Effect of Theme-Based Nursing Education on Disease Awareness, Serum Uric Acid Control, Quality of Life, and Acute Attacks in Patients with Gout: A Randomized Controlled Study at a Tertiary Hospital in Beijing.

IF 2 3区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Patient preference and adherence Pub Date : 2025-07-22 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S514475
Zhenlei Gao, Juan Meng
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Abstract

Objective: Patients with gout commonly face issues such as insufficient disease awareness and poor management outcomes. The innovative introduction of theme-based nursing education aims to enhance patients' disease awareness, reduce acute attacks, and improve quality of life.

Methods: This study is a randomized controlled trial, A total of 72 patients with gout admitted to Beijing Chaoyang Hospital between 1 January 2023 and 31 November 2023 were randomly divided into the intervention group and the traditional nursing health education group. The traditional nursing health education group received traditional nursing health education, whereas the intervention group received theme-based nursing education. Both groups were continuously nursed for 12 weeks. Disease cognition, blood uric acid levels, QoL and frequency of acute attacks were assessed before and after the intervention. Statistical analysis was conducted using independent sample t-tests for between-group comparisons and paired t-tests for within-group comparisons.

Results: After the intervention, the gout knowledge score in the intervention group was significantly higher than that in the traditional nursing health education group. The blood uric acid level at 12 weeks in the intervention group was significantly lower than that in the traditional nursing health education group, and the blood uric acid compliance rate was significantly higher than that in the traditional nursing health education group. The intervention group scored higher in four dimensions of the SF-36 scale: physical function, bodily pain, general health and vitality. The frequency of acute attacks in the intervention group was significantly lower than that in the traditional nursing health education group.

Conclusion: Theme-based nursing education demonstrated superior outcomes in enhancing disease cognition, controlling blood uric acid, improving QoL and reducing acute attacks compared with traditional nursing health education.

主题护理教育对痛风患者疾病意识、血清尿酸控制、生活质量及急性发作的影响:北京某三级医院随机对照研究
目的:痛风患者普遍面临疾病意识不足和治疗效果差等问题。创新引入主题护理教育,旨在提高患者疾病意识,减少急性发作,提高生活质量。方法:本研究为随机对照试验,选取北京市朝阳医院2023年1月1日至2023年11月31日收治的痛风患者72例,随机分为干预组和传统护理健康教育组。传统护理健康教育组接受传统护理健康教育,干预组接受主题护理教育。两组均连续护理12周。评估干预前后患者的疾病认知、血尿酸水平、生活质量和急性发作频率。组间比较采用独立样本t检验,组内比较采用配对t检验。结果:干预后,干预组痛风知识得分显著高于传统护理健康教育组。干预组12周血尿酸水平显著低于传统护理健康教育组,血尿酸依从率显著高于传统护理健康教育组。干预组在SF-36量表的四个方面得分更高:身体机能、身体疼痛、总体健康和活力。干预组急性发作频次明显低于传统护理健康教育组。结论:与传统护理健康教育相比,主题化护理教育在增强疾病认知、控制血尿酸、改善生活质量、减少急性发作等方面效果显著。
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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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