系统化康复干预对痛风患者治疗依从性及生活质量的影响(1)
[摘要] 目的 探讨系统化康复干预对痛风患者治疗依从性及生活质量的影响。 方法 选取2017年1月～2018年1月在我院治疗的痛风患者共100例，随机将患者分为观察组与对照组。两组患者均予以常规痛风药物治疗及干预，观察组患者在此治疗的基础上加用系统化康复干预，两组患者疗程均为3个月。观察并比较两组患者治疗依从性、痛风急性发作次数及生活质量变化。 结果 干预3个月后，观察组患者的治疗依从性优于对照组(P<0.05)；随访3个月，观察组患者的痛风急性发作次数少于对照组(P<0.05)；干预3个月后，两组患者的生活质量SF-36评分均较干预前明显上升(P<0.05或P<0.01)，且观察组患者上升幅度较对照组更显著(P<0.05)。 结论 系统化康复干预能有效提高痛风患者治疗的依从性，减少痛风的急性发作，改善患者的生活质量。
[关键词] 痛风；系统化康复；治疗依从性；生活质量
[中图分类号] R589.7 [文献标识码] B [文章编号] 1673-9701(2018)32-0095-04
Effect of systematic rehabilitation intervention on treatment compliance and quality of life in patients with gout
WANG Chunchun1 ZHOU Lizhen2 XU Haiyan1 CHEN Baojun3
1.Department of Emergency， Taizhou Hospital of Zhejiang Province， Linhai 317000， China； 2.Department of Pediatrics， Taizhou Hospital of Zhejiang Province， Linhai 317000， China； 3.Department of Traditional Chinese Medicine， Taizhou Hospital of Zhejiang Province， Linhai 317000， China
[Abstract] Objective To explore the effect of systematic rehabilitation intervention on the compliance and quality of life of gout patients. Methods A total of 100 gout patients treated in our hospital from January 2017 to January 2018 were selected. The patients were randomly divided into observation group and control group. Both groups of patients were treated with routine gout medication and intervention. The observation group was treated with systemic rehabilitation intervention on the basis of the above treatment. The duration of treatment for both groups was 3 months. The treatment compliance， the frequency of exacerbation of gout， and the quality of life beween the two groups was observed and compared. Results After intervention for 3 months， the treatment compliance of the observation group was better than that of the control group(P<0.05). In the follow-up of 3 months， the frequency of acute gout attacks was lower in the observation group than that in the control group(P<0.05). After intervention for 3 months， the quality of life SF-36 scores of the two groups were significantly higher than those before the intervention(P<0.05 or P<0.01). And the increase in the observation group was more significant than that of the control group(P<0.05). Conclusion Systematic rehabilitation intervention can effectively improve the compliance of gout patients， reduce the acute onset of gout， and improve the quality of life of patients.
[Key words] Gout； Systemic rehabilitation； Treatment compliance； Quality of life
痛風是临床常见的代谢类疾病之一，其好发于中年男性和绝经后妇女[1-2]。痛风诊断与治疗较为容易，但痛风容易反复发作，出现各种并发症，有研究显示其并发症发病率为15%[3]。控制尿酸水平减少痛风急性发作是改善患者预后的关键[4-5]。由于尿酸与饮食、精神状况、生活习惯等密切相关，单纯的药物治疗难以达到长期的控制[6]。系统化康复干预是一种通过健康宣教、康复指导等方法指导患者建立良好的饮食和生活习惯的干预模式，应用于痛风治疗取得良好的效果。但其对于患者依从性和生活质量的影响受到的关注较少。本研究观察系统化康复干预对痛风患者治疗依从性及生活质量的影响，现报道如下。, 百拇医药(王春春 周丽珍 徐海燕 陈宝军)
[关键词] 痛风；系统化康复；治疗依从性；生活质量
[中图分类号] R589.7 [文献标识码] B [文章编号] 1673-9701(2018)32-0095-04
Effect of systematic rehabilitation intervention on treatment compliance and quality of life in patients with gout
WANG Chunchun1 ZHOU Lizhen2 XU Haiyan1 CHEN Baojun3
1.Department of Emergency， Taizhou Hospital of Zhejiang Province， Linhai 317000， China； 2.Department of Pediatrics， Taizhou Hospital of Zhejiang Province， Linhai 317000， China； 3.Department of Traditional Chinese Medicine， Taizhou Hospital of Zhejiang Province， Linhai 317000， China
[Abstract] Objective To explore the effect of systematic rehabilitation intervention on the compliance and quality of life of gout patients. Methods A total of 100 gout patients treated in our hospital from January 2017 to January 2018 were selected. The patients were randomly divided into observation group and control group. Both groups of patients were treated with routine gout medication and intervention. The observation group was treated with systemic rehabilitation intervention on the basis of the above treatment. The duration of treatment for both groups was 3 months. The treatment compliance， the frequency of exacerbation of gout， and the quality of life beween the two groups was observed and compared. Results After intervention for 3 months， the treatment compliance of the observation group was better than that of the control group(P<0.05). In the follow-up of 3 months， the frequency of acute gout attacks was lower in the observation group than that in the control group(P<0.05). After intervention for 3 months， the quality of life SF-36 scores of the two groups were significantly higher than those before the intervention(P<0.05 or P<0.01). And the increase in the observation group was more significant than that of the control group(P<0.05). Conclusion Systematic rehabilitation intervention can effectively improve the compliance of gout patients， reduce the acute onset of gout， and improve the quality of life of patients.
[Key words] Gout； Systemic rehabilitation； Treatment compliance； Quality of life
痛風是临床常见的代谢类疾病之一，其好发于中年男性和绝经后妇女[1-2]。痛风诊断与治疗较为容易，但痛风容易反复发作，出现各种并发症，有研究显示其并发症发病率为15%[3]。控制尿酸水平减少痛风急性发作是改善患者预后的关键[4-5]。由于尿酸与饮食、精神状况、生活习惯等密切相关，单纯的药物治疗难以达到长期的控制[6]。系统化康复干预是一种通过健康宣教、康复指导等方法指导患者建立良好的饮食和生活习惯的干预模式，应用于痛风治疗取得良好的效果。但其对于患者依从性和生活质量的影响受到的关注较少。本研究观察系统化康复干预对痛风患者治疗依从性及生活质量的影响，现报道如下。, 百拇医药(王春春 周丽珍 徐海燕 陈宝军)