摘要
目的:探讨结构化健康教育模式对痛风患者依从性、自我管理能力及血尿酸水平的影响。方法:选取2019年1月—2020年7月南阳市第二人民医院收治的96例痛风患者作为研究对象,按随机数表法分为对照组和观察组,每组各48例。对照组采用常规健康教育干预,观察组采用结构化健康教育干预。比较两组患者依从性、自我管理能力、血尿酸水平及生活质量评分。结果:观察组总依从率为93.75%,高于对照组的77.08%,差异有统计学意义 (χ^(2)=5.352,P<0.05)。干预前,两组患者自我管理能力评分、血尿酸值、生活质量评分比较,差异无统计学意义 (t=0.209、0.308、0.439、0.238、0.214、1.225、1.192、0.460、0.126、0.437,P>0.05);干预后,观察组疾病治疗管理评分 (51.85±5.34) 分、饮食管理评分 (51.24±6.89) 分、生活方式管理评分 (37.96±3.23) 分、心理社会管理评分 (30.70±2.49) 分,均高于对照组的 (40.27±6.55) 分、(39.63±7.42) 分、(30.74±4.48) 分、(26.35±3.64) 分,观察组血尿酸值 (407.92±35.85) 分,低于对照组的(488.25±40.64) 分,差异有统计学意义 (t=9.494、7.944、9.057、6.834、10.270,P<0.05);干预后,观察组心理功能评分(65.98±5.23) 分、躯体功能评分 (68.24±5.61) 分、社会功能评分 (69.65±6.82) 分、物质生活评分 (71.34±6.35) 分、生活质量总分 (68.99±6.17) 分,均高于对照组的 (59.54±6.53) 分、(61.16±4.45) 分、(60.59±5.08) 分、(63.22±4.84) 分、(61.67±5.46) 分,差异有统计学意义 (t=5.333、6.850、7.381、7.046、6.155,P<0.05)。结论:结构化健康教育模式可有效提高患者依从性及自我管理能力,并降低血尿酸水平,提升生活质量。
Objective: To explore the effect of structured health education model on compliance, self-management ability and serum uric acid level of patients with gout. Methods: 96 patients with gout treated in our hospital from January 2019 to July 2020 were selected and divided into control group and observation group by the random number table method, with 48 cases in each group. The control group was based on routine health education, and the observation group was given structured health education.The compliance, self-management ability and serum uric acid level and quality of life were compared between the two groups. Results: The total compliance rate of patients in the observation group was 93.75%, which was higher than 77.08% in the control group, and the difference was statistically significant (χ^(2)=5.352, P<0.05). Before intervention, there was no statistically significant difference in the scores of self-management ability, blood uric acid value and quality of life between the two groups (t=0.2090.308, 0.439, 0.238, 0.214, 1.225, 1.192, 0.460, 0.126, 0.437, P>0.05). After intervention, the disease treatment management score (51.85±5.34) points, diet management score (51.24±6.89) points, lifestyle management score (37.96±3.23) points and psychosocial management score (30.70±2.49) points in the observation group were higher than (40.27±6.55) points, (39.63±7.42) points(30.74±4.48) points, (26.35±3.64) points in the control group, blood uric acid value (407.92±35.85) points was lower than (488.25±40.64) points in the control group, the differences were statistically significant (t=9.494, 7.944, 9.057, 6.834, 10.270, P<0.05). After the intervention, the psychological function score (65.98±5.23) points, the physical function score (68.24±5.61) points, the social function score (69.65±6.82) points, the material life score (71.34±6.35) points and the total quality of life score of the observation group (68.99±6.17) points were higher than (59.54±6.53) points, (61.16±4.45) points, (560.59±5.08) points, (63.22±4.84) points(61.67±5.46) points in the control group, and the difference was statistically significant (t=5.333, 6.850, 7.381, 7.046, 6.155, P<0.05). Conclusion: The structured health education model can effectively improve the compliance and self-management ability of patients, decrease the level of serum uric acid and improve the quality of life.
作者
徐学巧
XU Xue-qiao(Department of Nephrology and Rheumatism Immunology,The Second People’s Hospital of Nanyang,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2022年第16期2030-2033,共4页
Heilongjiang Medical Journal
关键词
痛风
结构化健康教育
依从性
自我管理能力
血尿酸水平
生活质量
Gout
Structured health education
Compliance
Self-management ability
Serum uric acid level
Quality of life
