居家动态血尿酸自我监测管理在老年痛风患者中的应用效果

Application effect of home-based dynamic serum uric acid self-monitoring management in elderly gout patients

中文关键词: 老年  痛风  动态血尿酸监测  焦虑  抑郁  饮食依从性  生活质量

英文关键词: elderly  gout  dynamic serum uric acid monitoring  anxiety  depression  dietary compliance  quality of life

中文摘要:

      目的 探讨居家动态血尿酸自我监测管理在老年痛风患者中的应用效果.方法 选取2022 年8 月—2023 年4月在上海交大医学院附属第九人民医院就诊的老年痛风患者 76 例,按随机数字表分为观察组(n =38)和对照组(n = 38).对照组给予常规管理模式进行干预,观察组在对照组的基础上采用居家动态血尿酸自我监测管理.比较 2 组干预前后焦虑抑郁评分、血尿酸水平、生活质量评分及饮食依从性.结果 干预6 个月,2 组患者SAS和SDS评分明显低于同组治疗前(P＜0.05),观察组患者SAS和SDS评分明显低于对照组(P＜0.05);观察组患者血尿酸水平低于对照组(P＜0.05);2 组患者SF-36 评分高于同组治疗前(P＜0.05),观察组SF-36 评分高于对照组(P＜0.05);观察组饮食控制依从率高于对照组(P＜0.05).结论 采用居家动态血尿酸自我监测管理可促进老年痛风患者对疾病的正确认知,提高自我管理意识,有利于血尿酸的控制,改善患者的焦虑及抑郁程度.

英文摘要:

      Objective To explore the application effect of home-based dynamic serum uric acid self-monitoring man-agement in elderly gout patients.Methods A total of 76 elderly gout patients admitted to Ninth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University from August 2022 to April 2023 were selected and divided into observation group(n =38)and control group(n =38)according to a random number table.The control group received routine manage-ment intervention,while the observation group received home-based dynamic serum uric acid self-monitoring management on the basis of the control group.The scores of anxiety and depression,level of serum uric acid,quality of life score and dietary compliance of the two groups were compared before and after intervention.Results After 6 months of intervention,the scores of SAS and SDS of both groups were significantly lower than those of the same group before treatment(P＜0.05),and the scores of SAS and SDS of the observation group were significantly lower than those of the control group(P＜0.05);the level of serum uric acid of the observation group was significantly lower than that of the control group(P＜0.05);the SF-36 scores of the two groups were higher than those of the same group before treatment(P＜0.05),and the SF-36 score of the observa-tion group was higher than that of the control group(P＜0.05).The compliance rate of dietary control in the observation group was higher than that in the control group(P＜0.05).Conclusion Home-based dynamic serum uric acid self-monitoring management can promote the correct cognition of the disease in elderly gout patients,improve their self-management aware-ness,help control serum uric acid,and relieve the degree of anxiety and depression.