痛风患者健康素养筛查与分层管理的成效分析
Analysis of the effectiveness of screening and stratified management on health litera-cy of the gout patients
谢惠玲 1毛惠娜 2刘玲 2梁淑茵 2朱傲雪 2邓绮兰1
作者信息
- 1. 南方医科大学珠江医院 风湿免疫科(广东广州,510282)
- 2. 南方医科大学珠江医院 护理部(广东广州,510282)
- 折叠
摘要
目的 探讨依据健康素养的分层管理对痛风患者健康素养、自我管理能力、生活质量及健康结局的影响.方法 将129例痛风患者按照入院时间分为对照组64例,干预组65例.对照组给予痛风常规护理及随访,干预组根据健康素养筛查结果,结合患者疾病状态危险因素分级进行分层管理.比较干预前及干预后患者的健康素养、自我管理能力、生活质量评分及临床指标.结果 对照组与干预组分别有60、62例完成研究.干预后干预组健康素养、自我管理能力、生活质量评分显著高于对照组,血尿酸、痛风发作次数显著低于对照组(均P＜0.05).结论 依据健康素养实施分层管理,能有效提高痛风患者的健康素养、自我管理能力及生活质量,改善患者健康结局.
Abstract
Objective To explore the effects of stratified management of the health literacy to improve the level of health literacy,self-management capabilities,quality of life,and health outcomes of gout patients.Methods A total of 129 gout patients were divi-ded into a control group(n=64)and an intervention group(n=65)according to their admission dates.The control group was gi-ven routine gout care and follow-up,and the intervention group was given stratified management according to the results of health literacy screening and the grading of risk factors for patients'disease states.The patients'health literacy,self-management ability,quality of life scores and clinical indicators were compared before and after the intervention.Results There were 60 and 62 cases completed the study in the control group and the intervention group,respectively.After the intervention,the health literacy,self-management ability,and quality of life scores of the intervention group were significantly higher than those of the control group,and the blood uric acid and the number of gout attacks were significantly lower than those of the control group(all P＜0.05).Con-clusion The implementation of stratified management based on health literacy can effectively improve the health literacy,self-ma-nagement ability and quality of life of gout patients,and improve the health outcomes of the patients.
关键词
痛风/高尿酸血症/健康素养/分层管理/自我管理能力/生活质量/尿酸/延续护理Key words
gout/hyperuricemia/health literacy/stratified management/self-management ability/quality of life/uric acid/continuing care引用本文复制引用
基金项目
2023年广东省卫生健康适宜技术推广项目(202303221004021615)
出版年
2024
NETL
NSTL
万方数据