Abstract： Objective:To explore the execution value of Heider-led educational philosophy on self-management of patients with gouty arthritis.Methods:A total of 110 inpatients with gout arthritis admitted to the rheumatology and immunology department of Yantai Mountain Hospital of Yantai from June 2020 to December 2022 were selected as the study objects, and were divided into observation group and control group with 55 cases in each group according to random number table method.The control group was given routine nursing education, while the observation group was given Heider concept-led health education. The self-management ability, blood uric acid concentration, hospital stay and frequency of gout attacks were observed and compared between the two groups.Results:The self-management score, hospital stay, blood uric acid concentration and gout attack frequency of the observation group were significantly better than those of the control group ( P<0.05). Conclusions:The implementation of health education led by Heider concept can effectively reduce the concentration of blood uric acid in the body, control the disease recurrence, accelerate the rehabilitation process and improve the quality of life, and has a good application prospect.