张志荣 陈洪科 刘磊

【摘要】目的：分析在原发性高尿酸血症患者中开展家庭医生模式的效果。方法：将本社区86例原发性高尿酸血症患者作为研究对象，研究时间为2018年2月至2020年6月，通过随机数字表法将研究对象分为A组和B组，A组43例患者均实施常规护理管理，B组43例患者均实施家庭医生模式，观察两组患者接受护理管理前后的甘油三酯（TG）、血肌酐（Scr）、血尿酸（UA）水平变化情况，并分别采用生活质量综合评定问卷（GQOLI-74）、饮食控制知信行量表评估其生活质量和饮食控制知信行状况。结果：干预后，所有患者的TG、Scr、UA水平均明显下降，GQOLI-74及饮食控制知信行量表评分均明显升高，且相比于A组，B组的TG、Scr、UA水平较低，而GQOLI-74及饮食控制知信行量表评分较高，差异有统计学意义（P<0.05）。结论：将家庭医生模式应用于原发性高尿酸血症患者的护理管理中，能够显著改善其尿酸水平，利于提高其生活质量和饮食质量。

【关键词】家庭医生模式；原发性高尿酸血症；生活质量

[中图分类号]R589.7 [文献标识码]A [文章编号]2096-5249（2021）05-0225-03

Development of family doctor model in patients with primary hyperuricemia and its influence on patients’ uric acid levels

ZHANG Zhi-rong， CHEN Hong-ke， LIU Lei （General Practice， Nancheng Community Health Service Center， Dongguan Guangdong 523000， China）

[Abstract] Objective： To analyze the effect of the family doctor model in patients with primary hyperuricemia. Methods： 86 patients with primary hyperuricemia in the community were selected as the research objects. The research period was from February 2018 to June 2020. The research objects were divided into group A and group B by random number table method. All 43 patients in group B implemented routine nursing management， and 43 patients in group B implemented family doctor mode. Observe the changes of triglyceride （TG）， blood creatinine （Scr）， and blood uric acid （UA） levels before and after nursing management in the two groups They used the Comprehensive Quality of Life Assessment Questionnaire （GQOLI-74） and the Diet Control Knowledge， Belief and Practice Scale to assess their quality of life and diet control knowledge， belief， and behavior status. Results： After the intervention， the levels of TG， Scr， and UA of all patients were significantly decreased， and the scores of GQOLI-74 and dietary control knowledge， attitude and behavior scale were significantly increased. Compared with group A， the levels of TG， Scr， and UA of group B The scores of GQOLI-74 and dietary control knowledge and behavior scale were higher， and the difference was statistically significant （P<0.05）. Conclusion： Applying the family doctor model to the nursing management of patients with primary hyperuricemia can significantly improve their uric acid levels， which is beneficial to improve their quality of life and diet.

[Keywords] family doctor model； primary hyperuricemia； quality of life

原發性高尿酸血症是指平常饮食正常情况下，血尿酸水平偏高的病症[1]。一般情况下原发性高尿酸血症没有症状，当出现症状时往往是由尿酸盐结晶沉积于关节而引起，该病可进一步发展为痛风，给患者日常生活带来严重影响[2]。摄入过多含嘌呤食物是导致原发性高尿酸血症发生的主要原因之一，因此，在治疗该病患者时，临床主要以非药物治疗为基础，如调整饮食结构、改善生活规律等。……