Background Gout is a type of crystal-related arthropathy characterized by deposition of monosodium urate within joints after chronic hyperuricemia.Although gout is increasing in incidence across all ethnicities and has a wellunderstood pathogenesis and effective treatments, but remains suboptimally managed,As a chronic disease, the patients' own understanding of the disease and their self-management is very important.
Objectives To investigate hyperuricemia-related control knowledge of patients and identify the target of health education for patients with gout.
Methods 289 continuous patients with primary gout were interviewed with self-designed questionnaire including patient's demographic data, the assessment of disease burden and 10 questions about hyperuricemia-related Control knowledge.
Results 280 valid questionnaires were collected. The mean of all patients' correctly answered items was 4.5±1.5. The participants were considered having diet control knowledge if he or she correctly answered ≥6 items and the rate of having knowledge for all patients was 22.5%, it was lower in male than female. 82.5% of patients were well informed about the hazard of seafood, organ meat or alcohol for gout control and 53.0% of patients knew the minimum daily water that should be intake for patients with hyperuricemia,but 66.0% of patients thought that uric acid lowering drugs should be used in acute gout episodes, and only 36.0% thought that asymptomatic hyperuricemia also need for treatment. Only 21.4% of the patients knew the ideal serum uric acid level for optimal treatment of gout. 36.4% of patients understand that hyperuricemia is associated with many diseases and is an independent risk factor with diseases,such as cardiovascular disease, kidney disease et al. 20.4% of gout patients were aware of that they needed lfelong medication.Besides,we also investigated about the issues of urate-lowering drug discontinuation in patients, we found that 61.0% of patients would discontinue urate-lowering drug, among which a third believed that gout attack is occasional,and there was no need of long-term medication.Logistic regression revealed that gender and acute attack frequency significantly predicted that patients had hyperuricemia-Related Control Knowledge.
Conclusions A considerable part of gout patients do not understood the relevant knowledge of hyperuricemia control,and patient education should be strengthened in the future, especially in men with recurrent gout.
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Disclosure of Interest None declared