疼痛与疾病感知对男性痛风患者生活质量的影响

The Effect of Pain and Disease Perception on the Quality of Life of Male Gout Patients

目的调查男性痛风患者生活质量现状,探讨疼痛与疾病感知对男性痛风患者生活质量的影响,为医护人员制定改善男性痛风患者生活质量的干预措施提供依据。方法于2019年11月~2020年1月,采用一般资料问卷、疼痛视觉模拟评分、简易疾病感知问卷、痛风影响量表对在山东省痛风病临床医学中心门诊诊疗的214例男性痛风患者进行横断面调查,分析其生活质量现状并探讨疼痛与疾病感知对患者生活质量的影响。结果男性痛风患者的痛风影响量表、疼痛、疾病感知总分依次为(59.77±18.37)分、(6.01±2.75)分、(52.71±11.73)分,除疾病感知中的治疗控制与疾病知晓度条目外,痛风患者的疼痛得分、疾病感知总分及各条目得分与痛风影响程度总分呈正相关(P<0.05)。多元逐步回归分析显示,居住地、疼痛、痛风石、以及患者对病程、个体控制、情绪的感知是影响男性痛风患者生活质量的主要因素(P<0.05)。结论男性患者受痛风影响程度较大,生活质量水平较差,并受多种因素的影响,其中疼痛与疾病感知对生活质量影响较大,需加强患者对疼痛自我管理知识的健康教育,提高患者对痛风的认知程度,以改善其生活质量。

Objective To investigate the current quality of life of male gout patients,explore the impact of pain and disease perception on the quality of life of male gout patients,and provide evidence for medical staff to develop interventions to improve the quality of life of male gout patients.Methods From November 2019 to January 2020,the general information questionnaire,pain visual analogue score,simple disease perception questionnaire,and gout impact scale were used to cross-section 214 male gout patients treated in the outpatient clinic of Shandong Gout Clinic Medical Center.Investigate and analyze the status quo of their quality of life and explore the impact of pain and disease perception on the quality of life of patients.Results The total scores of gout impact scale,pain and disease perception of male gout patients were(59.77±18.37)points,(6.01±2.75)points,and(52.71±11.73)points,except for treatment control and disease awareness in disease perception In addition to the items,the pain score,the total score of disease perception,and the score of each item were positively correlated with the total score of gout influence(P<0.05).Multiple stepwise regression analysis showed that residence,pain,tophi,and patients'perception of disease course,individual control,and emotions were the main factors affecting the quality of life of male gout patients(P<0.05).Conclusion Male patients are more affected by gout,have poorer quality of life,and are affected by a variety of factors.Among them,pain and disease perception have a greater impact on quality of life.It is necessary to strengthen patient health education on pain self-management knowledge and improve patients Awareness of gout to improve their quality of life.