营养宣传教育对高尿酸血症者行为改善的促进作用

Effect of nutritional education on the improvement of behavior of the inhabitants with hyperuremia

目的观察营养宣传教育对高尿酸血症者行为改善的促进作用。方法采用分层整群抽样的方法,对南京市两个社区7778名20岁以上的居民进行了血尿酸调查。根据血尿酸水平,在两个社区分别选出高尿酸血症患者275(樱驼花园社区)和255名(甘家巷社区),以樱驼花园社区作为干预组,甘家巷社区作为对照组,对被干预对象的痛风相关知识、饮食习惯、膳食摄取情况进行调查。在被干预社区通过授课等方式开展营养干预,10个月后,对两个社区的参与对象再次进行调查。结果干预前两组间有关调查项目未见有显著差异。干预后,干预组对象对痛风相关知识的认识有显著提高,豆制品、嘌呤摄取量减少,饮食偏淡,男性喝啤酒者明显减少、女性主动饮水者增多。结论营养宣传教育可提高高尿酸血症患者的知识水平,改变其饮食和生活习惯。

Objective To observe the protnotive effect of nutritional education on the improvement of behavior of the inhabitants with hyperuremia. Methods Serum uric acid （SUA） was measured among 7778 inhabitants aged over 20 years old in 2 communities in Nanjing with the method of stratified duster sampling. According to the level of SUA, 275 interviewees form Yintuo Community were selected as the educated and 255 interviewees from the Ganjiaxiang Community were selected as the control respectively. Knowledge about gout, diet habits and food intakes of the interviewees were investigated with questionnaires. For the interviewees in Yintuo Community, nutritional education was carried out. Its effect was evaluated 10 months later. The items were again evaluated for all subjects in the end of the project. Results There was no difference in knowledge about gout, diet habits and food intakes between the inhabitants of the 2 communities before the education was made. After the education, in the educated community, knowledge about gout increased, the intake of soybeans and purine decreased. Light taste was common, the number of male who drank beer decreased, the number of female who drank water actively increased. Conclusion Nutritional education is useful for improving the knowledge of the inhabitants, it is also helpful for the benefit change of diet and living habits.