The Status Quo and Influencing Factors of Self-Management Behavior in Patients with Recurrent Gout in China: A Cross-Sectional Study.

IF 2 3区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Patient preference and adherence Pub Date : 2025-06-19 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S528000
Xinyi Hao, Aiping Wang
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引用次数: 0

Abstract

Objective: To understand the status quo and influencing factors of self-management behavior in patients with recurrent gout, and to provide evidence for the development of targeted interventions to improve the self-management behavior of gout patients.

Methods: From October 2022 to July 2023, convenience sampling was used to conduct a questionnaire survey on 223 patients with recurrent gout who were admitted to the Department of Rheumatology and Immunology of the First Hospital of China Medical University. The cross-sectional study used a structured questionnaire (including information on Sociodemographic and Clinical Characteristics), Gout self-management Behavior Assessment scale, Gout Knowledge Measurement questionnaire, Chronic Disease self-efficacy Scale, Medical Coping Modes Scale, and Social Support Rating scale to investigate. SPSS26.0 software was used to analyze the data.

Results: The score of self-management behavior of 223 patients with recurrent gout was 41-180 (124.759±24.81). Multiple linear regression analysis showed that: Age, gout stage, awareness of gout knowledge, whether there were other chronic diseases, the pain degree of the last gout attack, medical coping style, education level, the number of gout attacks in the past year and self-efficacy were the main associated factors of gout patients' self-management. These variables explained 48.80% of the influencing factors of self-management (P<0.001).

Conclusion: At present, the self-management behavior of patients with recurrent gout is at an upper-middle level. To improve the self-management behavior of patients with recurrent gout, we should pay attention to the key groups such as young people, low education level and lack of gout knowledge. To improve the self-management behavior of recurrent gout patients by improving their disease perception, enhancing their self-efficacy and encouraging them to actively face the disease.

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中国复发性痛风患者自我管理行为现状及影响因素的横断面研究
目的:了解复发性痛风患者自我管理行为的现状及影响因素,为制定针对性干预措施改善痛风患者自我管理行为提供依据。方法:采用方便抽样的方法,对2022年10月至2023年7月在中国医科大学第一医院风湿病与免疫科住院的223例复发性痛风患者进行问卷调查。横断面研究采用结构化问卷(包括社会人口学和临床特征信息)、痛风自我管理行为评估量表、痛风知识测量量表、慢性病自我效能感量表、医疗应对方式量表和社会支持评定量表进行调查。采用SPSS26.0软件对数据进行分析。结果:223例复发性痛风患者自我管理行为得分为41 ~ 180(124.759±24.81)分。多元线性回归分析显示:年龄、痛风分期、痛风知识知晓程度、是否有其他慢性疾病、最近一次痛风发作的疼痛程度、医疗应对方式、文化程度、近一年内痛风发作次数、自我效能感是痛风患者自我管理的主要相关因素。这些变量解释了48.80%的自我管理影响因素(p结论:目前,痛风复发患者的自我管理行为处于中上水平。改善复发性痛风患者的自我管理行为,应关注年轻人、文化程度低、痛风知识缺乏等重点人群。通过改善痛风复发患者的疾病认知,增强患者的自我效能感,鼓励患者积极面对疾病,改善痛风复发患者的自我管理行为。
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来源期刊
Patient preference and adherence
Patient preference and adherence MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.50%
发文量
354
审稿时长
6-12 weeks
期刊介绍: Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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