自我管理模式对高尿酸血症患者疾病知晓度和血尿酸水平的影响(1)
摘 要 目的：评价自我管理小组模式对高尿酸血症患者相关疾病知识知晓情况及血尿酸等指标的影响。方法：以整群抽样方法选取某社区2011-2012年确诊的高尿酸血症患者361例，以居委为单位随机分为研究组182例，接受自我管理模式干预，对照组179例，接受常规门诊随访，两组均干预6个月。干预前后采用自行设计的问卷对两组进行调查，内容包括相关知识掌握情况和血尿酸等指标水平。结果：干预前，两组患者高尿酸血症相关知识得分差异无统计学意义(P>0.05)；两组血尿酸、体质指数、空腹血糖、胆固醇、三酰甘油水平差异均无统计学意义(P>0.05)。干预后，研究组高尿酸血症基本知识、运动保健和用药监测知识得分提高，与对照组相比差异有统计学意义(P<0.05)；血尿酸水平、体质指数及胆固醇水平下降幅度与对照组相比，差异有统计学意义(P<0.05)。结论：自我管理小组模式能促进患者全面掌握相关知识，从而有效改善血尿酸水平，有助于在社区层面对高尿酸血症患者进行有效的控制。
关键词 高尿酸血症 自我管理模式 知晓度 影响
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中图分类号：R589.7 文献标识码：A 文章编号：1006-1533(2015)14-0048-03
The impact of the self management mode on the disease awareness and the blood uric acid level of the patients with hyperuricemia*
LI Ting1， FAN Jin1， LI Chenhu3， JIN Qinhua2(1.Fenglin Community Health Service Center of Xuhui District， Shanghai 200030， China； 2. Longhua Community Health Service Center of
Xuhui District， Shanghai 200232， China； 3. Mental Health Service Center of Xuhui District， Shanghai 200232， China)
, 百拇医药
ABSTRACT Objective： To evaluate the impact of the self management group mode on the awareness of the relative disease knowledge and indicators of the blood uric acid and others of the patients with hyperuricemia. Methods： With the cluster sampling method， 361 cases diagnosed as hyperuricemia from 2011 to 2012 were selected in a community and divided into a study group with 182 cases randomly taking the community as a unit and accepted the self management. The control group had 179 cases and received the conventional out-patient following-up. Both groups were intervened for six months. Before and after the intervention both groups were investigated with the self designed questionnaire whose contents included the related knowledge mastered and the levels of the serum uric acid and other indicators. Results： Before the intervention， there was no significant difference in the score of the related knowledge of hyperuricemia in the patients in two groups (P>0.05). The blood uric acid， BMI， fasting blood glucose， TC and TG levels had no statistical significance in two groups (P>0.05). After the intervention， the score of the basic knowledge of hyperuricemia， sport health， and medication monitoring in the study group were risen and comparing with those in the control group， the difference had the statistical significance (P<0.05). The declines of the blood uric acid level， BMI and TC level in the study group had the statistical significance comparing with those in the control group (P<0.05). Conclusion： The self management group mode can promote the patients to fully master the relative knowledge so as to effectively improve the blood uric acid level， which is conducive to effectively control the patients with hyperuricemia at the community level., 百拇医药(李婷 范静 李晨虎 金勤华)
关键词 高尿酸血症 自我管理模式 知晓度 影响
, http://www.100md.com
中图分类号：R589.7 文献标识码：A 文章编号：1006-1533(2015)14-0048-03
The impact of the self management mode on the disease awareness and the blood uric acid level of the patients with hyperuricemia*
LI Ting1， FAN Jin1， LI Chenhu3， JIN Qinhua2(1.Fenglin Community Health Service Center of Xuhui District， Shanghai 200030， China； 2. Longhua Community Health Service Center of
Xuhui District， Shanghai 200232， China； 3. Mental Health Service Center of Xuhui District， Shanghai 200232， China)
, 百拇医药
ABSTRACT Objective： To evaluate the impact of the self management group mode on the awareness of the relative disease knowledge and indicators of the blood uric acid and others of the patients with hyperuricemia. Methods： With the cluster sampling method， 361 cases diagnosed as hyperuricemia from 2011 to 2012 were selected in a community and divided into a study group with 182 cases randomly taking the community as a unit and accepted the self management. The control group had 179 cases and received the conventional out-patient following-up. Both groups were intervened for six months. Before and after the intervention both groups were investigated with the self designed questionnaire whose contents included the related knowledge mastered and the levels of the serum uric acid and other indicators. Results： Before the intervention， there was no significant difference in the score of the related knowledge of hyperuricemia in the patients in two groups (P>0.05). The blood uric acid， BMI， fasting blood glucose， TC and TG levels had no statistical significance in two groups (P>0.05). After the intervention， the score of the basic knowledge of hyperuricemia， sport health， and medication monitoring in the study group were risen and comparing with those in the control group， the difference had the statistical significance (P<0.05). The declines of the blood uric acid level， BMI and TC level in the study group had the statistical significance comparing with those in the control group (P<0.05). Conclusion： The self management group mode can promote the patients to fully master the relative knowledge so as to effectively improve the blood uric acid level， which is conducive to effectively control the patients with hyperuricemia at the community level., 百拇医药(李婷 范静 李晨虎 金勤华)