Abstract:

Objective　To explore the effect of family-empowered peer education model on the transition period of elderly patients with atrial fibrillation. Methods　This study was a randomized controlled trial. From January to June 2023, 134 elderly patients with atrial fibrillation in the transition period in Luoyang Central Hospital Affiliated to Zhengzhou University were simply randomly divided into an experimental group (67 cases) and a control group (67 cases). There were 39 males and 28 females in the experimental group, aged (70.20±3.06) years. There were 40 males and 27 females in the control group, aged (69.30±3.28) years. The control group was given conventional health education mode of atrial fibrillation, and the experimental group was given family-empowered peer education model based on the control group. Both groups continued the intervention until 3 months after discharge. The classification of main family caregivers and medication compliance [Chinese version of the 8-item Morisky Medication Adherence Scale (MMAS-8)], quality of life [Atrial Fibrillation Effect on Quality-of-Life (AF-QoL-18)], caregiving ability [Family Caregiver Task Inventory (FCTI)], and burden level [Care Burden Index (CBI)] before discharge and 3 months after discharge were compared between the two groups. Independent sample t test and χ² test were used for statistical analysis. Results　In both groups, their spouses were the main caregivers [62.68% (42/67) and 59.70% (40/67)], followed by spouses + children [28.36% (19/67) and 29.85% (20/67)], children [4.48% (3/67) and 5.97% (4/67)], and babysitters [both 4.48% (3/67)]. There was no statistically significant difference between the two groups (P>0.05). Three months after discharge, the scores of MMAS-8, AF-QoL-18, and FCTI in the experimental group were higher than those in the control group [(7.31±0.70) points vs. (6.02±1.22) points, (71.63±8.65) points vs. (65.02±9.24) points, (61.43±5.92) points vs. (51.27±6.97) points], and the CBI score was lower than that in the control group [(54.47±8.99) points vs. (62.63±7.49) points] (all P<0.05). Conclusion　The family-empowered peer education model can improve the medication compliance and quality of life of elderly patients in the transition period of atrial fibrillation, improve the ability of main family caregivers, and reduce the burden of care.

Key words:

Atrial fibrillation, Transition period, Family empowerment, Peer education

摘要：

目的　探讨家庭赋能的同伴教育模式对老年房颤过渡期患者的影响。方法　本研究为随机对照试验。选取2023年1月至6月郑州大学附属洛阳中心医院收治的134例老年房颤过渡期患者。采用简单随机分组，将患者分为试验组（67例）和对照组（67例）。试验组男39例，女28例；年龄（70.20±3.06）岁。对照组男40例，女27例；年龄（69.30±3.28）岁。对照组采用常规房颤健康教育模式干预，试验组在对照组基础上采用家庭赋能的同伴教育模式干预。两组均持续干预至出院后3个月。比较两组家庭主要照顾者分类情况，出院前、3个月后服药依从性［中文版8条目Morisky服药依从性量表（MMAS-8）］、生活质量［心房颤动患者生活质量量表（AF-QoL-18）］、照顾能力［家庭照顾者照顾能力量表（FCTI）］、负担水平［照顾者负担问卷（CBI）］。采用独立样本t检验和χ²检验进行统计学分析。结果　两组家庭主要照顾者均以配偶为主［62.68%（42/67）、59.70%（40/67）］，配偶+子女次之［28.36%（19/67）、29.85%（20/67）］，子女［4.48%（3/67）、5.97%（4/67）］和保姆［均4.48%（3/67）］占比少。两组比较，差异无统计学意义（P>0.05）。出院后3个月，试验组MMAS-8、AF-QoL-18、FCTI评分均高于对照组［（7.31±0.70）分比（6.02±1.22）分、（71.63±8.65）分比（65.02±9.24）分、（61.43±5.92）分比（51.27±6.97）分］，CBI评分低于对照组［（54.47±8.99）分比（62.63±7.49）分］（均P<0.05）。结论　家庭赋能的同伴教育模式可提高老年房颤过渡期患者服药依从性和生活质量，改善家庭主要照顾者能力，减轻负担。

关键词:

房颤, 过渡期, 家庭赋能, 同伴教育