Detailed disease management model in community management of hyperuricemic patients

Abstract

Objective To evaluate the effect of detailed disease management model in community management of hyperuricemic patients. Methods One hundred and fifty patients with primary hyperuricemia were randomly divided into detailed management group and conventional group from April to June 2012, patients in two groups were managed by different models for 1 year.The weight, height, biochemical indexes including blood uric acid and serum lipids were measured and a questionnaire survey was conducted with the items of disease awareness score, smoking, drinking, diet, standard treatment, satisfaction of treatment etc. before and after management. Results One hundred and thirty six patients completed the study including 68 in detailed management group and 68 in conventional group.After one year management, the blood uric acid, triglyceride, low density lipoprotein (all P 0.05). The disease awareness score increased from (65.4±5.4) to (82.7±4.2)(Z=-10.2, P<0.01), high purine diet rate fell from 47.1% to 7.4% (χ2=33.6, P<0.01), the standard treatment rates increased from 10.3% to 85.3% (χ2=76.6, P<0.01), treatment satisfaction rate increased from 51.5% to 88.2% (χ2=21.8, P<0.01) in detailed management group.In detailed management group, the blood uric acid (Z=-7.4, P<0.01), total cholesterol (Z=-0.01, P<0.01), triglyceride (Z=-2.4, P<0.01) and low density lipoprotein (Z=-3.2, P=0.03) and high purine diet rate were lower (χ2=27.1, P<0.01), the standard treatment rate (χ2=70.6, P<0.01) and treatment satisfaction rate were higher (χ2=5.6, P=0.02) than those in conventional group after 1 year management. Conclusion Detailed disease management is an applicable and effective model for community management of hyperuricemic patients. Key words: Hyperuricemia; Disease management; Community health services