家庭医生式服务模式在原发性高尿酸血症患者管理中的应用研究  

Application of family doctor-based service model in the management of patients with primary hyperuricemia

作　　者：邓静婷 卢斌 刘江红 郑梅 DENG Jingting;LU Bin;LIU Jianghong;ZHEN Mei(General Department, Longfeng Street Community Health Center Haizhu District, Guangzhou 510260, China)

机构地区：[1]广州市海珠区龙凤街社区卫生服务中心西医全科

出　　处：《广州医药》2019年第5期60-63,共4页Guangzhou Medical Journal

摘　　要：目的探讨家庭医生式服务模式在管理原发性高尿酸血症(HUA)患者中的效果。方法选取2017年7月1日-2017年12月31日期间,我社区的120例HUA患者作为研究对象,根据随机数字表,将患者分为两组,每组各60例。对照组患者接受常规管理模式进行干预,观察组患者在此基础上给予家庭医生式服务模式进行干预,两组患者均进行为期1年的干预。对比干预前后两组患者血尿酸(UA)、血肌酐(Scr)、甘油三酯(TG)水平;利用生活质量综合评定问卷(GQOLI-74)评价干预前后两组患者的生活质量;利用高尿酸血症及痛风病人饮食控制知信行量表(DCKAPHG)评价干预前后两组患者的饮食控制知信行。结果干预后两组患者UA、Scr、TG均低于干预前,观察组患者UA、Scr、TG低于对照组,差异有统计学意义(P<0.05)。干预后两组患者GQOLI-74评分、DCKAPHG评分均高于干预前,观察组患者GQOLI-74评分、DCKAPHG评分高于对照组,差异有统计学意义(P<0.05)。结论家庭医生式服务模式可有效降低HUA患者UA、Scr、TG水平,有利于改善HUA患者生活质量和饮食控制知信行状况。Objective To investigate the effect of the family doctor-based service model in the management of patients with primary hyperuricemia (HUA). Methods From November 2017 to December 2018, 120HUA patients in our community were selected as subjects. According to the random number table, patients were divided into two groups, 60 in each group. Patients in the control group underwent routine management mode intervention. On the basis of this, patients in the observation group were given a family doctor-based service model. Both groups underwent a one year intervention. Blood uric acid (UA), serum creatinine (Scr) and triglyceride (TG) levels were compared between the two groups before and after intervention. The general quality of life inventory (74, adult) questionnaire (GQOLI- 74) was used to evaluate the two groups before and after the intervention. The diet control KAP scale of hyperuricemia and gout (DCKAPHG) was used to evaluate the KAP of the two groups before and after the intervention. Results After intervention, the UA, Scr and TG of the two groups were lower than those before the intervention. The UA, Scr and TG of the observation group were lower than the control group ( P <0.05). After intervention, the GQOLI- 74 score and DCKAPHG score were higher than those before the intervention. The GQOLI- 74 score and DCKAPHG score were higher than the control group ( P <0.05). Conclusion The family doctor- based service model may effectively reduce the levels of UA, Scr and TG in HUA patients, which is beneficial to improve the quality of life and the status of diet control.

关 键 词：家庭医生 慢病管理 高尿酸血症 生活质量 

分 类 号：R589.7[医药卫生—内分泌]