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目的分析社区健康教育在社区痛风患者中的应用效果。方法选取2013年1月社区健康体检查出的42例痛风患者作为研究对象,实施社区健康教育持续1年。计量资料比较采用t检验,计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果实施社区健康教育后,痛风患者血尿酸(421.5±33.7)μmol/L、尿素氮(9.2±2.1)mmol/L、血胆固醇含量(6.5±1.3)mmol/L均较健康教育前(357.8±22.1)μmol/L、(5.8±1.7)、(4.6±0.9)mmol/L显著下降;痛风疾病的病因(88.1%)、发病机制(83.3%)、诱发因素(92.9%)、服药及注意事项(95.2%)、预防知识(92.9%)等知识知晓率均较健康教育前(28.6%、11.9%、42.9%、35.7%、38.1%)有明显提高;规律服药(95.2%)、定期检查(100.0%)、控制饮食(90.5%)、戒烟限酒(83.3%)、合理锻炼(85.7%)等治疗依从性均较健康教育前(69.0%、76.2%、52.4%、35.7%、40.5%)有明显提高。比较差异均有统计学意义(均P<0.05)。结论健康教育可以有效促进痛风患者血尿酸、尿素氮、血胆固醇含量等的控制,提高疾病相关知识的知晓率和治疗依从性。
Objective To analyze the effect of community health education in community gout patients. Methods 42 cases of gout patients diagnosed by community health examination in January 2013 were selected as the research object, and community health education was carried out for one year. Measurement data were compared using t test, count data were compared using χ2 test, P <0.05 for the difference was statistically significant. Results After the community health education, the uric acid (421.5 ± 33.7) μmol / L, urea nitrogen (9.2 ± 2.1) mmol / L and blood serum cholesterol (6.5 ± 1.3) mmol / L were significantly higher in patients with gout than those before health education (88.1%), pathogenesis (83.3%), predisposing factors (92.9%), medication and precautions (95.2%) and prevention knowledge (92.9%) were significantly higher than those before health education (28.6%, 11.9%, 42.9%, 35.7%, 38.1%); regular medication (90.0%), smoking cessation (83.3%) and reasonable exercise (85.7%) were significantly lower than those before health education (69.0%, 76.2%, 52.4%, 35.7% and 40.5%, respectively) Significantly improved. The differences were statistically significant (all P <0.05). Conclusion Health education can effectively promote the control of blood uric acid, urea nitrogen, blood cholesterol levels and other aspects of gout patients, improve awareness of disease-related knowledge and treatment compliance.