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目的研究高尿酸血症患者实施全科团队模式社区干预对疾病控制的有效性及可行性。方法采用社区随机对照研究的方法,随机选取上海市浦东新区高桥社区8个居委的202个高尿酸血症病人作为研究对象,随机分为干预组(n=104)和对照组(n=98),对干预组病人进行全科团队模式的社区干预,对比两组对所患疾病的认知程度,对比两组血脂、血尿酸、BMI、血压等改变情况。结果干预组对高尿酸血症的认识较对照组有显著提高(P<0.01),干预组自6月开始血尿酸监测较对照组有显著改善(P<0.05),干预组与医生交流、饮食控制、情绪管理、饮酒、高尿酸血症管理的总体自我效能评分、体能锻炼、血压控制、健康自评、健康担忧、疾病对生活的影响、痛风发作次数等方面,较对照组均有显著改善(P<0.05)。结论高尿酸血症患者实施全科团队模式社区干预,能够使患者与医生更直接的沟通交流,及时获取饮食控制及情绪管理的方法,对疾病有更加充分的认识,对疾病控制能够起到积极的推进作用,高效可行,应予推广。
Objective To study the effectiveness and feasibility of community intervention on disease control in patients with hyperuricemia. Methods A total of 202 patients with hyperuricemia from 8 neighborhood committees in Takahashi community of Shanghai Pudong New Area were randomly selected as the study subjects and randomly divided into intervention group (n = 104) and control group (n = 98). Community intervention was carried out in the intervention group in a general team mode. The level of cognition in the two groups was compared with that in the two groups. Blood lipids, serum uric acid, BMI and blood pressure were compared between the two groups. Results In the intervention group, the cognition of hyperuricemia was significantly higher than that of the control group (P <0.01). The serum uric acid monitoring in the intervention group was significantly improved from June to June of the control group (P <0.05) Control, emotional management, alcohol consumption, hyperuricemia management overall self-efficacy score, physical exercise, blood pressure control, health self-assessment, health concerns, disease on life, the number of gout attacks than the control group were significantly improved (P <0.05). Conclusion The implementation of community-based team intervention in patients with hyperuricemia can make patients and doctors communicate more directly and get timely access to diet control and emotional management methods, have a better understanding of the disease and can play a positive role in disease control The promotion effect, efficient and feasible, should be promoted.