The Effect Of Peer Education Directed By Nurses On Health Status In Patients With Chronic Obstructive Pulmonary Disease

ObjectiveBy applying peer education in the healthy education of patients with chronic obstructive pulmonary disease, our study aim to analyze the characteristic of their living conditions, explore the effect of peer education and volunteerson health statusinpatients with chronic obstructive pulmonary disease, and provide a favorable Basis for self-management actions of chronic obstructive pulmonary disease. MethodsFrom June 2013 to November 2014, a total of 926 patients with Chronic obstructive pulmonary disease were screened from the first affiliated hospital of Zhengzhou university based on the lung function combined with compatible symptoms, 140 was randomized into intervenient group(70 cases for peer-education of volunteers combined with general health education) and control group(70 cases for general health education). After the four and twelve weeks intervenient actions, we adopted the SGRQ score, m MRC score, HADS scoreandlung function test were used to assess the effect of two groups respectively. SPSS 21.0 was used to analyze all the data. The students t-test was used to analyze measurement data.The ANVOA was used to analyze the comparison among more groups. Results1. To the life quality changes after twelve weeks intervenient actions, we found the symptom and everyday life of intervenient group had significantly improvement(P<0.05), and the increasing tendency was more obvious than the control group.The activity ability also had some improvement, but there was no statistically significant difference(P >0.05).2. With the joint efforts of peer education directed by nurses, the condition of anxiety and depression inintervenient group were significantly better than the control group(P<0.05), and the increasing tendency was more obvious than the control group, which show us the peer education directed by nurses could improve the anxiety and depression condition of patients with chronic obstructive pulmonary disease.3. To analyze the data of the breath condition after twelve weeks intervenient actions, we found that the improvement of breath conditionin intervenient group were significantly better than the control group(P<0.05), which show us the peer education directed by nurses could improve the breath condition of patients with chronic obstructive pulmonary disease.4. Comparing with the lung function changes in two groups, we found that there was no statistically significant difference(P >0.05), which show us the peer education directed by nurses have no effect on the lung function improvement and need further study. ConclusionThe peer education directed by nurses for 12 weeks can improve quality of life, and might act as an useful complement beyond general health education in patients with chronic obstructive pulmonary disease.