关键词: 高尿酸血症, 社区健康管理, 知信行, 混合方法学

Abstract:

Objective To investigate the status quo and influencing factors of knowledge， attitude and practice （KAP） of hyperuricemia health management in community medical staff， and to put forward improvement strategies for enhancing the community health management of hyperuricemia. Methods A mixed methodology of both qualitative and quantitative research was employed in the study. In August 2022， the convenience sampling method was adopted to conduct a questionnaire survey on the knowledge and practice of hyperuricemia health intervention among 193 medical staff in Guangzhou community health service centers， to understand the knowledge and health management behavior of primary medical staff on hyperuricemia health management. Objective sampling method was used to conduct semi?structured interviews with 14 community medical workers to understand the status quo of community health management of hyperuricemia. Results The results of quantitative study showed that the knowledge and practice scores of community medical staff on health management of hyperuricemia were （73.60 ± 10.06）. There was a significant positive correlation between knowledge， attitude and practice of hyperuricemia management （P < 0.01）. Age， education background， occupation and participation in hyperuricemia management training were the influencing factors of health management knowledge， attitude and practice scores （P < 0.05）. The qualitative study found that the community focused on treatment rather than prevention of hyperuricemia health management， lacked effective incentive mechanism and did not realize quality division of labor cooperation within the team， and residents were not very active in participating in hyperuricemia health management activities. Conclusion The knowledge of hyperuricemia management of community health care workers was at a medium level， and the attitude towards hyperuricemia health intervention was positive， but the behavioral score was not ideal， the breadth and depth of community hyperuricemia health management services were insufficient， and the cooperation of residents was low. In the future， it is necessary to strengthen the training and practical guidance for community health care workers in hyperuricemia health management， optimize the functional deployment of community health management teams， enrich the connotation of health management services， and improve the level of community hyperuricemia health management.

Key words: hyperuricemia, community health management, KABP, mixed methodology