上海大场社区高尿酸血症患者血尿酸控制现状及健康信念影响因素

Status of serum uric acid control and factors affecting health belief score in hyperuricemia patients in Shanghai Dachang community

目的探讨高尿酸血症(HUA)患者血尿酸(SUA)控制现状及健康信念影响因素。方法检测348例65岁以上HUA患者的空腹血尿酸值,通过高尿酸血症健康信念调查问卷,计算健康信念得分,分析健康信念的影响因素。结果348例HUA患者的血尿酸达标率为31.90%;健康信念中位数得分为66.00分,性别不同、文化程度不同、有无痛风发作史、有无HUA家族史的患者健康信念得分的差异均有统计学意义(P<0.05)。结论社区老年HUA患者SUA达标现状较差,建议全科医生在日常临床工作中帮助HUA患者提高健康信念,尤其是女性、文化程度低、无痛风发作史、无HUA家族史的患者,强化SUA达标治疗的意识,改善SUA达标现状。

Objective To describe and analyze the status of serum uric acid(SUA)control and factors affecting health belief score in hyperuricemia patients.Methods The fasting SUA level was measured in 348 hyperuricemia patients over 65 years of age.Based on the data collected from health belief model questionnaire,health belief score of hyperuricemia patients were calculated,and the factors affecting health belief level was analyzed.Results The SUA compliance rate of 348 hyperuricemia patients was 31.90%.The median score of health belief was 66.00 points,and the differences in health belief scores of patients with different genders,different education levels,history of gout attacks,and family history of hyperuricemia were statistically different(all P<0.05).Conclusion The status of SUA compliance for elderly hyperuricemia patients in the community is far from satisfactory.It is recommended that general practitioners help hyperuricemia patients improve their health beliefs,especially for women,low education,no history of gout attacks,and no family history of hyperuricemia,in order to raise their awareness to reach the standard,and therefore to improve the SUA compliance rate.