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目的了解痛风患者的医疗认知与行为状况,为制订针对性的痛风知识宣教及疾病防控策略提供依据。方法通过自制问卷对70例痛风患者进行现场调查,了解其对饮食、高尿酸血症的认知情况,并对患者就医用药等方面进行调查。结果 79.4%的患者知晓饮食与痛风之间的关系,且知晓组进行合理饮食控制的比率显著高于不知晓组(74.1%vs.42.9%,P=0.026)。77.9%的患者知道高尿酸血症与痛风的关系,且知晓组定期进行血尿酸监测的比率略高于不知晓组(45.3%vs.33.3%)。痛风患者首次就诊科室中以骨科最多(42.6%),其次为风湿科(16.2%)和内分泌科(13.2%)。急性期用药以非甾体类抗炎药(42.6%)和秋水仙碱(41.2%)为主,但应用别嘌呤醇(30.9%)和苯溴马隆(16.2%)治疗者也不占少数。治疗和饮食是痛风患者最为关注的两个方面。结论加强痛风知识的普及教育有助于患者增强自我监查意识,减少误诊误治,从而提高生活质量和改善预后。
Objective To understand the medical cognition and behavior of patients with gout, and to provide the basis for formulating targeted education and disease prevention and control strategies of gout. Methods 70 cases of gout patients were surveyed on the spot by self-made questionnaire to understand their cognition of diet and hyperuricemia, and to investigate the medical treatment of patients. Results 79.4% of patients were aware of the relationship between diet and gout, and the proportion of patients who knew that they had a reasonable diet was significantly higher than that of those who did not know (74.1% vs 42. 2%, P = 0.026). 77.9% of the patients knew the relationship between hyperuricemia and gout, and knew that the rate of regular uric acid monitoring in the group was slightly higher than that in the unknown group (45.3% vs.33.3%). Patients with gout had the highest number of orthopedic departments (42.6%) in the first visit, followed by Rheumatology (16.2%) and Endocrinology (13.2%). Non-steroidal anti-inflammatory drugs (42.6%) and colchicine (41.2%) were the main drugs in the acute phase, but those treated with allopurinol (30.9%) and benzbromarone (16.2% . Treatment and diet are the two areas of greatest concern to gout patients. Conclusion The popularization of gout knowledge education will help patients to enhance self-monitoring awareness, reduce misdiagnosis and mistreatment, thereby improving the quality of life and improve prognosis.