| Research BackgroundGout is a group of heterogeneous diseases caused by disorders of purine metabolism and/or uric acid excretion,and is a common and complicated type of arthritis.In terms of treatment,in the past,most medical personnel paid too much attention to the treatment of gouty acute arthritis pain,neglecting the ability of gout patients to manage and care for themselves,resulting in repeated attacks or serious consequences.Therefore,enhancing the self-care ability of gout patients,cultivating their correct self-care behaviors,and allowing them to participate in the treatment,care and rehabilitation of gout actively are of great significance for improving the physical and mental health of patients with gout.Research purposesBased on Orem’s self-care theory,the self-care model for inpatients with gout was formulated,the application effect of the model on inpatients with gout was evaluated,and intervention strategies were proposed to provide a reference for improving the self-care ability of inpatients with gout.Materials and Methods187 patients with gout who were admitted to a top three hospital from January 2016 to January 2017 and met the inclusion criteria were selected as the research objects.Based on informed consent,they were divided into a control group(94 cases)and an intervention group(93 cases).The final data collection sample number is 180,including 90 cases in the control group,90 cases in the interven-tion group,and 7 cases lost to follow-up.Gout patients in the control group were given routine care,while gout patients in the intervention group integrated Orem’s self-care theory based on routine care to intervene.Two groups of gout patients established WeChat groups,and specialized nursing staff assisted gout patients with health guidance and questionnaire survey in the WeChat group.At the time of admission,we investigated the gout patients’ self-care ability,depression changes,and measured uric acid levels.The medication compliance was investigated at 1 month after discharge,and the medication compliance,self-care ability,depression changes,and uric acid levels were measured at 3 months after discharge,which was used to evaluate the intervention effect.SPSS20 was used for statistical analysis,with P<0.05 as the inspection level.Results1.There was no significant difference in gender,age,education,body mass index,smoking,drinking,high-purine diet,hypertension and other chronic diseases between the two groups of gout patients(P>0.05),indicating that the two groups are comparable.2.Comparative analysis of the self-care ability of the two groups of gout patients and the scores of the four dimensions:Before the intervention,the comparison between the self-care ability of the two groups of patients and the scores of the four dimensions was not statistically significant(P>0.05);after the intervention,the two groups of patients were self-care Nursing ability and the four-dimensional scores were statistically significant(P<0.05);the self-care ability of the intervention group before and after the intervention and the four-dimensional scores within the group were statistically significant(P<0.05);For the control group intervention,there was no statistical significance in the comparison of self-care ability before and after and the scores of the four dimensions within the group(P>0.05).Before the intervention,the comparison between the two groups of patients’ self-care ability and the four dimensional grading groups was not statistically significant(P>0.05);after the intervention,the comparison between the two groups of patients’ self-care ability and the four dimensional grading groups was statistically significant(P<0.05);The self-care ability of patients in the intervention group before and after the intervention and the comparison of the four dimensions within the group were statistically significant(P<0.05);The self-care ability of patients in the control group before and after the intervention and the comparison of the four dimensions within the group were not statistically significant(P>0.05).3.Comparative analysis of medication compliance of the two groups of gout patients:1 month after discharge,the comparison of medication compliance of the two groups of gout patients was not statistically significant(P>0.05);3 months after discharge,the comparison of medication compliance of the two groups of gout patients was statistically significant(P<0.05);there was no statistically significant difference in medication compliance of gout patients in the intervention group at 1 month and 3 months after discharge(P>0.05);in the control group,gout patients were discharged at 1 month and 3 months after discharge the medication compliance was statistically significant(P<0.05).4.Comparative analysis of the SDS scores and uric acid indexes of the two groups of gout patients:①The comparison of the SDS scores of the two groups of gout patients before and after the intervention was statistically significant(P<0.05);there was no statistical significance between the two groups of gout patients before the intervention(P>0.05);after the intervention,the SDS scores of the two groups of gout patients were statistically significant(P<0.05).②The comparison of the uric acid index between the two groups of gout patients before and after the intervention was statistically significant(P<0.05);the comparison of the uric acid index between the two groups of gout patients before the intervention was not statistically significant(P>0.05);For the two groups of gout patients after the intervention,the uric acid index between groups was statistically significant(P<0.05).Conclusions1.Main conclusion:Compared with the conventional nursing model,the Orem self-care model can significantly improve the self-care ability and medication compliance of patients with gout,as well as relieve the depression of gout patients and reduce the level of blood uric acid obviously.2.Countermeasures and suggestions:Carry out nursing intervention on the nursing mode incorporating Orem self-care theory in the nursing process of hospitalized gout patients,let gout patients actively participate in the treatment,nursing and rehabilitation of the disease,improve their self-care ability,improve the prognosis of the disease,and thus improve the physical and mental health of gout patients. |
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