痛风患者自我感受负担现状及影响因素分析
Analysis of the Current Status and Influencing Factors of Self-Perceived Burden in Patients with Gout

目的：探究痛风患者自我感受负担的现状及影响因素。方法：本研究选取2024年1月~2024年7月在贵州中医药大学第二附属医院风湿免疫科就诊的220例痛风患者为调查对象，使用一般资料表、自我感受负担量表、痛风影响量表进行问卷调查。结果：痛风患者自我感受负担总分是(27.44 ± 7.56)分，无显著负担患者51例，轻度负担患者48例，中度负担患者87例，重度负担患者34例。在性别、年龄、婚姻状况、文化程度、自我效能感评分、焦虑评分、生活质量评分方面，负担组与无负担组有明显差异(P < 0.05)。Logistic回归方程中以痛风患者中重度自我感受负担为因变量，发现性别、年龄、文化程度、自我效能感评分是主要影响因素(P < 0.05)。结论：痛风患者自我感受负担处于中度水平，部分患者处于重度水平，医护人员需加强患者疾病健康宣教，给予其充分的社会支持。
Objective: To explore the status quo and influencing factors of self-perceived burden in patients with gout. Methods: In this study, 220 patients with gout at the Rheumatology and Immunology Department of the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from January 2024 to July 2024 were selected as survey objects, using general data tables, self-perceived burden tables, gout influence tables for survey questionnaire survey. Results: The total score of the self-perceived burden of gout patients was (27.44 ± 7.56). There were 51 patients with no significant burden, 48 patients with mild burden, 87 patients with moderate burden, and 34 patients with severe burden. In terms of gender, age, marriage status, cultural level, self-efficacy scores, anxiety scoring, and quality of life, there are significant differences between the burden group and no burden group (P < 0.05). In the Logistic regression equation, the moderate to severe self-perceived burden in patients with gout is used as variables, and gender, age, cultural level, and self-efficacy scores are the main influencing factors (P < 0.05). Conclusion: The self-perceived burden of patients with gout is at a moderate level, and some patients are at a severe level. Medical staff must strengthen the patient’s health education and give them full social support.