社区医务人员的痛风疾病认知度对农村痛风患者疾病认知度的影响

Impact of Gout Disease Awareness of Community Medical Staff on the Disease Awareness of Rural Gout Patients

目的:探讨社区服务中心医务人员的痛风疾病认知度对农村痛风患者疾病认知度的影响。方法:2018年8月至2019年7月,随机选取番禺区92位农村户籍的痛风患者和60位医务人员,并随机分为两组:实验组(48位痛风患者,30位医务人员)和对照组(44位痛风患者和30位医务人员)。两组医务人员以个体化的方式固定接诊1-2位痛风患者。两组均在入组时调查痛风患者和医务人员的疾病认知度,后对实验组的医务人员进行痛风知识的培训,对照组不行任何干预。1年后再次调查两组的疾病认知度,纵向及横向比较两组干预前后痛风疾病知识知晓率的差别,并分析干预后患者疾病认知度的影响因素。结果:通过对社区服务中心医务人员培训后1年,实验组痛风患者的疾病知识知晓率显著高于对照组(81.25%vs. 22.73%,P<0.05);实验组痛风患者干预后的疾病知识知晓率显著高于入组时(81.25%vs. 16.67%,P<0.001);对第二次调查结果进行回归分析,结果提示教育程度、提供宣教服务的医务人员的疾病认知度及随诊次数是农村痛风患者疾病认知度的影响因素(P<0.05)。结论:提高社区服务中心医务人员的痛风疾病认识水平,有助于提高农村痛风患者的疾病认知度。

Objective:To explore the effect of the disease awareness rate of gout diseases among medical staff in community service centers on the disease awareness of rural gout patients. Methods:From August 2018 to July 2019,92 gout patients and 60 medical staffs in Panyu District were randomly selected and divided into two groups including the experimental group(48 gout patients,30 medical staff)and the control group( 44 gout patients and 30 medical staff).The medical staff fixedly visited 1-2 gout patients in an individualized manner. In both groups,the disease awareness of gout patients and medical staff was investigated at the time of enrollment,and medical staff in the experimental group were trained in gout knowledge. The control group did not receive any intervention. After 1 year,the disease awareness of the two groups of patients and medical staff was investigated again. The differences in gout disease awareness between the two groups of patients and medical staff before and after the intervention were compared longitudinally and horizontally,and the influencing factors of the disease awareness of the patients after the intervention were analyzed.Results:After one year,the disease awareness rate of gout patients in the experimental group was significantly higher than that in the control group(81.25% vs. 22.73%,P<0.05). The disease awareness rate of patients with gout in the experimental group after intervention was significantly higher than when they were enrolled(81.25% vs. 16.67%,P<0.001). Regression analysis was performed on the results of the second survey,and the results suggested that education level,disease awareness of medical staff who provide education services and follow-up times were the influence factors of disease awareness of rural gout patients(P<0.05). Conclusion:Improving the knowledge of gout diseases among medical staff in community service centers will help improve the disease awareness of rural gout patients.