Danet Alina, Prieto Rodríguez María Ángeles, Gamboa Moreno Estibaliz, Ochoa de Retana Garcia Lourdes, March Cerdà Joan Carles
Ciber Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, España.
Ciber Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, España; Escuela Andaluza de Salud Pública, Granada, España.
Aten Primaria. 2016 Oct;48(8):507-517. doi: 10.1016/j.aprim.2015.10.010. Epub 2016 Mar 10.
To evaluate a peer training strategy for patients with type2 diabetes mellitus, developed in two training programmes in the Basque Country and Andalusia.
Quantitative pre- and post-intervention and qualitative evaluation, developed between 2012 and 2014.
The Basque Country and Andalusia.
A total of 409 patients and trainer-patients, participating in self-management peer training programmes. Intentional sample of 44 patients for the qualitative study.
Bivariate analysis and net gains for common variables used in questionnaires in the Basque Country and Andalusia: self-reported health, daily activities, physical activity, use of health services, and self-management. Content analysis of 8 focus groups with patients and trainer-patients, including: coding, categorisation, and triangulation of results.
Peer training has a positive impact on physical activity, the use of health services, and self-management, with some gender differences. The peer-training strategy is considered positive, as it strengthens the patient-health provider relationship, generates group support and self-confidence, and improves the emotional management. Patients identify two areas of potential improvement: access and continuity of training strategies, and more support and recognition from health providers and institutions.
The positive impact on health and quality of life that this patient peer-training provides, requires the collaboration of health professionals and institutions, which should improve the access, continuity and adaptation to patient needs and expectations.
评估在巴斯克地区和安达卢西亚的两个培训项目中制定的针对2型糖尿病患者的同伴培训策略。
2012年至2014年期间开展的定量干预前后评估和定性评估。
巴斯克地区和安达卢西亚。
共有409名患者和作为培训者的患者参与自我管理同伴培训项目。定性研究有意抽取44名患者作为样本。
对巴斯克地区和安达卢西亚问卷中使用的常见变量进行双变量分析和净收益分析，这些变量包括：自我报告的健康状况、日常活动、体育活动、医疗服务使用情况和自我管理。对8个患者和作为培训者的患者焦点小组进行内容分析，包括：结果的编码、分类和三角互证。
同伴培训对体育活动、医疗服务使用情况和自我管理有积极影响，存在一些性别差异。同伴培训策略被认为是积极的，因为它加强了患者与医疗服务提供者的关系，产生了群体支持和自信心，并改善了情绪管理。患者指出了两个潜在的改进领域：培训策略的可及性和连续性，以及医疗服务提供者和机构给予更多的支持和认可。
这种患者同伴培训对健康和生活质量产生的积极影响，需要卫生专业人员和机构的合作，他们应改善培训策略的可及性、连续性，并使其适应患者的需求和期望。
