高尿酸血症及痛风患者饮食控制知信行现状及影响因素

Current status and influencing factors of knowledge,attitude and practice of diet control among patients with hyperuricemia and gout

目的了解高尿酸血症及痛风患者饮食控制知信行现状及其影响因素,为制定干预措施提供参考。方法采用一般资料问卷和高尿酸血症及痛风患者饮食控制知信行量表对370例高尿酸血症及痛风患者进行调查。结果患者知识、信念、行为以及知信行得分分别为(49.83±6.21)分,(53.25±6.67)分,(38.07±6.61)分,(141.15±15.84)分。回归分析结果显示,文化程度、接受过治疗、了解目前尿酸值是饮食控制知识得分的影响因素;接受过饮食建议、有糖尿病、了解目前尿酸值是饮食控制信念得分和知信行总体得分的影响因素;接受过饮食建议、有高血脂、家庭人均月收入是饮食控制行为得分的影响因素(P<0.05,P<0.01)。结论高尿酸血症及痛风患者饮食控制知信行现状不容乐观,医护人员应制定和实施针对性干预措施,提高患者饮食控制知信行水平。

Objective To understand and analyze the current status and influencing factors of knowledge,attitude and practice（KAP）of diet control among patients with hyperuricemia and gout,so as to provide reference for formulating intervention.Methods A total of 370 patients with hyperuricemia and gout were investigated using the general questionnaire and scale of knowledge,attitude,and practice of diet control in patients with hyperuricemia and gout.Results The score of knowledge,attitude,practice and KAP was（49.83±6.21）,（53.25±6.67）,（38.07±6.61）,and（141.15±15.84）respectively.Regression analysis showed that educational background,received treatment and acquaintance of the current uric acid value were the factors influencing the score of dietary control knowledge;received dietary advices,suffered from diabetes,and acquaintance of the current uric acid value were factors influencing the score of dietary control belief and the overall score of KAP jreceived dietary advices,suffered from hyperlipidemia and personal monthly income in a family were factors influencing the score of dietary control behavior.Conclusion The current status of KAP of diet control among patients with hyperuricemia and gout is not optimistic.Medical staff should develop and carry out targeted intervention,so as to improve patients′diet control level of knowledge,attitude and practice.