2018 Volume 42 Issue 2 Pages 189-196
At our clinic, a questionnaire survey on sectionⅠ. Medication, section Ⅱ. Treatment, and section Ⅲ. Nutrition, consisting of 5 questions for each section, was conducted involving 208 hyperuricemic and gouty patients undergoing urate-lowering therapy. The percentage of correct answers regarding section Ⅲ was the highest, at 88.1%. The reason for this may be that nutrition guidance by administrative nutritionists was done three times in the early stage of visiting the clinic. The percentage of correct answers regarding sectionⅠ was the lowest, at 57.2%. Also, in section Ⅰ, the correct rate of answering the question that medication should be taken after a meal and the question that it should not be taken after drinking was particularly low, at 30-40%. The reason for this may be that guidance by nurses was not conducted for these items. The correct answer rate of sectionⅡ was 67.8%, which was intermediate among the three sections. However, in sectionⅡ, the correct rate of answering the question about the therapeutic target value serum uric acid value and the appropriate therapeutic value of urine pH was as low as 20-40%, despite guidance being given by nurses. The difference in the percentage of correct answers among all three sections was analyzed based on the treatment period and patients’ age. Patients treated for less than 1 year tended to show a low percentage of correct answers for sectionⅠ, and patients in their 70s tended to show a low percentage of correct answers for sectionsⅠ and Ⅱ. However, this tendency was not significant. Treatment for hyperuricemia and gout should be continued throughout the lifetime. Therefore, in order to continue good treatment, it is necessary for medical staff to repeat guidance. According to the results of the questionnaire, we developed a new medical guidance plan by revising patient guidance content and timing. With this new plan, we want to improve patients’ lifestyle and their medication adherence.
