痛风患者健康素养筛查与分层管理的成效分析

Analysis of the effectiveness of screening and stratified management on health literacy of the gout patients

目的探讨依据健康素养的分层管理对痛风患者健康素养、自我管理能力、生活质量及健康结局的影响。方法将129例痛风患者按照入院时间分为对照组64例,干预组65例。对照组给予痛风常规护理及随访,干预组根据健康素养筛查结果,结合患者疾病状态危险因素分级进行分层管理。比较干预前及干预后患者的健康素养、自我管理能力、生活质量评分及临床指标。结果对照组与干预组分别有60、62例完成研究。干预后干预组健康素养、自我管理能力、生活质量评分显著高于对照组,血尿酸、痛风发作次数显著低于对照组(均P<0.05)。结论依据健康素养实施分层管理,能有效提高痛风患者的健康素养、自我管理能力及生活质量,改善患者健康结局。

Objective To explore the effects of stratified management of the health literacy to improve the level of health literacy,self-management capabilities,quality of life,and health outcomes of gout patients.Methods A total of 129 gout patients were divi-ded into a control group(n=64)and an intervention group(n=65)according to their admission dates.The control group was gi-ven routine gout care and follow-up,and the intervention group was given stratified management according to the results of health literacy screening and the grading of risk factors for patients′disease states.The patients′health literacy,self-management ability,quality of life scores and clinical indicators were compared before and after the intervention.Results There were 60 and 62 cases completed the study in the control group and the intervention group,respectively.After the intervention,the health literacy,self-management ability,and quality of life scores of the intervention group were significantly higher than those of the control group,and the blood uric acid and the number of gout attacks were significantly lower than those of the control group(all P<0.05).Conclusion The implementation of stratified management based on health literacy can effectively improve the health literacy,self-ma-nagement ability and quality of life of gout patients,and improve the health outcomes of the patients.