Application of structural education in gout patients

Abstract

Objective To explore the effects of structural health education on the self-management and uric acid value of gout patients. Methods From January 2016 to May 2017, a total of 126 cases of gout patients in the Fourth Affiliated Hospital of Harbin Medical University were included by convenience sampling method. According to the random number table method, all the research subjects were divided into the control group and the observation group with 63 patients in each. The patients of the control group received traditional health education intervention, including education manual and health seminars. In the observation group, the structural education programs were implemented, including analyzing the patients'self-management health needs, setting goals combining with propaganda manual, arranging staged health education courses and training health education nurses and patients to focus on individual health education. The uric acid value and self-management ability were compared between two groups before intervention and 3 months after. Results After 3 months'intervention, the uric acid value of the observation group[ (394.2±13.1) μmol/L]was lower than that of the control group[ (427.3±14.5) μmol/L], and the difference was statistically significant (P<0.01) . The total score of self-management of the observation group (111.2±17.3) was significantly higher than that of the control group (94.5±19.4) . In addition, the scores of diet control, regular exercise, drug and adverse drug reactions, follow-up and monitoring and the prevention of complications of the observation group were all higher than those of the control group, with statistical differences (P<0.01) . Conclusions The application of structural health education for gout patients can improve the prognosis of the disease and improve gout patients'self-management. Key words: Gout; Structured health education; Self-management