Qin Li1, Ting Liu1, Shan Zhang1, Xiuxin Miao2. 1. School of Nursing, Qingdao University, Qingdao, Shandong, China. 2. School of Nursing, Qingdao University, Qingdao, Shandong, China. miaoxiuxinqdu@126.com.
Abstract
OBJECTIVE: To explore the illness perception and treatment experience of gout patients in China. METHODS: A descriptive qualitative approach was used. In-depth semi-structured individual interviews were conducted among 18 adults with gout between August 2020 and December 2020. The Common-Sense Model of Self-Regulation was used as the conceptual framework for developing interview guide and data analysis. Interviews were audio recorded, transcribed, independently coded, and analyzed for themes. RESULTS: The 18 gout patients aged 23-77 years old, with 16 being male. Four themes were generated to reflect the experience of patients with gout: limited knowledge of gout, various but inadequate sources of gout knowledge, multifaceted influences of gout, and seeking for diversified disease treatment methods. CONCLUSION: There is a gap between patients' anticipation and practical service that is closely linked with subsequent poor gout management among the participants. The findings indicate a need of strengthening health education about gout by considering building nurse-led support groups and developing mobile health applications, as well as addressing the long-term influence of the Chinese alcoholic drinking culture to promote patients' effective disease management. KEY POINTS: • This qualitative study fills a knowledge gap on illness perception and treatment experience among Chinese gout patients, exploring how these patients perceived gout and manage gout. • The gout patients in this study reported disparity between personal anticipation and healthcare service that largely contributes to their poor gout management. • The Chinese alcoholic drinking culture embedded in personal, professional, and social activities posed extra difficulties and challenges on modifying lifestyle for gout patients that needs to be addressed for promoting gout management among this group.
OBJECTIVE: To explore the illness perception and treatment experience of gout patients in China. METHODS: A descriptive qualitative approach was used. In-depth semi-structured individual interviews were conducted among 18 adults with gout between August 2020 and December 2020. The Common-Sense Model of Self-Regulation was used as the conceptual framework for developing interview guide and data analysis. Interviews were audio recorded, transcribed, independently coded, and analyzed for themes. RESULTS: The 18 gout patients aged 23-77 years old, with 16 being male. Four themes were generated to reflect the experience of patients with gout: limited knowledge of gout, various but inadequate sources of gout knowledge, multifaceted influences of gout, and seeking for diversified disease treatment methods. CONCLUSION: There is a gap between patients' anticipation and practical service that is closely linked with subsequent poor gout management among the participants. The findings indicate a need of strengthening health education about gout by considering building nurse-led support groups and developing mobile health applications, as well as addressing the long-term influence of the Chinese alcoholic drinking culture to promote patients' effective disease management. KEY POINTS: • This qualitative study fills a knowledge gap on illness perception and treatment experience among Chinese gout patients, exploring how these patients perceived gout and manage gout. • The gout patients in this study reported disparity between personal anticipation and healthcare service that largely contributes to their poor gout management. • The Chinese alcoholic drinking culture embedded in personal, professional, and social activities posed extra difficulties and challenges on modifying lifestyle for gout patients that needs to be addressed for promoting gout management among this group.
Authors: Pascal Richette; Michael Doherty; Eliseo Pascual; Victoria Barskova; Fabio Becce; Johann Castaneda; Malcolm Coyfish; Sylvie Guillo; Tim Jansen; Hein Janssens; Frédéric Lioté; Christian D Mallen; George Nuki; Fernando Perez-Ruiz; José Pimentao; Leonardo Punzi; Anthony Pywell; Alexander K So; Anne-Kathrin Tausche; Till Uhlig; Jakub Zavada; Weiya Zhang; Florence Tubach; Thomas Bardin Journal: Ann Rheum Dis Date: 2019-06-05 Impact factor: 19.103
Authors: Allyce B Counsell; Amy D Nguyen; Melissa T Baysari; Diluk R W Kannangara; Andrew J McLachlan; Richard O Day Journal: BMC Fam Pract Date: 2018-05-09 Impact factor: 2.497