基于多中心医疗联盟高尿酸血症患者管理模式研究

Management model of hyperuricemia patients based on multi-center medical alliance

目的探讨基于多中心医疗联盟高尿酸血症患者管理模式研究。方法选取2022年1月至2023年8月首诊在番禺区中心医院、随诊在医疗联盟的镇属医院的高尿酸血症患者98例,采用随机数表法分为两组,对照组应用常规管理模式,研究组在此基础上应用基于多中心医疗联盟的管理模式。对两组的尿酸达标率、满意度、肝肾功能指标[谷氨酰转肽酶(GGT)、谷丙转氨酶(ALT)、甘油三酯(TG)、血肌酐(Scr)、血尿酸(UA)]以及自我管理能力、饮食控制知信行、生活质量情况进行比较。结果研究组尿酸达标率、满意度均高于对照组,差异有统计学意义(P<0.05);与对照组比较,干预后研究组UA、Scr、TG、ALT、GGT指标数值均更低,差异有统计学意义(P<0.05);相较于对照组,研究组自我效能、健康状况、管理行为评分均更高,差异有统计学意义(P<0.05);与对照组比较,干预后研究组DCKAPHG及生活质量评分均更高,差异有统计学意义(P<0.05)。结论高尿酸血症患者应用基于多中心医疗联盟的管理模式不仅可以提高其自我管理行为、饮食控制知信行情况以及患者的尿酸达标率,同时可以改善其肝肾功能检查指标,有利于患者生活质量以及满意度的提高,值得推广应用。

Objective To explore the management model of hyperuricemia patients based on multi-center medical alliance.Methods From January 2022 to August 2023,98 patients with hyperuricemia who were first diagnosed in the central hospital and followed up in the town hospital of the medical alliance were selected and divided into two groups by random number table method.The control group applied the conventional management mode,while the research group applied the management mode based on the multi-center medical alliance.Uric acid compliance rate,satisfaction,liver and kidney function indexes(glutamyl transpeptidase[GGT],glutamic pyruvic transaminase[ALT],triacylglycerol[TG],Serum creatinine[Scr],uric acid[UA]),self-management ability,dietary control knowledge and practice,and quality of life were compared.Results The rate of uric acid compliance and satisfaction in the study group were higher than those in the control group,the difference was statistically significant(P<0.05).Compared with the control group,the values of UA,Scr,TG,ALT and GGT were all lower in the study group after intervention,and the difference was statistically significant(P<0.05).Compared with the control group,the scores of self-efficacy,health status and management behavior in the study group were higher,and the differences were statistically significant(P<0.05).Compared with the control group,the scores of DCKAPHG and quality of life in the study group were higher after intervention,and the difference was statistically significant(P<0.05).Conclusion The application of multi-center medical alliance based management mode in hyperuricemia patients can not only improve their self-management behavior,dietary control knowledge and practice,and the rate of uric acid compliance,but also improve their liver and kidney function test indicators,which is conducive to the improvement of patients’quality of life and satisfaction,and is worthy of promotion an d application.