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目的:探讨基于微信支持的同伴教育对腹腔镜前列腺癌根治术后患者社会支持、心理弹性及康复自我效能的影响。方法:选择江苏省常州市第二人民医院2018年1月至2019年12月收治的腹腔镜前列腺癌根治术后患者82例为研究对象，根据手术时间分为试验组（2019年1-12月）43例、对照组（2018年1-12月）39例。对照组给予常规健康教育，试验组联合应用基于微信支持的同伴教育。随访2个月，分别采用社会支持评定量表、心理弹性量表、康复自我效能量表评估2组患者干预前后社会支持程度、心理弹性水平、康复自我效能并比较。结果:2组患者干预前社会支持程度、心理弹性水平、康复自我效能比较差异无统计学意义（n P>0.05）。试验组患者干预后客观支持评分、支持利用度评分、社会支持总分分别为（9.12 ± 1.12）、（10.45 ± 0.75）、（32.49 ± 4.56）分，对照组分别为（7.45 ± 1.36）、（8.74 ± 1.43）、（29.84 ± 4.45）分，差异有统计学意义（n t值为6.091、6.681、2.658，n P<0.01）；试验组患者干预后坚韧、自强、乐观、心理弹性评分分别为（28.21 ± 4.25）、（20.32 ± 3.54）、（9.36 ± 1.12）、（57.89 ± 7.21）分，对照组分别为（24.36 ± 4.34）、（17.14 ± 3.21）、（7.84 ± 1.23）、（49.34 ± 6.55）分，差异有统计学意义（n t值为4.056~5.857，n P<0.01）；试验组患者干预后身体锻炼自我效能、应对自我效能、康复自我效能评分分别为（43.43 ± 5.38）、（54.45 ± 6.32）、（97.88 ± 7.45）分，对照组分别为（37.45 ± 5.42）、（48.65 ± 6.45）、（86.10 ± 9.12）分，差异有统计学意义（n t值为5.009、4.110、6.430，n P0.05). The objective support, support utilization, and social support scores in the treatment group after intervention were (9.12±1.12), (10.45 ± 0.75), (32.49 ± 4.56) points, and the control group were (7.45 ± 1.36), (8.74 ± 1.43), (29.84 ± 4.45) points, and the differences were statistically significant (n t values were 6.091, 6.681, 2.658, n P<0.01). The scores of toughness, self-improvement, optimism, and mental resilience in the treatment group after intervention were (28.21 ± 4.25), (20.32 ± 3.54), (9.36 ± 1.12), and (57.89 ± 7.21) points, and the control group were (24.36 ± 4.34), (17.14 ± 3.21), (7.84 ± 1.23), (49.34 ± 6.55) points, and the differences were statistically significant(n t values were 4.056-5.857, n P<0.01). The scores of physical exercise self-efficacy, coping self-efficacy, and rehabilitation self-efficacy in the treatment group after intervention were (43.43 ± 5.38), (54.45 ± 6.32), (97.88 ± 7.45) points, and the control group were (37.45 ± 5.42), (48.65 ± 6.45), (86.10 ± 9.12) points, and the differences were statistically significant (n t values were 5.009, 4.110, 6.430, n P<0.01).n Conclusions:Peer education based on WeChat support helps to enhance the degree of social support for patients after laparoscopic prostate cancer surgery, improve the level of mental flexibility, and promote the development of rehabilitation self-efficacy.