Effect Of Peer Education On Self-management Ability And Physiological Indexes Of Patients With Hypertention After Discharge

Objectives:Hypertention is a kind of chronic diseases which seriously harm human health, and itsdisease control depends on the disease cognition, treatment attitude and diseaseself-management. Due to the shortage of compilation of hospital nurses in our country，thelimited nurses and material resources in the community，we can not effectively monitor thegrowing patients with hypertension.At the same time，patients themselves have poorerself-discipline and self-management，therefore this study mainly use peer education to helpthe hypertension patients to improve self-management.We pick out group leader to superviseand check team member，to see whether peer education is effective on the self-management ofhypertension patients.Methods:We select83hospitalized patients with hypertension in cardiology center of the firstHospital of Jilin University during June2011and June2012. They are randomly divided intotwo groups, experiment group with41cases and control group with42cases. We set up onenurse education team and carry on the uniform training. After they sign informed consentform, we establish personal files, distribut general material and questionnaire. Patients of bothgroups are all given health education and discharge guide by trained nurses during theirhospitalization. The patients in the experiment group are given the peer education during thelater twelve months, and the patients in the control group are not given the peer education. Allpatients are asked to have some visits at1st,3rd,6th,12th month, to monitor their bloodpressure, blood lipids, blood glucose and weight. All data are analyzed by SPSS17.0statisticalsoftware package. The measurement data with mean and standard deviation are analyzed byindependent-sample T test and variance analysis; categorical data with percentage are analyzed by chi-square test. There are differences with statically significance when P<0.05.Results:1. In the two groups,4cases were losed in the control group,3cases in the experimentalgroup. There are no differences with statically significance between baseline data (sex, age,nationality, occupation, marital status, educational level, health care category, course of thedisease, family genetic history and the complications, hypertension grade, whether receivedhealth education, and expects to receive knowledge aspects)(P>0.05).2. when compare knowledge of hypertension, normal blood pressure value, diet, weightcontrol, exercise knowledge and way of life between the two groups of patients withhypertension, there is no statistically significant difference (P>0.05); when compareexecution and acceptance about medical care workers and their families advice between twogroups of patients, there is no statistically significant difference (P>0.05).3. When compare blood lipids, blood glucose, blood pressure and weight between thetwo groups, the change in SBP, FBG, TC, LDL, HDL in the experiment group are better thanthe control group, the difference has statistical significance (P <0.05). The change in DBP,weight, TG is no significant difference (P>0.05). There are statistical differences in thechange of SDP, DBP, FBG, weight, TC, TG, LDL, HDL between two groups at one month,three months, six months, twelve months respectively(P<0.05).Conclusions:1. Peer education can effectively decrease the patients’ SBP, FBG, TC and LDL.2. Peer education can effectively improve the patients’HDL.3. Peer education may be non-effective in the control of DBP, weight, TG.