摘要
目的分析痛风患者对痛风疾病的认知和诊疗现状,为开展痛风患者疾病管理教育提供依据。方法采用现场发放问卷调查形式,对2018年6月~2019年6月于柳州市人民医院住院治疗的200例痛风患者的疾病认知及诊疗状况进行调查,并对问卷调查结果进行分析。结果共发放问卷200例,收回有效问卷200例,应答率为100%。112例(56.00%)患者不知晓痛风对身体有损害;痛风急性发作时163例(81.50%)患者服用非甾体抗炎药物,75例(37.50%)患者服用糖皮质激素,82例(41.00%)患者服用秋水仙碱,5例(2.50%)患者服用别嘌醇或苯溴马隆,2例(1.00%)患者服用抗菌药物治疗;间歇期110例(55.00%)患者不知晓需要长期进行降尿酸治疗,75例(37.50%)患者间断服用降尿酸药物,仅15例(7.50%)患者规律进行降尿酸治疗;75例间断降尿酸治疗患者中,38例顾虑降尿酸药物的不良反应,不肯长期服用,22例患者降尿酸治疗初期诱发痛风急性发作而停药。结论痛风患者对痛风相关知识的认知程度较差,用药依从性差,应加强对痛风疾病知识的普及,以及痛风急性发作期治疗药物和降尿酸药物的用药宣教,改善痛风患者的诊疗现状。
Objective To analyze the disease cognition and diagnosis and treatment status of gout among the patients with gout,so as to provide basis for disease management education for the patients with gout.Methods A total of 200 patients with gout hospitalized in Liuzhou People's Hospital from June 2018 to June 2019 were investigated in terms of disease cognition and diagnosis and treatment status in the form of on-site questionnaire survey,and the results of questionnaire survey were analyzed.Results A total of 200 questionnaires were distributed and 200 valid questionnaires were returned,with a response rate of 100%.112 patients(56%)did not know that gout was harmful to their health;when acute gout attacked,163 patients(81.50%)took non-steroidal anti-inflammatory drugs,75 patients(37.50%)took glucocorticoid,82 patients(41.00%)took colchicine,5 patients(2.50%)took allopurinol or benzbromarone,and 2 patients(1.00%)took antibacterial drugs for treatment;during the intermission,110 patients(55.00%)did not know the need for long-term urate-lowering therapy(ULT),75 patients(37.50%)took urate-lowering drugs(ULDs)intermittently,and only 15 patients(7.50%)received regular ULT;among the 75 patients with intermittent ULT,38 patients were concerned about the adverse reactions of ULDs and refused to take them for a long time,while 22 patients stopped taking them because they induced acute gout attack at the initial stage of ULT.Conclusion The patients with gout have poor cognition of gout related knowledge and scanty medication compliance.We should strengthen the popularization of the disease knowledge of gout,the medication propaganda and education of therapeutic drugs and ULDs during acute attack of gout,and improve the diagnosis and treatment status of the patients with gout.
作者
曹利娟
陆卓莉
莫李立
谢瑞杰
李俊明
刘代华
CAO Lijuan;LU Zhuoli;MO Lili;XIE Ruijie;LI Junming;LIU Daihua(Department of Pharmacy,Liuzhou People's Hospital,Guangxi Zhuang Autonomous Region,Liuzhou 545006,China)
出处
《中国医药科学》
2020年第24期168-171,共4页
China Medicine And Pharmacy
基金
广西壮族自治区卫生和计划生育委员会科研课题(Z2015116、Z2015128)。
关键词
痛风
问卷调查
认知
诊疗
Gout
Questionnaire survey
Cognition
Diagnosis and treatment
