.05）。结论同伴教育可提高全髋置换术后患者社会心理适应水平及全髋置换术相关知识。
목적：탐토동반교육대전관치환술후환자사회심리괄응적영향。방법초모10례재아원행전관치환술적환자，배훈합격후성위동반교육자。장2009－01～2015－01간재아원행전관치환수술환자120례수궤분성관찰조화대조조，매조60례，환자출원후관찰조유동반교육자정기방문교류，대조조유호사정기방문교류。환자출원전급출원후일년，평고량조환자전관치환술상관지식화사회심리괄응수평。결과량조간예후전관치환술상관지식득분급사회심리괄응득분균고우간예전（ P＜0.05）；간예전전관치환술상관지식득분급사회심리괄응득분량조간비교무현저성차이（ P＞0.05）；간예후량조전관치환술상관지식득분차이무통계학의의（P＞0.05），관찰조사회심리괄응득분고우대조조，차이유통계학의의（P＜0.05）。결론동반교육가제고전관치환술후환자사회심리괄응수평급전관치환술상관지식。
Objective To explore the effect of peer education on the psychosocial adaptation of patients after total hip arthroplasty .Methods 10patientsaftertotalhipreplacementsurgeryweretrainedtobepeereducators.120patientsaftertotalhiparthroplastywere randomly assigned into the experimental group and control group , with 60 patients in each group.The experimental group received telephone intervention by peer educators and the control group by nurses after discharge ,respectively.The patients′knowledge about total hip arthro-plasty and psychosocial adaptation before discharge and one year after discharge were compared between the two groups .Results The score of knowledge of total hip arthroplasy and psychosocial adaptation were significantly higher in the experimental group than that in the control group(P<0.05).There was no significant difference in the knowledge about total hip arthroplasty between the two groups (P>0.05).The score of psychosocial adaption of the experimental group was higher than that in the control group , with different statistical significance ( P<0.05 ).Conclusion Peer education can promote patients′psychosocial adaptation and knowledge about total hip arthroplasty.