痛风患者医疗认知行为问卷调查分析  

A questionnaire survey on knowledge and behavior of patients with gout

作　　者：赵义[1] 李嗣钊[1] 李小霞[1] 黄旭[1] 吴蕊[1] 庞蓓蕾[1] 俞乃昌[1] 

机构地区：[1]首都医科大学宣武医院风湿变态科,北京100053

出　　处：《北京医学》2011年第1期15-17,共3页Beijing Medical Journal

摘　　要：目的了解痛风患者的医疗认知与行为状况,为制订针对性的痛风知识宣教及疾病防控策略提供依据。方法通过自制问卷对70例痛风患者进行现场调查,了解其对饮食、高尿酸血症的认知情况,并对患者就医用药等方面进行调查。结果 79.4%的患者知晓饮食与痛风之间的关系,且知晓组进行合理饮食控制的比率显著高于不知晓组(74.1%vs.42.9%,P=0.026)。77.9%的患者知道高尿酸血症与痛风的关系,且知晓组定期进行血尿酸监测的比率略高于不知晓组(45.3%vs.33.3%)。痛风患者首次就诊科室中以骨科最多(42.6%),其次为风湿科(16.2%)和内分泌科(13.2%)。急性期用药以非甾体类抗炎药(42.6%)和秋水仙碱(41.2%)为主,但应用别嘌呤醇(30.9%)和苯溴马隆(16.2%)治疗者也不占少数。治疗和饮食是痛风患者最为关注的两个方面。结论加强痛风知识的普及教育有助于患者增强自我监查意识,减少误诊误治,从而提高生活质量和改善预后。Objective To investigate the medical knowledge and behavior of patients with gout to institute health education and disease control program. Methods Seventy patients with gout were surveyed by a self-developed questionnaire. The items included in the survey were adherence to diet control, adequacy of blood uric acid monitoring, and knowledge of the relations between gout and diet, and the relationship between gout and hyperuricemia. In addition, data relating to the initial medical consultation, drugs used in the acute phase, quality of life and other major problems and concerns of the patients were also covered. Results 79.4% of the patients knew the relationship between diet and gout. The percentage of patients practicing diet control was significantly higher in those who were aware of the fact than those who were unaware of it （74.1% vs. 42.9%,P = 0.026）. 77.9% of the patients knew the relationship between hyperuricemia and gout. Moreover, they monitored their blood uric acid levels more often than those who were unaware of it. For the first medical consultation, 42.6% of patients went to the orthopedics clinic, and 16.2% and 13.2% visited the rheumatology and endocrinology clinics, respectively. The most commonly prescribed drugs in the acute phase were analgesics and colchicine. However, not a few patients were treated with uric acid lowering drugs （allopurinol and/or benzbromarone） at the acute attack. In the present survey, the treatment and diet for gout were the major concerns of the patients. Conclusion The medical knowledge of patients suffering from gout should be enhanced, so as to create self-conscious practice of tight monitoring, reduce the chance of the diagnostic errors and mistreatment, and improve the quality of life and prognosis.

关 键 词：痛风 高尿酸血症 健康教育 

分 类 号：R589.7[医药卫生—内分泌]