Knowledge, Attitude, and Practice Toward Hyperuricemia Among Patients Diagnosed with Hyperuricemia.

IF 2.7 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Multidisciplinary Healthcare Pub Date : 2025-05-22 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S512887

Dan Xiang, Li Yuan, Yan Wu, Yue Yuan, Shuaiju Liao, Weimin Chen, Min Zhang, Qian Zhang, Li Ding, Yangtian Wang

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引用次数: 0

Abstract

Objective: To investigate the knowledge, attitude, and practice (KAP) of patients diagnosed with hyperuricemia toward hyperuricemia.

Methods: This cross-sectional study enrolled patients with hyperuricemia who sought medical care at Taikang Xianlin Drum Tower Hospital between September 15, 2023, and January 11, 2024. A self-administered questionnaire was developed to collect participants' socio-demographic information and KAP scores regarding hyperuricemia. The threshold for sufficient knowledge, positive attitude, and proactive practice was ≥ 70.0% of the total score.

Results: This study included 483 non-problematic valid questionnaires, with a mean age of 41.83±14.13 years. The mean knowledge, attitude, and practice scores were 14.65±3.23 (66.59% of the possible maximum of 22), 40.89±4.32 (74.35% of the possible maximum of 55), and 25.66±4.54 (73.31% of the possible maximum of 35). A master's degree or above education (OR=2.555, 95%CU: 1.059-6.164, P=0.037), an income of 10,000-20,000 CNY (OR=2.216, 95% CI: 1.157-4.244, P=0.016), an income of >20,000 CNY (OR=2.237, 95% CI: 1.091-4.586, P=0.028), last uric acid test within the past year (OR=0.583, 95% CI: 0.341-0.997, P=0.049), and not taking uric acid-lowering medication (OR=0.326, 95% CI: 0.204-0.520, P<0.001) were independently associated with knowledge. The knowledge scores (OR=1.181, 95% CI: 1.100-1.269, P<0.001), attitude scores (OR=1.122, 95% CI: 1.063-1.184, P<0.001), age (OR=1.023, 95% CI: 1.005-1.041, P=0.011), current drinker (OR=0.489, 95% CI: 0.301-0.792, P=0.004), last uric acid test within 1 year (OR=0.488, 95% CI: 0.266-0.894, P=0.020), last uric acid test over 1 year ago (OR=0.297, 95% CI: 0.151-0.585, P<0.001), and high uric acid levels at the last test (OR=0.542, 95% CI: 0.299-0.980, P=0.043) were independently associated with practice. The structured equation model showed that knowledge positively influenced attitude (β=0.676, P<0.001) and practice (β=0.494, P=0.002). Attitude positively influenced practice (β=0.624, P<0.001).

Conclusion: Patients with hyperuricemia have insufficient knowledge but a positive attitude and proactive practice toward hyperuricemia. Educational and motivational interventions should be designed to improve practice.

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高尿酸血症患者对高尿酸血症的认识、态度和行为。

目的：了解高尿酸血症患者对高尿酸血症的认识、态度和行为（KAP）。方法：本横断面研究纳入2023年9月15日至2024年1月11日在泰康市仙林鼓楼医院就诊的高尿酸血症患者。开发了一份自我管理的问卷来收集参与者的社会人口统计信息和关于高尿酸血症的KAP评分。充分的知识、积极的态度和主动的实践的阈值≥总分的70.0%。结果：纳入无问题有效问卷483份，平均年龄41.83±14.13岁。知识、态度和实践的平均得分分别为14.65±3.23分（占可能最大值22分的66.59%）、40.89±4.32分（占可能最大值55分的74.35%）和25.66±4.54分（占可能最大值35分的73.31%）。硕士及以上学历（or = 2.5555, 95% cu: 1.059 ~ 6.164， P=0.037），年收入1万~ 2万元（or =2.216, 95% CI: 1.157 ~ 4.244， P=0.016），年收入1万~ 2万元（or =2.237, 95% CI: 1.091 ~ 4.586， P=0.028），近一年内最后一次尿酸检测（or =0.583, 95% CI: 0.341 ~ 0.997， P=0.049），未服用降尿酸药物（or =0.326, 95% CI: 0.204 ~ 0.520， P）。高尿酸血症患者对高尿酸血症的认识不足，但对高尿酸血症有积极的态度和主动的做法。应该设计教育和动机干预措施来改进实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Multidisciplinary Healthcare Nursing-General Nursing

CiteScore

4.60

自引率

3.00%

发文量

287

审稿时长

16 weeks

期刊介绍： The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.