College of Medicine and Dentistry James Cook University, Townsville, Australia.
The Townsville Hospital, Townsville, Australia.
Postgrad Med J. 2016 Oct;92(1092):603-7. doi: 10.1136/postgradmedj-2015-133920. Epub 2016 Mar 31.
Many quantitative studies globally have identified suboptimal management of gout.
To explore management of gout from the perspective of general practitioners (GPs), while identifying the barriers and possible strategies for improvement.
This descriptive qualitative study used semistructured interviews with 14 purposely selected GPs from four separate general practices in Townsville. The questions focused on management strategies, practicalities in managing gout, barriers and possible strategies to improve management.
Indomethacin was commonly reported to be used in acute gout with progression to allopurinol after the acute stage had subsided. There were differences with the initial allopurinol dose and follow-up periods. GPs reported lack of patient adherence to allopurinol and lifestyle modifications, mainly due to lack of education. Most suggested the need for allied health input and improved patient education.
Tailor-made plan in terms of education and lifestyle advice could help adherence to gout management.
全球许多定量研究表明，痛风的管理并不理想。
从全科医生（GP）的角度探讨痛风的管理，并确定改进管理的障碍和可能的策略。
本描述性定性研究采用半结构式访谈，从汤斯维尔的四个普通诊所中选择了 14 名有针对性的全科医生。问题集中在管理策略、痛风管理的实际情况、障碍以及改进管理的可能策略上。
报告称，痛风急性发作时常用吲哚美辛，急性发作缓解后则使用别嘌醇。初始别嘌醇剂量和随访时间存在差异。GP 报告称，患者不遵医嘱服用别嘌醇和进行生活方式改变，主要是因为缺乏教育。大多数人建议需要联合健康专业人员的投入和改进患者教育。
针对教育和生活方式建议的定制计划可能有助于患者坚持痛风管理。
