精准健康教育对无症状高尿酸血症患者的干预效果分析  

Intervention effect of precision health education on patients with asymptomatic hyperuricemia

作　　者：刘祖素 黄晓兰 LLIIUU Zu-su;UANG Xiao-lan(Shanghai Pudong New Area Shanggang Community Health Service Center,Shanghai 200126,China)

机构地区：[1]上海市浦东新区上钢社区卫生服务中心,上海200126 [2]上海市健康促进中心,上海200040

出　　处：《中国健康教育》2025年第1期75-81,共7页Chinese Journal of Health Education

基　　金：上海市浦东新区卫生系统优秀青年医学人才培养计划(PWRq2020-03)。

摘　　要：目的评价精准健康教育对无症状高尿酸血症患者的干预效果,为社区基层医疗机构更高效地管理高尿酸血症患者提供参考依据。方法采用抽签法随机抽样,选取上海上钢社区全科门诊的260例无症状高尿酸血症患者为研究对象,随机将其分为干预组与对照组(各130例)。对照组给予常规健康教育干预,干预组给予精准健康教育干预,在入组、干预6个月及12个月进行综合评估。通过重复测量方差分析比较干预后2组血尿酸、血糖、血脂、血压、慢性病自我管理能力、生活质量、焦虑和抑郁情况。结果2组患者血尿酸、SAS、SF-12、CDSMS总分、认知症状和医患沟通的时间、组间和交互效应有统计学意义(P<0.05)。2组患者血尿酸、SAS、SF-12、CDSMS总分、认知症状和医患沟通随干预时间变化趋势不同。干预12个月,干预组血尿酸(363.00±34.56)umol/L、SAS(40.98±8.34)分、SF-12(830.00±92.89)分、CDSMS总分(26.38±8.82)分、认知症状(13.35±5.26)分和医患沟通(7.41±2.84)分均优于对照组的血尿酸(381.03±39.91)umol/L、SAS(43.19±5.44)分、SF-12(793.08±97.43)分、CDSMS总分(20.25±9.70)分、认知症状(9.95±6.57)分和医患沟通(5.70±3.24)分(P<0.05)。结论精准健康教育干预能有效降低无症状高尿酸血症患者血尿酸水平,缓解焦虑情绪,提高慢性病自我管理能力,具有基层慢性病健康教育推广意义。Objective To evaluate the intervention effect of precision health education on patients with asymptomatic hyperuricemia,and to provide reference for more efficient management of patients with hyperuricemia in community primary medical institutions.Methods A total of 260 patients asymptomatic hyperuricemia from a general clinic of Shanggang Community in Shanghai were randomly selected by random method.They were randomly divided into an intervention group and a control group according to random number table,with 130 cases in each group.The control group received routine health education intervention,while the intervention group received precise health education intervention.Comprehensive evaluation was conducted at enrollment point,6 months and 12 months after intervention.The levels of blood uric acid,blood glucose,blood lipids,blood pressure,chronic disease self-management ability,quality of life,anxiety,and depression were compared between the two groups before and after intervention by repeated measures analysis of variance comparison.Results The blood uric acid,SAS,SF-12,CDSMS,cognitive symptoms and doctor-patient communication showed statistical significance in different doctor-patient communication time,intervention,and interaction effects for the two groups(P<0.05).The trend of changes in blood uric acid,SAS,SF-12,total score of CDSMS,cognitive symptoms and doctor-patient communication with intervention time varied between the two groups.After 12 months of intervention,the indicators in intervention group(blood uric acid)(363.00±34.56)umol/L,SAS(40.98±8.34),SF-12(830.00±92.89),CDSMS total score(26.38±8.82),cognitive symptoms(13.35±5.26)and doctor-patient communication(7.41±2.84)were better than that of control group(blood uric acid)(381.03±39.91)umol/L,SAS(43.19±5.44),SF-12,(793.08±97.43),CDSMS total score(20.25±9.70),cognitive symptoms(9.95±6.57)points and doctor-patient communication(5.70±3.24)points(P<0.05).Conclusion Precision health education intervention could effectively reduce the blood

关 键 词：精准健康教育 高尿酸血症 社区 慢性病自我管理 

分 类 号：R193[医药卫生—卫生事业管理]