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思维导图的居家自我管理模式在老年高尿酸血症患者中的应用

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目的:探讨思维导图的居家自我管理模式在老年高尿酸血症(HUA)患者中的应用价值。方法:采用简单随机抽样法随机抽取 2020 年 5 月 1 日~2022 年 2 月 28 日收治的 90 例老年HUA患者作为研究对象,根据随机数字表法分为对照组和观察组各 45 例,对照组实施常规线上指导的居家自我管理模式,观察组实施思维导图的居家自我管理模式;比较两组出院当日和干预结束 4 周后自我管理能力[采用痛风患者自我管理评估量表(GPSAS)]、实验室检查结果[包括尿酸(UA)和血肌酐(Scr)]及生活质量[采用痛风影响量表(GIS)]及痛风发作次数。结果:干预结束 4 周后,两组GPSAS各领域评分及总分均高于出院当日(P<0。05),且观察组高于对照组(P<0。05);干预结束 4 周后,两组UA和Scr水平均低于出院当日(P<0。05),且观察组低于对照组(P<0。01,P<0。05);干预期间,观察组痛风发作次数少于对照组(P<0。05);干预结束 4 周后,两组GIS各领域评分及总分均低于出院当日(P<0。05),且观察组低于对照组(P<0。01,P<0。05)。结论:将思维导图的居家自我管理模式应用于老年HUA患者中效果明显,有助于提高患者自我管理能力,促进UA和Scr水平的降低,降低痛风发作风险,对提高患者生活质量有积极作用。
Application Analysis of Mind Map in Home Self-Management Model of Elderly Patients with Hyperuricemia
Objective:To investigate the application value of mind map in home self-management of elderly patients with hyperuricemia(HUA).Method:A total of 90 elderly HUA patients treated from May 1,2020 to February 28,2022 were randomly selected by simple ran-dom sampling method as research objects,and were divided into control group and observation group with 45 in each group according to random number table method.The control group implemented the home self-management model based on conventional online guidance,and the observation group implemented the home self-management model based on the mind map.Self-management ability by Gout Patient Self-Management Assessment Scale(GPSAS),laboratory test results by uric acid(UA)and serum creatinine(Scr),quality of life by Gout Im-pact Scale(GIS)and the number of gout attacks were compared between the two groups on the day of discharge and 4 weeks after the inter-vention.Result:Four weeks after the intervention,the GPSAS scores and total scores in both groups were higher than those on the day of discharge(P<0.05),and observation group has higher scores than control group(P<0.05).Four weeks after the intervention,the UA and Scr levels of the two groups were significantly lower than those on the day of discharge,and they were lower in the observation group than those in the control group(P<0.05).During the intervention period,the number of gout attacks in the observation group was significantly lower than that in the control group(P<0.01,P<0.05).Compared with the day of discharge,the scores and total scores of GIS were signif-icantly improved(P<0.05),and they were higher in the observation group than those in the control group(P<0.01,P<0.05).Conclusion:The application of the home self-management mode of mind map in elderly patients with HUA has obvious effects,which helps to improve patients' self-management ability,promote the reduction of UA and Scr levels,reduce the risk of gout attack,and has a positive effect on improving patients' quality of life.

Mind mapHome self-managementElderlyHyperuricemiaself-management

宗文莉、陈春梅、郁敏

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南通市第一人民医院 江苏南通 226001

思维导图 居家自我管理 高尿酸血症 老年 自我管理能

南通市基础研究和民生科技计划指导性项目(2021)

MSZ21048

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(3)
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