绵阳市痛风患者饮食控制知信行现状调查

Knowledge,belief and practice of dietary control in gout patients in Mianyang

目的了解痛风患者饮食控制知信行现状,为制定干预措施提供理论依据。方法对绵阳市2019年1-6月明确诊断为痛风的成年患者进行饮食控制知信行调查,采用单、多因素分析方法对饮食控制知信行得分影响因素进行分析。结果本研究共对绵阳市267例痛风患者进行调查,该人群以男性为主(占91.0%),民族以汉族为主(占97.0%),平均年龄(45.31±14.75)岁,文化程度以大专为主(占56.2%),家庭人均月收入以<4 000元为主(占37.8%)。痛风患者饮食控制知信行量表总分平均为(141.03±15.48)分,标准分为(76.23±8.37)分。知识、信念、行为平均得分分别为(50.43±5.37)、(53.17±6.18)、(37.43±4.73)分。多元线性回归分析结果显示,文化程度越高(标准回归系数=0.007、0.313、0.180),知识、行为和总得分越高。与农民相比,教师、医务人员和公务员(标准回归系数=0.700、0.677、0.699)知识得分更高。接受过饮食建议(标准回归系数=0.360、0.431、0.949)及知晓尿酸水平(标准回归系数=0.264、0.329、0.152)的患者知识、信念及总得分更高。BMI越高(标准回归系数=-0.012、-0.149),信念和行为得分越低。服用降尿酸药物(标准回归系数=0.362、0.452、0.256)患者信念、行为和总得分较高。结论绵阳市痛风患者饮食控制知信行得分处于中等水平,不同患者的饮食控制知信行水平差距较大。相关部门应采取针对性干预措施,预防痛风发生并提高患者生活质量。

Objective To understand the current situation of knowledge,belief and practice of dietary control inpatients with gout,so as to provide theoretical basis for the development of intervention measures.Methods A surveywas conducted to investigate the dietary control knowledge and practice in adult patients diagnosed with gout from Januaryto June 2019 in Mianyang City.Univariate and multivariate logistic regressions were used to determine factors influencingscores of diearyt control knowledge and behavior.Results A total of 267 patients with gout were surveyed in this study,with an average age of(45.31±14.75)years.Of the participants,91.0% were male,97.0% were Han nationality,56.2%had the educational level at college,and 37.8% had the monthly per capita income of households under 4,000 Yuan.Theaverage score of the Knowledge Control Scale for gout patients was(141.03±15.48)points,and the standard score was(76.23±8.37).The average scores of knowledge,belief,and practice were(50.43±5.37),(53.17±6.18),and(37.43± 4.73),respectively.Multiple linear regression analysis showed that the higher the education level(standard regressioncoefficients[SRCs]:0.007,0.313,0.180),the higher the knowledge,behavior,and total score.Compared with farm-ers,the teachers,medical staff,and civil servants(SRCs:0.700,0.677,0.699)had higher knowledge scores.Patientswho had received dietary suggestions(SRCs:0.360,0.431,0.949)and knowledge of uric acid levels(SRCs:0.264,0.329,0.152)had higher knowledge,beliefs and overall scores.The larger the BMI(SRCs:-0.012,-0.149),the lowerthe belief and behavior scores.Patients taking uric-acid-lowering drugs(SRCs:0.362,0.452,0.256)had higher beliefs,behaviors,and overall scores.Conclusion The scores of the knowledge,belief,and practice of dietary control in gout pa-tients were at a medium level,with a large gap between the different groups of gout patients.Relevant departments shouldtake targeted interventions to prevent gout and improve the quality of life of the patients.