健康教育对社区高尿酸血症患者的效果观察

Observation of effect of health education on community hyperuricemia patients

目的评价健康教育对社区高尿酸血症患者的遵医行为和血尿酸水平的影响。方法 112例社区高尿酸血症患者,随机分为干预组和对照组,每组56例。对照组给予常规的健康指导,干预组通过综合干预的方式实施健康教育。比较两组干预后的遵医行为及干预前后的血尿酸水平。结果干预6个月后,干预组患者的遵医行为均优于对照组,差异均具有统计学意义(P<0.01)。干预前,两组患者的血尿酸水平比较,差异无统计学意义(P>0.05);干预3、6个月后,两组患者的血尿酸水平均较本组干预前降低,且干预组干预后3、6个月的血尿酸水平[(473.8±21.6)、(431.7±18.6)μmol/L]均低于对照组[(486.4±23.9)、(463.8±21.5)μmol/L],差异均具有统计学意义(P<0.01)。结论实施健康教育能有效改善社区高尿酸血症患者的遵医行为,降低血尿酸水平。

Objective To evaluate the effect of health education on compliance behavior and blood uricacid level of community hyperuricemia patients.Methods A total of112community hyperuricemia patientswere randomly divided into intervention group and control group,with56cases in each group.The controlgroup received conventional health education,and the intervention group received health education throughcomprehensive intervention.Comparison were made on compliance behavior after intervention and blood uric acidlevel before and after intervention in two groups.Results After6months of intervention,the intervention grouphad better compliance behavior than the control group,and the difference had statistical significance(P<0.01).Before intervention,both groups had no statistically significant difference in blood uric acid level(P>0.05).After3and6months of intervention,both groups had lower blood uric acid level than those before intervention,andthe intervention group had lower blood uric acid level after3and6months of intervention[(473.8±21.6)and(431.7±18.6)μmol/L]than the control group[(486.4±23.9)and(463.8±21.5)μmol/L].Their difference hadstatistical significance(P<0.01).Conclusion The implementation of health education can effectively improve thecompliance behavior of patients with community hyperuricemia and reduceserum uric acid the level.