痛风性关节炎患者出院后电话随访健康教育效果的研究

Gouty Arthritis Patients Discharged From Hospital After Telephone Follow- up Effect of Health Education

目的探讨电话随访实施健康教育对痛风性关节炎患者的疾病知识和遵医行为的影响。方法将95例痛风性关节炎患者随机分为观察组48例和对照组47例,对照组实施常规的出院指导,观察组在对照组基础上进行电话随访,指定高级责任护士负责,在患者出院后第1周、第2周,以后每隔4周随访1次,追踪6个月。比较两组患者干预前后的疾病知识和遵医行为。结果两组出院前疾病知识比较差异均无有统计学意义(P>0.05);两组复诊时对疾病知识知晓率均有不同程度升高,观察组尤其显著,对照组出院前与复诊疾病时在痛风性关节炎的病因症状与治疗、血尿酸检查等5个条目知晓率比较差异均无有统计学意义(P>0.05),在用药知识、饮酒对健康的危害、痛风性关节炎相关预防和复发知识4个条目知晓率的比较差异均有统计学意义(P<0.05);观察组电话随访干预后复诊与出院前各个条目疾病知识知晓率比较差异均具有统计学意义(P<0.01);两组复诊时疾病知识知晓率比较差异均具有统计学意义(P<0.01);观察组复诊时治疗依从性比对照组明显升高,差异具有统计学意义(P<0.05)。结论通过电话随访能提高痛风性关节炎患者疾病知识知晓率和遵医行为,促进患者疾病康复。

Objective Telephone follow- up implementation of health education in patients with gouty arthritis disease knowledge and as directed by the medical behavior. Methods 95 patients with gouty arthritis were randomly divided into observation group and control group,48 cases and control group in 47 cases in the control group to implement regular discharge guidance,observation group based on the implementation of regular discharge guidance and used the telephone follow- up,designated senior nurse in charge of,1 week,2 weeks after discharged from hospital,every 4 weeks after follow- up for 1 time,tracking for six months. Compare two groups of patients before and after the intervention of disease knowledge and as directed by the medical behavior. Results Before discharge disease knowledge is similar between the two groups have no statistical significance（ P〉0. 05）; Two groups visited to aware of knowledge about the disease to some extent,observation group had a significantly,especially in the control group before discharge and return when the disease symptoms and treatment of gouty arthritis,blood uric acid to check each entries＇ attempt to compare different no was statistically significant（ P〉0. 05）,the medicine knowledge,the harm of drinking to health,gouty arthritis knowledge related to the prevention and recurrence of four entries awareness of comparative differences are statistically significant（ P〈0. 05）; Observation group telephone follow- up visit after intervention and aware of knowledge about each item before leaving hospital disease comparative differences are statistically significant（ P〈0. 01）; Visited aware of knowledge about the disease more similar between the two groups have statistical significance（ P〈0. 01）; Observation group visited treatment adherence than the control group increased significantly,and its comparative differences were statistically significant（ P〈0. 05）. Conclusion By telephone follow- up can improved patients with gouty arthritis aware of knowledge about the disease and as directed by the medical behavior,promoting disease rehabilitation patients.