Zhenlei Gao, Juan Meng

Department of Rheumatology and Immunology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, People’s Republic of China

Correspondence: Juan Meng, Department of Rheumatology and Immunology, Beijing Chao-yang Hospital, Capital Medical University, 8 Gong-Ti South Road, Beijing, 100020, People’s Republic of China, Tel +86-10-85231062, Email meng_juan@yeah.net

Objective: Patients with gout commonly face issues such as insufficient disease awareness and poor management outcomes. The innovative introduction of theme-based nursing education aims to enhance patients’ disease awareness, reduce acute attacks, and improve quality of life.
Methods: This study is a randomized controlled trial, A total of 72 patients with gout admitted to Beijing Chaoyang Hospital between 1 January 2023 and 31 November 2023 were randomly divided into the intervention group and the traditional nursing health education group. The traditional nursing health education group received traditional nursing health education, whereas the intervention group received theme-based nursing education. Both groups were continuously nursed for 12 weeks. Disease cognition, blood uric acid levels, QoL and frequency of acute attacks were assessed before and after the intervention. Statistical analysis was conducted using independent sample t-tests for between-group comparisons and paired t-tests for within-group comparisons.
Results: After the intervention, the gout knowledge score in the intervention group was significantly higher than that in the traditional nursing health education group. The blood uric acid level at 12 weeks in the intervention group was significantly lower than that in the traditional nursing health education group, and the blood uric acid compliance rate was significantly higher than that in the traditional nursing health education group. The intervention group scored higher in four dimensions of the SF-36 scale: physical function, bodily pain, general health and vitality. The frequency of acute attacks in the intervention group was significantly lower than that in the traditional nursing health education group.
Conclusion: Theme-based nursing education demonstrated superior outcomes in enhancing disease cognition, controlling blood uric acid, improving QoL and reducing acute attacks compared with traditional nursing health education.

Keywords: acute attacks, blood uric acid control, disease cognition, gout, quality of life, thematic nursing education