社区医护人员高尿酸血症健康管理知信行现状分析  

Current status of knowledge,attitude and practice of hyperuricemia health management in community medical staff based on mixed methods study

作　　者：杨媛 胡鹏[1] 黄艳[2] YANG Yuan;HU Peng;HUANG Yan(Hospital Office,Guangzhou First People′s Hospital,Guangzhou 510180,China;不详)

机构地区：[1]广州市第一人民医院办公室,广州510180 [2]广州市第一人民医院科教信息部,广州510180

出　　处：《实用医学杂志》2024年第14期2015-2020,共6页The Journal of Practical Medicine

摘　　要：目的调查社区医护人员的高尿酸血症健康管理知信行现状及影响因素,为改善高尿酸血症的社区健康管理提出改进策略。方法采用定量研究和定性研究相结合的方法。2022年8月,采取便利抽样法对广州市社区卫生服务中心的193名医护人员进行高尿酸血症健康干预知信行问卷调查,了解基层医护人员高尿酸血症健康管理知识掌握情况及健康管理行为。采用目的抽样法对14名社区医务人员进行半结构式访谈,了解高尿酸血症社区健康管理的开展现状。结果定量研究结果显示社区医护人员高尿酸血症健康管理知信行得分为(73.60±10.06)分。高尿酸血症管理知识、信念及行为之间存在显著的正相关关系(P<0.01)。年龄、学历、职业和是否参加过高尿酸血症管理培训是健康管理知信行得分的影响因素(P<0.05)。定性研究发现社区高尿酸血症健康管理存在重治轻防的现象,健康管理团队内部未实现有质量的分工合作,社区医护人员提供健康管理服务的主动性不足。结论社区医护人员对高尿酸血症管理知识的掌握处于中等水平,对高尿酸血症健康干预的态度较积极,但行为得分不理想。未来需加强对社区医护人员高尿酸血症健康管理方面的培训和实践指导,优化社区健康管理团队的职能部署,丰富健康管理服务内涵,提高社区高尿酸血症健康管理水平。Objective To investigate the status quo and influencing factors of knowledge,attitude and practice(KAP)of hyperuricemia health management in community medical staff,and to put forward improvement strategies for enhancing the community health management of hyperuricemia.Methods A mixed methodology of both qualitative and quantitative research was employed in the study.In August 2022,the convenience sampling method was adopted to conduct a questionnaire survey on the knowledge and practice of hyperuricemia health inter⁃vention among 193 medical staff in Guangzhou community health service centers,to understand the knowledge and health management behavior of primary medical staff on hyperuricemia health management.Objective sampling method was used to conduct semi⁃structured interviews with 14 community medical workers to understand the status quo of community health management of hyperuricemia.Results The results of quantitative study showed that the knowledge and practice scores of community medical staff on health management of hyperuricemia were(73.60±10.06).There was a significant positive correlation between knowledge,attitude and practice of hyperuricemia management(P<0.01).Age,education background,occupation and participation in hyperuricemia management training were the influencing factors of health management knowledge,attitude and practice scores(P<0.05).The qualitative study found that the community focused on treatment rather than prevention of hyperuricemia health management,lacked effective incentive mechanism and did not realize quality division of labor cooperation within the team,and residents were not very active in participating in hyperuricemia health management activities.Conclusion The knowledge of hyperuricemia management of community health care workers was at a medium level,and the attitude towards hyperuricemia health intervention was positive,but the behavioral score was not ideal,the breadth and depth of community hyperuricemia health management services were insufficient,and the coo

关 键 词：高尿酸血症 社区健康管理 知信行 混合方法学 

分 类 号：R54[医药卫生—心血管疾病]