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無症狀高尿酸血症之大專男學生生活型態探討-以健康信念模式為例

Lifestyle of male college students with asymptomatic hyperuricemia - an example of the health belief model

摘要


背景:高尿酸血症男性盛行高於女性且有逐漸年輕化的趨勢,無症狀之高尿酸血症未來可能導致痛風、代謝症候群、高血壓與心血管疾病之發生,雖不須立即治療,但應加強生活型態之修正。研究目的:了解無症狀高尿酸血症男大專生生活型態並分析影響生活型態之相關因素。方法:以橫斷面研究調查中部某科技大學男學生,年滿18歲且尿酸值高於7mg/dl之184名學生之人口學特質、高尿酸血症知識、健康信念與生活型態。以結構式問卷自填方式進行資料收集。結果:無症狀高尿酸血症之大專男學生高尿酸血症知識平均得分為4.95(滿分10分)、生活型態平均為53.85分(滿分為80分)。以多元迴歸分析後發現:高尿酸血症知識愈好、自覺行動障礙性愈低者則其生活型態愈好,調整過後之可解釋變異量為14%。此結果可提供日後學校護理人員進行無症狀高尿酸血症大專男學生個案管理之參考。

並列摘要


Background: The prevalence of hyperuricemia in men is much higher than in women and have the tendency among young generation. Asymptomatic hyperuricemia might not to need treat immediate, however, it will be a direct cause of gout, metabolic syndrome, hypertension and cardiovascular disease. Therefore, lifestyle must be modified. Purposes: To understand the lifestyles of male college students with hyperuricemia, and to analyze the relating predictors. Methods: A cross-sectional study design was conducted in a technology university in central Taiwan. Subjects of 184 (age≧18 years and uric acid≧7mg/ dl) were asked to fill in a structured questionnaire. Demographic data, knowledge of hyperuricemia, health beliefs and lifestyles data were collected. Results: The average score of knowledge was 4.95 (range 0-10) and lifestyle was 53.85 (range 20-80). After multiple regression analyze, we find knowledge and perceived barriers were two significant predictors. This model explained 14% of variance. The results suggest that school nurses need recruit male college students with asymptomatic hyperuricemia into case management in the future.

參考文獻


Dincer HE, Dincer AP, Levinson DJ: Asymptomatic hyperuricemia: to treat or not to treat? Cleveland Clinical Journal of Medicine 2002;69(8):594-608.
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