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BackgroundThe improvement of social function in patients with schizophrenia is an important part of their rehabilitation， and peer support services， as a rehabilitation method， may be of great significance to improve the social function of patients with schizophrenia. ObjectiveTo explore the influence of peer support service on the daily living ability and social function of patients with chronic schizophrenia， and to provide references for promoting the rehabilitation of patients with chronic schizophrenia. MethodsA total of 100 patients with chronic schizophrenia who were hospitalized in The Third People's Hospital of Tianshui from January 1 to December 31， 2020 and met the diagnostic criteria of the International Classification of Diseases， 10th edition （ICD-10） were selected as the study objects， and they were divided into the control group and the study group with 50 cases each by random number table method. Patients in both groups received routine treatment and nursing care， on this basis， the study group received peer support service once or twice a week for 12 weeks， and the control group received the same peer support service at the end of the study. Before and at the 1st， 2nd， 4th， 8th and 12th week of the treatment， Activity of Daily Living Scale （ADL） and Social Disability Screening Schedule （SDSS） were used to evaluate the activities of daily living and social function of the two groups. ResultsThe ADL scores of the study group were lower than those of the control group at the 8th week and 12th week of the treatment （ t=-2.420， -2.814， P<0.05 or 0.01） . The SDSS scores of the study group were lower than those of the control group at the 8th week an 12th week of the treatment （t=-2.057， -2.322， P<0.05） . ConclusionPeer support services may help improve the ability of daily life and social function of patients with chronic schizophrenia. ［Funded by Tianshui City Livelihood Science and Technology Plan Project （number， 2020-SHFZKJK-9344）］
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RESUMEN En el contexto de las discusiones sobre la implementación de la formación y formas de incorporación en el sistema sanitario de Cataluña de agentes de apoyo entre iguales en salud mental o pares, entre 2020 y 2021, se llevó a cabo una revisión de literatura y, de forma complementaria, entrevistas a expertos tanto a nivel internacional como en el Estado español, con el propósito de realizar un análisis de contenido de elementos formativos y de integración dentro de los sistemas sanitarios. Los países germanoparlantes son los que ofrecen programas de formación e incorporación más homogéneos. En el caso de países anglosajones y francófonos, organizaciones sin ánimo de lucro del tercer sector se suelen hacer cargo de los programas formativos y de su incorporación. En el mundo iberoamericano existen diversas experiencias de programas formativos, aunque sin reconocimiento como formaciones sanitarias. Se ofrecen recomendaciones al desarrollo de esta figura en Cataluña, que incluyen el avance hacia una formación profesional con reconocimiento sanitario y opciones de incorporación tanto desde entidades proveedoras sanitarias o sociosanitarias como del tercer sector.
ABSTRACT In the context of debates surrounding the training of mental health peer support workers and their incorporation into the Catalan Health System, this article presents a literature review complemented by interviews carried out between 2020 and 2021 with both international and Spanish experts. Based on the information obtained, content analysis of elements of their training and integration within the health system was performed. German-speaking countries offer the most homogeneous training and recruitment programs. In the case of English- and French-speaking countries, non-profit or third sector organizations are usually in charge of training programs and recruitment. Various experiences with training programs exist in the Ibero-American world, although they are not recognized as professional qualifications. Recommendations are offered for the development of this figure in Catalonia, which include advancing towards professional training with recognition as health care providers, as well as contracting options from both socio-health or health care providers or from third sector entities.
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@#Introduction: Occupational Health and Safety (OHS) for formal sector workers is held along with regulations, joint commitments, training, and continuous monitoring. This condition cannot be applied for informal sector, so it approaches that can be performed such as activating social support from workers’ environment. This study aimed to determine for social support to improve the knowledge, attitude and practice of OHS workers in informal sector. Methods: This study a quasi-experimental with pre-posttest and control group design. Subjects were 90 limestone workers taken by Multistage Sampling from Gunungkidul Regency, Indonesia. Subjects were divided into health promotion by family support and peer support (FS&PS), peer support (PS), family support (FS), and control (C) group with treatment period of one month. Variables were measured using a knowledge, attitude, and practice questionnaire. The obtained data then analyzed using Kruskal-Wallis test and Mann-Whitney test. Results: There was a significant difference (p<0.001) in the knowledge, attitude and practice of OHS in limestone workers. FS&PS group gave the highest score for knowledge variable. There was no significant differences between OHS attitude between FS&PS and FS only (p=0.787). The biggest influence of attitude changes was from the FS group. The OHS practice has no significant differences between PS and C group (p=0.696), while other groups have significant differences. Conclusion: The biggest influence of changes in OHS practice was in the FS group. The combination of FS&PS is more effective in increasing knowledge, while attitude and practice are more effective if involving FS.
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Objective:To investigate the effect of peer support-based narrative therapy on postoperative self-image and stigma of patients with head and neck cancer, to provide reference for clinical nursing.Methods:A total of 78 head and neck cancer patients from August 2018 to August 2020 in Fudan University Shanghai Cancer Center were divided into experimental group and control group by random digits table method, each group were 39 cases. The control group was given conventional nursing, while the experimental group implemented support-based narrative therapy on the basis of routine nursing. The intervention time was 4 weeks. The self-image and stigma of the two groups before and after intervention were assessed by Body Image Scale (BIS) and Social Impact Scale (SIS), respectively.Results:Finally, 37 cases were included in the experimental group and 38 cases in the control group. There was no significant difference in BIS, SIS dimension scores and total scores between the two groups before intervention ( P>0.05). After intervention, the emotional demension scores, behavior dimension scores, cognitive dimension scores and total scores in BIS were 4.41 ± 1.04, 1.95 ± 0.51, 3.81 ± 0.63 and 10.16 ± 2.05 in the experimental group, significantly lower than in the control group 5.08 ± 1.08, 2.82 ± 0.60, 5.42 ± 0.76 and 13.32 ± 1.93, the differences were statistically significant ( t values were 2.76-6.86, all P<0.01); the social exclusion scores, internal shame scores, social isolation scores and total stigma scores in SIS were 17.57 ± 2.67, 9.08 ± 1.55, 12.14 ± 3.73 and 46.14 ± 4.95 in the experimental group, significantly lower than in the control group 19.18 ± 3.70, 10.68 ± 1.61, 14.18 ± 3.83 and 51.68 ± 6.09, the differences were statistically significant ( t values were 2.16-4.38, all P<0.05). Conclusions:Peer support-based narrative therapy can effectively alleviate the postoperative self-image problems and stigma of patients with head and neck cancer, which is worthy of clinical application.
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Objective:To explore the effects of peer support groups-based dietary intervention on nutritional status among patients with gastrectomy.Methods:Eighty-two patients with gastrectomy from March 2018 to August 2019 in Gastrointestinal Surgery of Shanxi Bethune Hospital were assigned to the experimental group and control group with 41 cases in each group by random digits table method. Patients in the control group were recieved routine nursing care and dietary guidance, basis on the control group, the experimental group provided peer support groups-based dietary intervention as well. BMI, total serum protein, albumin were recorded at 1 day before discharge, 4 weeks and 12 weeks after discharge, the intervention effect was assessed by Patient-Generated Subjective Global Assessment (PG-SGA), diet related symptoms scale and diet compliance scale.Results:At 4, 12 weeks after discharge, diet related symptoms scale scores were (10.61 ± 2.37), (8.61 ± 1.64) points in the experimental group, significantly lower than (12.05 ± 1.49), (11.46 ± 2.44) points in the control group, the differences were statistically significant ( t=3.20, 6.05, both P<0.05). At 4, 12 weeks after discharge, diet compliance scale scores were (63.87 ± 4.60), (64.92 ± 6.394) points in the experimental group, significantly higher than (60.90 ± 4.94), (62.18 ± 5.07) points in the control group, the differences were statistically significant ( t=2.73, 2.09, both P<0.05). At 4, 12 weeks after discharge, PG-SGA scores were (4.11 ± 0.86), (3.53 ± 1.13) points in the experimental group, significantly lower than (5.15 ± 1.46), (4.28 ± 1.62) points in the control group, the differences were statistically significant ( t=3.85, 2.38, both P<0.05). At 12 weeks after discharge, the levels of total serum protein, albumin were (57.79 ± 3.95), (36.68 ± 3.11) g/L in the experimental group, significantly higher than (55.26 ± 3.66), (34.74 ± 2.41) g/L in the control group, the differences were statistically significant ( t=2.92, 3.06, both P<0.05). There was no significant difference in BMI in different time between the two groups ( P>0.05). Conclusions:Peer support groups-based dietary intervention can promote self catering management and nutritional status of patients with gastrectomy.
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Objective:To explore the effects of peer support-based rehabilitation on symptom burden and resilience of lung cancer patients undergoing chemotherapy, so as to provide reference for relieving the symptoms of patients during chemotherapy.Methods:A total of 90 lung cancer patients who undergoing chemotherapy in Nanjing First Hospital, Nanjing Medical University were assigned to the experimental group and the control group according to the enrolled time, with 45 cases in each group. The patients from January to November 2018 in the control group recieved routine chemotherapy care and rehabilitation, the patients from January to November 2019 in the experimental group implemented peer support-based rehabilitation based on the routine chemotherapy care. The symptom burden and resilience on admission and discharged from hospital were assessed by Chinese version of the MD Anderson Symptom Inventory (MDASI-C) and Connor-Davidson Resilience Scale (CD-RISC), respectively.Results:There was no significant difference in the scores of MDASI-C, CD-RISC on admission between the two groups( P>0.05). At discharge, the symptom distress scores and life influence scores in MDASI-C were (6.19 ± 1.72), (5.72 ± 1.45) points in the experimental group, significantly lower than those in the control group (7.23 ± 2.02), (6.75 ± 1.67) points; the tenacity, power, optimism dementions socres and total scores of CD-RISC were (28.12 ± 4.33), (20.88 ± 5.64), (10.69 ± 3.00), (59.69 ± 8.25) points in the experimental group, significantly higher than those in the control group (24.57 ± 4.14), (17.83 ± 4.09), (9.39 ± 2.58), (51.82 ± 5.84) points. The differences were statistically significant ( t values were 2.18-5.13, all P<0.05). Conclusions:Peer support-based rehabilitation can effectively alleviate symptom burden and promote resilience of lung cancer patients undergoing chemotherapy.
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Resumen Los problemas de salud mental son un tema relevante en todo el mundo. Pese a los avances, es necesario continuar trabajando para mejorar la calidad de vida del colectivo. La educación y el apoyo entre iguales son estrategias muy adecuadas para contribuir a su integración socio-laboral. Se ha realizado una revisión bibliográfica en bases de datos y páginas web para identificar experiencias españolas de formación de personas con Trastorno Mental Severo (TMS) basadas en el apoyo entre iguales. Se han encontrado siete experiencias de formación para el colectivo, cinco de ellas centradas en el apoyo entre iguales y otras en la figura de el/la asistente personal. El número de experiencias encontradas en España es muy reducido. Aunque los objetivos son comunes, se observan enfoques diferentes (entorno sanitario, laboral, social) que pueden ser muy relevantes para el diseño y aplicación de otras experiencias en diferentes contextos.
Abstract Mental health problems are a relevant issue all around the world. Mental illness affects one in four people throughout their lives, causing serious socio-economic and human rights-related consequences. In Spain, despite the progress made with psychiatric reform and the promotion of a community model, it is necessary to continue working to improve the quality of life of people with mental health problems. Education and peer support are highly recommended strategies to contribute to their social and occupational integration. Peer support is a relationship based on mutual support. It is established between two people: the person with mental health problems trained to provide the support and the person who receives it. This support enhances the recovery process. For this support to be effective, it is essential to previously train the person who will undertake the counselling functions. The relationship of support offers practical advice, suggestions, strategies and emotional and psychological support. In addition, maintaining an non-professional perspective is essential to help people to rebuild their sense of community after an unknown experience. Peer support brings benefits to all parties involved: support providers, receivers and implementing organizations or institutions. However, training programs for peer support are not widespread. In Spain, despite the recognition of the need to integrate people with mental health problems into society and to respond to their needs, there is no published research on guidelines for such training programs. For this reason, this research identifies the peer support training programs which have been or are being carried out in Spain and describe their formal characteristics. A bibliographic review of databases and web pages has been undertaken to identify Spanish experiences of training people with Severe Mental Disorder (SMD) based on peer support and to describe their formal characteristics (duration, methodology, evaluation and workplace). A total of 77 programs found in the electronic databases, 75 of which have been excluded as they are not Spanish experiences. Five programs were found in the searches carried out on the reports of conferences, congresses and websites of Spanish organizations and institutions. Finally, seven training experiences were selected for the group, five of them focused on peer support and others on the figure of the personal assistant. The study of the programs is carried out following the indications of the content analysis model. The training programs described have common objectives, however, they vary considerably in their approach, duration, names of support and evaluation providers and, to a lesser extent, in the contents, methodology and workplaces. Despite the expansion of peer support in mental health, the number of experiences found in Spain is limited. Any program must be adapted to the strengths of the individuals, the type of work, as well as to the needs of the community. Furthermore, if this new professional profile is regulated at work, it will contribute to improving the rates of social and occupational integration of people with mental health problems. It is necessary to continue developing and implementing experiences of these characteristics and to investigate their efficiency and effectiveness in order to be able to provide guidelines on peer support in the Spanish population.
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Objective:To explore the peer support experience of newly graduated nurses during standardized training period.Methods:Using phenomenological qualitative research methods and purposive sampling, from April to December 2020, 32 new nurses who participated in the standardized training peer support program in the Affiliated Hospital of Yangzhou University were selected. Semi-structured interview was conducted and Claizzi content analysis method was used to analyze the data.Results:Peer support during the standardized training of new graduated nurses could be summarized into four major themes and eleven sub-themes. Theme 1: cognition and attitude (emotional security, adaptive guidance, recognition of the value of peer support, positive intention to support). Theme 2: peer support needs (department-related information needs; knowledge and skills experience needs; emotional communication needs; career growth support needs). Theme 3: peer support experience (adaptive behavior changes, cognitive and emotional changes, differences in perceived expectations of supporters and support effects).Conclusions:During the standardized training, we should attach importance to the important supporting role of peer support for new nurses. By building a peer support platform for new nurses and broadening experience exchange channels, we can enhance the positive experience of peer support, so as to promote the role adaptation and career growth of new nurses.
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Objective:To explore the influence of peer support education on psychosocial adaptation and psychological distress of breast cancer patients.Methods:Using non-simultaneous experimental research methods, a total of 51 breast cancer patients admitted to the department of breast surgery, the First Affiliated Hospital of Nanchang University from June to August 2019 were selected as the control group, and 53 breast cancer patients admitted from September to December 2019 were selected as the intervention group. The control group received routine education, while the intervention group received peer education on the basis of routine education. After 4 months of intervention, the differences of psychosocial adaptation and psychological pain were compared between the two groups.Results:After 4 months of intervention, 49 cases in the control group and 51 cases in the intervention group completed the study. In the psychosocial adaptation scale, the scores of anxiety/depression, self-esteem, self-acceptance, self-control and self-efficacy belonging in the intervention group were (29.43±2.83), (32.08±3.07), (28.10±2.62), (28.08±3.27), (31.53±3.73) points, which were higher than (27.67±3.96), (30.14±2.54), (25.94±2.91), (25.16±2.95), (30.02±2.70) points in the control group after the intervention, and difference statistically significant ( t values were -4.680 to -2.312, P<0.05). The score of psychological pain in the intervention group (2.37±1.15) points was significantly lower than that in the control group (3.57±0.98) points, and difference was statistically significant ( t value was 4.867, P<0.05). The number of patients with mild and moderate psychological pain in the intervention group was 51 cases accounting for 100% (51/51), which was higher than 48 cases accounting for 98% (48/49) in the control group, and difference was statistically significant ( χ2 value was 12.272, P<0.05). Conclusions:Peer education can effectively improve the psychosocial adaptability of breast cancer patients and reduce their pain level.
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Purpose: Complications of diabetes mellitus (DM) are a public health problem globally. DM management entails medication and self-management. Peer support groups (PSGs) can improve self-management and promote healthy behavior. The objectives of this study were to design, establish, and evaluate two PSG models for people who had been screened for diabetic retinopathy to assess self-reported lifestyle changes, satisfaction with meetings and barriers to attendance. Methods: Peer groups were established using a pre-tested facilitator's guide in 11 locations in 3 states. Group members were oriented on diabetes management and lifestyle changes to improve control. Attendees' experiences were ascertained through semi-structured interviews and self-report. Data were analyzed using MS Excel 2017. Results: Eleven PSGs were established in 3 states, in 10 community health centers and one eye hospital. 53 sessions were held and 195 people attended on 740 occasions. Lifestyle changes most frequently reported between first and second visits were taking medication regularly and dietary modification. Attendance declined in the eye hospital group. 83% of CHCs members were satisfied or very satisfied compared with 37% of eye hospital (EH) members. The barriers included distance and lack of family support. Conclusion: PSGs held in CHCs were more sustainable than those in an eye hospital, and group members were more satisfied and more likely to report positive lifestyle changes. Findings were self-reported and hence a major limitation for the study. Further studies should focus on obtaining objective measures of control of diabetes and risk factors for diabetic retinopathy from members attending peer support groups in CHCs.
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Objective: In Japan, consultations by self-help groups (SHGs) and peers play an important role in supporting cancer survivors. This study aimed to clarify motives of cancer survivors who established and have managed an SHG for over 10 years. Methods: (1) Study participants: We recruited participants from cancer patient associations and support center of cancer core hospitals all over Japan. Among 18 applicants, 12 applicants who had experience with establishing an SHG were chosen as subjects. (2) Study procedure: We conducted semi-structured interviews between December 2015 and August 2016 to ask about motives for establishment and intentions to continue. (3) Analysis: We analyzed the data both qualitatively and inductively with a focus on the significance of continuing the activity of SHG. Results: Reasons for long-term continuation of SHG were: ‘a mission as a long-term survivor/witness’, ‘firm belief in the importance of sharing an experience with a cancer’, ‘significance of participant’s increasing autonomy and involving repaying is becoming a life work’, ‘continuation of the connection with medical staff’, ‘features of consultations by professionals and those by peer supports’, ‘equal relationship with medical staff’, ‘continuation by developing successors’, and ‘suggestions for medical care’. Conclusion: The study showed that a sense of fulfilment, a mission as a lifework, fear of recurrence even after 10 years, and desire to connect with medical staff supported the activity of SHG. For future research it is necessary to accumulate data targeting a longer term survivor more widely.
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Objective To evaluate the intervention effects of peer support education mode for type 2 diabetes control in rural residents.Methods A random cluster sampling method has been used,including 300 rural residents aged above 18 years old from three villages (184 in control group,116 in intervention group),in order to proceed the physical check-up and health education programs.Unchanged rate,transfer rate of patients,rate of impaired glucose tolerance,turn normal rate and other biochemical indicators of patients and people with impaired glucose tolerance from control group and intervention group were analyzed,to evaluate the intervention effects of peer support education mode.Results The glycemic control rate of intervention group for patients and people with impaired glucose tolerance (72.2％ and 71.4％) were higher than control group (43.6％ and 26.7％),but the unchanged rate of intervention group (13.9％ and 0.0％) were lower than control group (42.3％ and 73.3％).Patients with diabetes or glucose intolerance in the education group improved significantly in waist-to-hip ratio,uric acid,total cholesterol and HDL-C.Glycemic hemoglobin level also improved significantly in diabetes patients of the education group.Conclusion Peer support for education intervention seemed beneficial for diabetic control.The combination of education and effect evaluation was important in the evaluation of diabetes prevention and control.Peer support education also benefited the blood glucose control in general population.
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<p><b>BACKGROUND</b>Breast cancer patients experience various side effects during cancer therapy, often resulting in reduced quality of life and poor adherence to treatment. A limited range of proven interventions has been developed to target such side effects. While Tai Chi offers benefits for the health and well-being of breast cancer survivors, the effectiveness of Tai Chi across the treatment continuum has not been evaluated. Improved patient education and support has been suggested as a priority for breast cancer care. This pilot study assesses the feasibility of a randomized controlled trial (RCT) to evaluate the effectiveness of "an integrative Tai Chi" (ANITA) program for breast cancer patients undergoing cancer therapy.</p><p><b>METHODS/DESIGN</b>This is a single-centre, two-arm feasibility RCT. Twenty-four patients with breast cancer who have undergone surgical treatment will be recruited from the Dunedin Hospital (New Zealand) over a 12-month period (from August 2017 to July 2018). Subject to informed consent, patients will be randomized to receive standard cancer treatment alone or standard cancer treatment plus the ANITA program, consisting of peer support, health education, and Tai Chi Ruler exercise. The program runs alongside the patient's adjuvant cancer therapy, which may include chemotherapy, radiation therapy, antibody treatment, and/or antihormonal therapy. Analysis in this study will focus on process evaluation of participant recruitment, retention, treatment fidelity, acceptability of the program, and occurrence of adverse events. Clinical outcomes (i.e., fatigue, sleep quality, anxiety and depression and quality of life) will be assessed at baseline, and at 12 weeks and 24 weeks post-randomization.</p><p><b>DISCUSSION</b>Outcomes from this study will inform the feasibility and methodology for a future fully-powered RCT.</p><p><b>TRIAL REGISTRATION</b>Australian New Zealand Clinical Trials Registry with the identifier ACTRN12617000975392.</p>
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Objective:To explore the effect of peer support system on social anxiety and resilience among new graduate nurses. Methods:Totally 36 new graduate nurses entry in 2014 who's Interaction Anxiousness Scale (IAS) score were ＞43 were selected as control group. Totally 39 new graduate nurses entry in 2015 who's IAS score were ＞ 43 were as experimental group. The control group accepted routine standardized training. The experimental group received peer support, which consisted on conduct group intervention and twining intervention (6 months). IAS and Connor-Davidson Resilience Scale(CD-RISC) were used to investigate the nurses'social anxiety and resilienceat 3 months and 6 months after intervention. The scores were analyzed by using repeated ANVOA Results: Repeated measures analysis of variance of IAS showed that, there were significant differences on the IAS scores for interaction between measure time and group processing (P ＜0.001). The differences between the two groups in the main effects of interaction and time on the total score of CD-Rescan its three dimensions score were all statistically significant (Ps ＜ 0.001). Separate analyses showed that at baseline, there was no significant difference between two groups in all variables (Ps ＞0.05). After 3 months and 6 months of intervention, the IAS scores were lower in the intervention group than in the control group (Ps ＜0.001), the CD-RISC total scores and the three dimensions scores were higher in the intervention group than in the control group (Ps ＜0.05). Conclusion: It suggests that the peer support system could improve the social anxiety and resilience of new graduate nurses.
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Objective To evaluate the effectiveness of peer support interventions on exclusive breastfeeding among primiparous women. Methods Randomized controlled trials (RCTs) that reportedthe effectiveness of peer support interventions on exclusive breastfeeding among primiparous women were retrieved in several electronic databases. Data were analyzed using RevMan 5.3 software after quality assessment and data extraction. Results A total of 9 RCTs which included 1435 patients were incorporated in this meta-analysis. The meta-analysis revealed that peer support interventions could increase the rate of exclusive breastfeeding(OR=2.84, 95％CI2.22-3.64, P<0.01), increase duration of exclusive breastfeeding(WMD=43.66, 95％CI28.04-59.27, P<0.01). Subgroup analysis showed that peer support increased the rate of exclusive breastfeeding atone month(OR=1.84,95％CI1.24-2.73, P<0.01), three months(OR=2.28, 95％CI1.67-3.12, P<0.01)and six months(OR=3.42,95％CI2.46-4.76, P<0.01) of postpartum. Conclusions Peer support interventions could increase exclusive breastfeeding rate and duration of exclusive breastfeeding. It is worth being popularized.
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Objective To explore the effect of peer support education on self-management ability and survival quality of urbanized type 2 diabetes patients in rural areas. Methods From January to September 2015, a total of 117 patients with type 2 diabetes were selected from three large-scale living communities of Fengxian District.Then,they were randomly divided into observation group(58 cases)and control group (59 cases) using random number method, respectively. And the same health education contents were conducted for the patients in both two groups.The patients in control group were educated by the diabetic nurse in classroom. Additionally, the peer support education was conducted for these patients in observation group for 6 months on this basis.The diabetes patient's self-management behavior scale and 36-item Short-Form Health Survey Questionnaire(SF-36)were used to assess the patients before intervention and 6 months later,respectively.Besides,the level of glycosylated hemoglobin was measured by the automatic biochemical analyzer. The self- management ability and survival quality and glycometabolism level were assessed as well. Results 6 months later after intervention, the survival quality score in observation group was as following:physical function(PF) 73.6±11.5,role physical(RP) 86.7 ± 14.5, body pain (BP) 76.3 ± 12.3, general health (GH) 64.5 ± 13.6, vitality (VT) 67.5 ± 12.3, social function (SF) 87.1 ± 16.2, role emotional (RE) 81.1 ± 14.2, mental health (MH) 68.9 ± 12.6, while that in control group was as following:physical function(PF)51.3±10.6,role physical(RP)62.1±12.1,body pain (BP)51.3±10.8,general health(GH)51.1±11.6,vitality(VT)56.4±12.1,social function(SF)70.1±14.1, role emotional (RE) 71.2 ± 13.9, mental health (MH) 56.1 ± 10.8 (t=2.316-6.365, P<0.05). The self-management score in observation group was following:diet management 5.79±0.98,exercise management 5.41 ± 0.57, blood glucose monitoring 4.01 ± 0.90, foot care 5.26 ± 0.89, drug administration 4.47 ± 0.90, smoking 0.86 ± 0.34, while that in control group was following: diet management 3.62 ± 0.99, exercise management 3.66 ± 0.94, blood glucose monitoring 1.90 ± 0.84, foot care 2.54 ± 0.62, drug administration 3.73 ± 0.80, smoking 0.76 ± 0.42 (t=4.659-19.137, P of rest was less than 0.01 except that of smoking equaled to 0.172 and t=1.375). Conclusions Peer support education can improve the quality of life, enhance self-management ability, control the level of glucose metabolism and has a strong operability. Therefore,it is worthy of promotion.
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Objective To evaluate the intervention effects of peer support education mode for type 2 diabetes control in rural residents.Methods A random cluster sampling method has been used,including 300 rural residents aged above 18 years old from three villages (184 in control group,116 in intervention group),in order to proceed the physical check-up and health education programs.Unchanged rate,transfer rate of patients,rate of impaired glucose tolerance,turn normal rate and other biochemical indicators of patients and people with impaired glucose tolerance from control group and intervention group were analyzed,to evaluate the intervention effects of peer support education mode.Results The glycemic control rate of intervention group for patients and people with impaired glucose tolerance (72.2％ and 71.4％) were higher than control group (43.6％ and 26.7％),but the unchanged rate of intervention group (13.9％ and 0.0％) were lower than control group (42.3％ and 73.3％).Patients with diabetes or glucose intolerance in the education group improved significantly in waist-to-hip ratio,uric acid,total cholesterol and HDL-C.Glycemic hemoglobin level also improved significantly in diabetes patients of the education group.Conclusion Peer support for education intervention seemed beneficial for diabetic control.The combination of education and effect evaluation was important in the evaluation of diabetes prevention and control.Peer support education also benefited the blood glucose control in general population.
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Resumo O artigo tem como foco de reflexão a formação de uma rede social constituída através de uma mídia social da internet, a Intervoice, buscando compreender de que forma as redes sociais se integram em ofertas de ajuda mútua. Ao escolhermos como eixo de nossa abordagem a experiência vivida por ouvidores de vozes em ambientes virtuais da Intervoice, buscamos identificar a existência de uma mudança de perspectiva em relação às abordagens tradicionais da psiquiatria no que concerne ao cuidado oferecido, no sentido mais amplo, ao seu público-alvo, bem como analisar se essa mídia social favorece o processo de ajuda mútua para pessoas que ouvem vozes. Desenvolvemos uma metodologia a partir da observação das postagens da Intervoice no Facebook, de setembro de 2014 a maio de 2015. Após análise minuciosa, identificamos que o Facebook foi a mídia mais utilizada se comparada ao Twitter e YouTube. Recortamos os posts e comentários mais interessantes e pontuamos assuntos e discussões específicas, sobretudo as que tratavam de ajuda mútua. Os resultados apontam para a extrema relevância que a ajuda mútua vem ganhando nos últimos tempos, através de ambientes virtuais e redes sociais, sobretudo pela possibilidade de interação em tempo real.
Abstract The reflection focus of this article is the formation of a social network through an internet social media, the Intervoice, seeking to understand how social networks integrate in offerings of peer support. By choosing the experiences lived by voice hearers on Intervoice's virtual environments as the main axis of our approach, we seek to identify the existence of a change of perspective in relation to the exclusively descriptive approaches by voice hearers, as well as analyzing if this social media, whilst broadening the possibility of interaction and sharing of experiences, favors the process of peer support for people that hear voices. A methodology was developed from the observation of the Intervoice posts on Facebook from September 2014 to May 2015. After thorough analysis, we concluded that Facebook was the media with most interactions when compared with other media such as Twitter and YouTube. Thus, we selected the most interesting posts and comments and pointed out issues and specific discussions, particularly those that dealt with peer support. The results of this research point to the extreme relevance that the peer support through virtual environments and social networks has been gaining in recent times, mainly by the possibility of real time interaction.
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Humans , Helping Behavior , Mental Health , Qualitative Research , Self-Help Groups , Social Media/statistics & numerical data , Social Networking , Stress, PsychologicalABSTRACT
Objective To study effect of self-care ability and subjective well-being of Based on peer support surgery nursing intervention for ICU surgery patients. Methods A total of172 cases patients with ICU surgery from July 2014 to June 2015 were divided into observation group and control group, the observation group given based on peer support nursing intervention, the control group routine nursing intervention, and followed up for 6 months, self-care ability, anxiety, depression, and subjective well- being were compared between two groups. Results Followed up for 6 months, the observation group life attitude, life style, diet adjustment, treatment compliance were (79.92 ± 7.23), (82.36 ± 7.15), (83.57±7.25), (85.73±7.45) points, significantly higher than the control group (72.25±7.12), (74.79±6.89), (73.66±7.08), (76.68±7.13) points, (t=7.010-9.069, P<0.01). Anxiety and depression scores were 47.16± 4.27, 48.58±5.32,which were significantly lower than the control group 50.48±4.56, 53.37±5.75 (t=4.928, 5.671, P<0.05). Health worry, life satisfaction and interests, energy, sad or happy mood, emotion and behavior control, relaxation and tension, subjective well-being scored 8.12±0.95, 7.68±0.85, 16.45±2.31, 13.02±1.24,13.25±1.33, 17.56±2.45, 78.69±8.02, were significantly higher than the control group 7.52± 0.82, 6.31±0.72,13.25±1.22, 12.35±1.22, 12.02±1.21, 14.36±1.42, 67.12±7.02 (t=3.572-11.405, P<0.05 or 0.01). Conclusions Based on peer support surgery nursing intervention help to improve self-care ability of surgery patients, alleviate the negative mood, and improve subjective well-being.
ABSTRACT
Objective To discuss the application effect of peer support education in improving theself-management ability of old patients with diabetes. Methods A total of 160 cases of old patients with type 2 diabetes who were treated and hospitalized from June 2014 to August 2015 were selected, then equally divided into observation group and control group through using random number method.Finally, 76 cases were studiedin observation group, while 75 cases in control group. The health education guidance of conventional diabetes had been used in two groups for six months, and the peer support education was also conducted for the patients in observation group on the basis of conventional education. The self-management ability, insulin standard injection knowledge-belief and attitude-behavior/practice (KAP) and glycosylated hemoglobin (HbA1c) value of old patients with diabetes were observed before intervention, 3 months and 6 months later, respectively. Also,the hypoglycemia frequency in two groups was compared during intervention. Results After three months of intervention, the score of diet, exercise management, glucose monitoring, foot care, pharmaceutical administration and smoke for self-management ability in observation group was 4.63 ± 0.92, 4.18 ± 0.97, 2.86 ± 0.96, 2.35 ± 0.59, 4.01 ± 1.43 and 0.62 ± 0.29, respectively, while that of these indicators in control group was 3.69 ± 0.83, 3.52 ± 0.67, 1.75 ± 0.67, 1.63 ± 0.72, 3.05 ± 1.39 and 0.59 ± 0.38. Except smoke (P > 0.05), the differences between two groups were statistically significant (t=2.987-5.965, P 0.05). Then, the insulin was normally injected in observation group after six months of intervention, the score of knowledge, attitude and behavior was 5.63 ± 1.87, 43.17 ± 6.03 and 16.57 ± 1.59, while that in control group was 3.76 ± 0.83, 23.71 ± 0.59 and 10.16 ± 0.95. The differences between two groups were statistically significant (t= 8.569, 15.623, 6.751, P<0.01). Also, the level of glycosylated hemoglobin was decreased from (8.17 ± 0.32) % to (7.16 ± 0.41) %, and the difference was statistically significant (t=-3.560, P=0.000). Conclusions Peer support education couldenhance the self-management consciousness of old patients with diabetes, standardize the insulin injection, improve the ability of self-management and improve glucose metabolism index so that it is worthy of being clinically popularized and applied.