高尿酸血症患者QQ群随访模式的建立与评价

目的 探讨QQ群随访模式应用于高尿酸血症患者的可行性及有效性。 方 法将120例在我院健康体检中发现高尿酸血症的患者随机分为干预组和对照组，每组60例。两组随访前均接受相同的健康宣教，之后对照组采用电话随访，干预组采用QQ群随访。 结果两组干预后在饮食、运动及控制体质量等方面的遵医行为比较，差异均有统计学意义（P＜0.01），干预组优于对照组。两组干预3个月、6个月后的血尿酸水平均较干预前明显降低（P＜0.01），但干预组降低更明显，且与对照组比较有显著的统计学意义（P＜0.01）。 结论QQ群随访模式能明显改善高尿酸血症患者的遵医行为，降低血尿酸水平及随访的成本，值得临床推广。 

Construction and appreciation of follow up model of QQ group on patients with hyperuricemia

ObjectiveTo explore the feasibility and effectiveness of follow up model of QQ group on patients with hyperuricemia. Methods 120 patients with hyperuricemia found in health examination were divided randomly into intervention group and control group with each group of 60 cases. Both groups received same health education before follow up, afterwards, the control group received telephone follow up, while the intervention group received follow up of QQ group. ResultsThe behavior of following medical order of intervention group in diet, movement and controlling body weight were significantly better than the control(all P＜0.01) after intervention. After intervention of 3 and 6 months, the level of blood uric acid of two groups dropped obviously (all P＜0.01), but the intervention group was more significant than the control(both P＜ 0.01). ConclusionFollow up model of QQ group can obviously improve the behavior of following medical order, decrease the level of blood uric acid and the cost of follow up of patients with hyperuricemia, and it can be widely used in clinic.