Department of Medical Surgical Nursing, Iran University of Medical Science, Tehran, Iran.
Department of Biostatistics, Iran University of Medical Science, Tehran, Iran.
Sultan Qaboos Univ Med J. 2022 Aug;22(3):376-381. doi: 10.18295/squmj.6.2021.087. Epub 2022 Aug 25.
Thalassaemia major (TM) is one of the most common chronic genetic disorders in today's world. The psychological impacts of this disease can affect patients' hope. Considering the positive role and importance of suitable educational methods, this study aimed to determine the effect of peer education on the hope of patients with TM.
This quasi-experimental single-group study included patients with TM undergoing treatment at the Imam Khomeini Hospital, Zabol, Iran, between March and July 2020. A continuous sampling method was used and data collection tools included a demographic questionnaire and Snyder's Hope Scale. Patients were educated in groups by eligible peers in two sessions for 60 minutes per session. Hope was measured before (pre-test) and one month after (post-test) the educational sessions. Descriptive statistics and a paired sample student t-test were used.
A total of 50 participants were included in this study. The mean age of the participants was 24.5 ± 4.24 years. At the pre-test, the mean total hope score was 26.72 ± 5.82; this increased to 28.21 ± 5.11 at the post-test ( = 0.028). The mean hope score of patients in the pathway thinking dimension significantly increased after peer education ( = 0.01). Despite an increase in the score of the agency thinking dimension, this was not statistically significant ( = 0.297).
The findings of this study indicate that peer education can improve hope in patients with TM. Considering that this educational method is easy, cheap and experienced-based, it can be used in combination with other healthcare measures to improve TM patients' hope.
重型地中海贫血（TM）是当今世界最常见的慢性遗传性疾病之一。这种疾病的心理影响会影响患者的希望。鉴于适当的教育方法具有积极作用和重要性，本研究旨在确定同伴教育对 TM 患者希望的影响。
本准实验性单组研究纳入了 2020 年 3 月至 7 月在伊朗扎布尔伊玛目霍梅尼医院接受治疗的 TM 患者。采用连续抽样法，数据收集工具包括人口统计学问卷和 Snyder 希望量表。合格的同伴以小组形式对患者进行了两次 60 分钟的教育课程。在教育课程之前（预测试）和之后一个月（后测试）测量希望。使用描述性统计和配对样本学生 t 检验。
本研究共纳入 50 名参与者。参与者的平均年龄为 24.5 ± 4.24 岁。在预测试时，总希望得分为 26.72 ± 5.82；在后测试时增加到 28.21 ± 5.11（ = 0.028）。同伴教育后，患者在路径思维维度的希望平均得分显著增加（ = 0.01）。尽管代理思维维度的得分有所增加，但这并不具有统计学意义（ = 0.297）。
本研究结果表明，同伴教育可以提高 TM 患者的希望。考虑到这种教育方法简单、廉价且基于经验，它可以与其他医疗保健措施结合使用，以提高 TM 患者的希望。
