[Compliance in intercriticalgout patients and its related factors].
摘要
OBJECTIVE: To study the compliance and its related factors of gout patients during the intercritical period. METHODS: A total of 218 gout patients were recruited. Compliance and cognition of gout were evaluated via telephone interview. Case control study was performed between compliance patients and non-compliance ones to explore the factors affecting patients' compliance. The association between compliance scores and cognition scores was evaluated by linear regression and correlation analysis. RESULTS: Of 218 patients, 136 valid questionnaires were collected. The investigation showed that 52.9% (72/136) had more than 20 gout attacks so far. Only 15.4% (21/136) patients had no gout attack during the latest one year. The average compliance score was 3.93 ± 1.78 (total score was 8), and the percentage of non-compliance was 69.9% (95/136). Cognition score was 65.63 ± 18.63 (total score was 100). Among the 136 gout patients, 37 patients (27.2%) were non-cognition, 54 (39.7%) were partial-cognition and 45 (33.1%) were fully-cognition. Only 50.7% (69/136) accepted the concept of long term treatment with urate lowering drugs (ULD), 19.9% (27/136) patients knew the uric acid target and 29.4% (40/136) patients had no confidence to control this disease. Case control study revealed that the percentage of non-cognition in non-compliance group was higher than compliance group, and that of partial-cognition and fully-cognition were lower, although differences had no statistical significance (P > 0.05). Besides, health insurance was better for compliance group (P > 0.05). There was linear correlation between compliance and cognition scores (t = 6.83, P < 0.01) among gout patients. CONCLUSION: This study indicates that efforts should be made to improve recognition and medical coverage for gout, which could be a very rewarding strategy for patients' compliance and gout control.