痛风知识:澳大利亚门诊痛风患者调查。

IF 1.7 Q3 RHEUMATOLOGY Open Access Rheumatology-Research and Reviews Pub Date : 2024-01-13 eCollection Date: 2024-01-01 DOI:10.2147/OARRR.S435692
Athena Chin, Robert J Adams, Tiffany K Gill, Catherine L Hill
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引用次数: 0

摘要

背景:由于老龄化和体重指数的增加,痛风的发病率在西方社会有所上升。最近,流行病学研究发现,生活方式和饮食因素与痛风风险的改变有关;然而,目前仍缺乏有关患者对这些因素的了解的数据。这项基于调查的研究旨在确定社区和专科医疗机构对痛风及其治疗的了解程度:调查对象来自一家医院的风湿病门诊部、消费者组织,以及南澳大利亚自述患有痛风的人群中的随机抽样参与者。参与者完成了一项调查,内容包括基本人口统计学、单项识字筛查、治疗痛风的药物和饮食使用情况以及痛风知识:共招募了 74 人(87% 为男性),平均年龄为 66 岁(35-88 岁不等)。痛风的平均病程为 16.6 年(0-60 年不等)。通过 SILS 筛查,19.0% 的人被确认为阅读能力有限。大多数痛风患者由家庭医生(81.1%)和/或风湿免疫科医生(18.9%)进行治疗。在目前服用的痛风药物中,52.7%服用别嘌醇,17.6%服用秋水仙碱,9.5%服用非甾体抗炎药,6.8%服用泼尼松龙,5.4%服用草药制剂。如需进一步了解痛风的相关信息,参与者最常咨询的是他们的全科医生(85.1%)。大多数参与者都能正确识别痛风发作的某些诱因,近一半的参与者(41.9%)表示他们曾因痛风而改变过饮食习惯。相反,参与者往往不能正确识别痛风的常见风险或保护因素:痛风仍然是一种常见的慢性疾病,但治疗不足。我们的研究表明,患者对痛风的风险和保护因素缺乏了解。痛风在人群中的发病率越来越高,这表明有必要加强对痛风患者的教育,提高他们对痛风的认识。
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Gout Knowledge: A Survey of Australian Outpatients with Gout.

Background: The prevalence of gout has increased in the Western societies due to ageing and increasing BMI. Recently, lifestyle and dietary factors have been linked in epidemiological studies with an alteration of the risk of gout; however, there remains a lack of data on patient knowledge of these factors. The purpose of this survey-based study was to determine the knowledge of gout and its treatment both in the community and specialist care settings.

Methods: Participants were recruited from a hospital rheumatology outpatient department, consumer organization and a random sample of participants from a population-based cohort who had self-reported gout in South Australia. Participants completed a survey regarding basic demographics, the Single Item Literacy Screener, use of medication and diet for treatment of their gout and knowledge of gout.

Results: Seventy-four people were recruited (87% male) with a mean age of 66 years (range 35-88). The mean duration of gout was 16.6 years (range 0-60). On screening with SILS, 19.0% were identified as having limited reading ability. Most gout was managed by the family practitioner (81.1%) and/or rheumatologist (18.9%). In regard to current gout medications, 52.7% were taking allopurinol, 17.6% colchicine, 9.5% non-steroidal anti-inflammatory drugs, 6.8% prednisolone and 5.4% herbal preparations. For further information regarding gout, participants would most commonly approach their general practitioner (85.1%). Most participants correctly identified certain triggers to gout attacks and almost half of participants (41.9%) reported that they had altered their diet due to gout. Conversely, participants often incorrectly identified common risk or protective factors for gout.

Conclusion: Gout remains a common, yet undertreated, chronic condition. Our study highlights a lack of knowledge amongst patients of risk and protective factors in relation to gout. The increasing prevalence of gout within the population indicates a need to improve education and understanding among those with the condition.

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CiteScore
3.80
自引率
0.00%
发文量
34
审稿时长
16 weeks
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