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同伴辅导预防成瘾的有效性:一项农村地区的试点研究。

Effectiveness of Peer Mentoring for the Prevention of Dependency: A Pilot Study in a Rural Setting.

作者信息

Mateos-González Laura, Menéndez-Espina Sara, Llosa José Antonio, Oliveros Beatriz, Agulló-Tomás Esteban, Jiménez-Arberas Estíbaliz

机构信息

Department of Surgery and Medical-Surgical Specialties, University of Oviedo, Oviedo, Spain.

Department of Education, Faculty Padre Ossó, University of Oviedo, Oviedo, Spain.

出版信息

J Clin Nurs. 2025 Jun;34(6):2447-2458. doi: 10.1111/jocn.17521. Epub 2024 Oct 20.

Abstract

AIM

To analyse the effectiveness of an active ageing intervention modality through peer mentoring.

DESIGN

A quasi-experimental research study is carried out through three groups, one control (educational workshops on active ageing given by professionals) and two experimental (workshops given by peers with digital or face-to-face exposure).

METHODS

All groups share duration (7 weeks) and content, modifying the route of exposure. The effectiveness of the model is measured through the variables of physical health, mental health and social support. Loneliness and the need for care are also controlled for.

RESULTS

The total sample consists of n = 209 people aged over 60 living in a rural context, of which n = 12 form the volunteer/mentor group. Active ageing interventions show an improvement in the perception of physical and mental health among people in need of some form of care, with all three modalities being equally effective. The impact on social support is analysed by controlling for the loneliness and social participation variable; in these cases, the face-to-face experimental group of peers is more effective than the others.

CONCLUSIONS

The peer-to-peer methodology is as effective as the traditional methodology with a practitioner in maintaining and improving health perception, and the face-to-face methodology with peers is more useful in fostering social support among people experiencing loneliness.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Peer mentoring is presented as a good strategy to improve social support for older people and to combat loneliness.

IMPACT

To address the prevention of dependency through the promotion of active ageing. Peer mentoring is confirmed to have a significant impact on social support and could be a socio-educational tool applicable to older people experiencing loneliness.

REPORTING METHOD

This study has adhered to JBI guidelines. JBI critical appraisal checklist for quasi-experimental studies has been used.

PATIENT OR PUBLIC CONTRIBUTION

Volunteer mentors contributed to the design and delivery of the workshops.

摘要

目的

分析通过同伴指导进行积极老龄化干预模式的有效性。

设计

通过三组进行准实验研究,一组为对照组(由专业人员举办的积极老龄化教育工作坊),两组为实验组(由有数字接触或面对面接触的同伴举办的工作坊)。

方法

所有组的时长(7周)和内容相同,只是改变接触途径。通过身体健康、心理健康和社会支持变量来衡量该模式的有效性。同时也控制孤独感和护理需求。

结果

总样本包括209名居住在农村地区的60岁以上老人,其中12人组成志愿者/指导者组。积极老龄化干预措施显示,在需要某种形式护理的人群中,身心健康感知有所改善,三种模式同样有效。通过控制孤独感和社会参与变量来分析对社会支持的影响;在这些情况下,同伴面对面实验组比其他组更有效。

结论

同伴互助方法在维持和改善健康感知方面与传统的专业人员方法同样有效,同伴面对面方法在促进孤独人群的社会支持方面更有用。

对专业和/或患者护理的启示:同伴指导是改善老年人社会支持和对抗孤独感的良好策略。

影响

通过促进积极老龄化来解决依赖预防问题。同伴指导被证实对社会支持有重大影响,可能是适用于孤独老年人的社会教育工具。

报告方法

本研究遵循了循证卫生保健国际协作网(JBI)指南。使用了JBI准实验研究的批判性评价清单。

患者或公众贡献

志愿者指导者为工作坊的设计和开展做出了贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b5/12125531/5df3e999eaab/JOCN-34-2447-g001.jpg

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