海南汉族人群痛风患者血脂情况及健康教育管理策略

The blood lipid status and health education management strategies of gout patients in Han population in Hainan

  • 摘要: 目的 对海南汉族人群痛风患者血脂情况进行调查,探讨采取相应健康教育管理策略实施情况.方法 2016年1-5月对海南省三家医院(海南医学院附属医院、海南省人民医院、海口市人民医院)的体检中心痛风汉族患者300例(观察组)进行问卷调查,与同期正常的体检者300例(对照组)进行比较,并对痛风患者进行多样化、个性化的健康教育,比较患者与健康人群血脂水平(TC、TG、LDL-C、HDL-C)情况,随访3个月后,健康教育管理干预前后干预患者依从性得分情况,痛风知识掌握率、血尿酸值情况及痛风复发率情况.结果 观察组患者TC、LDL-C、TG浓度高于对照组,HDL-C水平低于对照组(P<0.05);经过健康教育管理1个月后,痛风患者依从性得分显著高于干预前;痛风知识知晓率显著高于干预前,血尿酸值水平及痛风复发率低于干预前(P<0.05).结论 海南汉族痛风患者血脂发生显著变化,健康教育管理后,患者依从性提高,病情缓解,培养患者自我管理能力.

     

    Abstract: Objective To investigate the blood lipid level of gout patients in Han population in Hainan and its health education management strategies.Methods A total of 300 gout cases from January to May 2016 from three hospitals (Affiliated Hospital of Hainan Medical College,Hainan Provincial People~ Hospital,Medical Center of Haikou Municipal People's Hospital were selected as observation group,and 300 normal controls were as control group,diversified and personalized health education were applied for the gout patients,and serum lipid levels (TC,TG,LDL-C,HDL-C) of patients and healthy people were compared.Compliance scores,gout master rate,blood uric acid and gout recurrence rate of patients after followed up for 1 month were compared.Results The observation group had higher TC,TG,LDL-C levels,and lower HDL-C levels than control group (P < 0.05);After 1 month of health education management,compliance score and awareness rate of gout knowledge of gout patients was significantly higher,blood uric acid value levels and gout recurrence rate were lower than intervention before (P < 0.05).Conclusion The blood lipid of Han gout patients in Hainan changes significantly,after health education management,patients' compliance and the self management ability are improved,and disease condition is relieved.

     

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