摘要
目的评价自我管理模式对高尿酸血症(HUA)患者健康管理能力的影响。方法选取2011—2012年在徐汇区龙华街道社区卫生服务中心进行体检或就诊的HUA患者361例。以居民委员会为单位,将该361例患者分为对照组(179例)和干预组(182例)。对照组患者采用常规门诊进行随访干预,干预组患者采用自我管理模式进行干预,随访干预时间均为6个月。采用《高尿酸血症自我管理者询问表》评价两组患者干预前后的健康管理能力。结果(1)干预前,两组患者各条目得分比较,差异无统计学意义(P>0.05)。(2)干预后,对照组患者各条目得分与干预前比较,差异无统计学意义(P>0.05)。干预组患者在整体健康、精力、健康担忧、受疼痛困扰程度、体力活动、应付状态、躯体功能、对生活影响程度、做事自信心、负性情感及疾病自我管理行为条目的得分与干预前比较,差异有统计学意义(P<0.05);在受气短困扰程度和正性情感条目的得分与干预前比较,差异无统计学意义(P>0.05)。(3)干预后,干预组患者在整体健康、精力、健康担忧、体力活动、应付状态、做事自信心、负性情感及疾病自我管理行为条目的得分与对照组比较,差异有统计学意义(P<0.05)。结论自我管理模式有助于HUA患者整体健康状况的改善,有利于其健康管理能力的提高。
Objective To evaluate the intervention effect of self - management model on hyperuricemia （ HUA ） patients. Methods We recruited 361 HUA patients Who received physical examination or treatment at Longhua Community Health Service Center from 2011 to 2012 and assigned them into control group （ n =179 ）and research group （ n =182 ）by resident committees. For control group, common clinic visits and folloW - up intervention Were conducted;for research group, self-management model Was employed. Intervention lasted for 6 months. The HUA Self-Management Questionnaire Was used to evaluate health management ability of the tWo groups before and after intervention. Results （1） Before intervention,the tWo groups Were not significantly different in scores of each item（P〉0. 05）. （2）After intervention,scores of control groups Were not significantly different from those before intervention （ P 〉0. 05 ） . After intervention, scores of research group in holistic health status, energy, anxiety for health, pain degree, physical activity, ability of coping With disease, body functions, influence on life,confidence,passive emotion and behaviors of self -management of disease Were significantly different from those before intervention （ P 〈 0. 05 ） and scores in the degree of breath shortness degree and positive emotion Were not significantly different（P〉0. 05）. （3）After intervention,control group and research group Were significantly different in the scores of holistic health status, energy, anxiety for health, pain degree, physical activity, ability of coping With disease, confidence,passive emotion and behaviors of self-management of disease（P〈0. 05）. Conclusion The self-management model can help HUA patients improve their holistic health status and health management ability.
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第16期1964-1967,共4页
Chinese General Practice
关键词
高尿酸血症
自我管理模式
健康管理能力
Hyperuricemia
Self-management model
Health management ability
