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目的了解宝安区社区居民慢性病知晓率和参与社区健康服务中心随访管理的情况,为有效提高慢性病的社区管理率提供参考依据。方法于2015年6-11月,以调查前在深圳市居住6个月以上,年龄为18~69岁的社区常住人口为研究对象,采用多阶段随机抽样的方法共抽取1 283名居民,开展问卷调查、体格检查和实验室检查。用SPSS 20.0统计软件包进行χ~2检验,秩和检验。结果调查人群中,高血压和糖尿病的患病率分别为27.0%和7.8%,知晓自身患高血压和糖尿病比例分别为57.2%(95%CI:52.0%~62.4%)和65.0%(95%CI:55.7%~74.3%),其中,参与随访管理的比例分别为55.1%(95%CI:48.1%~62.0%)和60.0%(95%CI:48.1%~71.9%),表示不知道“社区健康服务中心能够提供慢性病的随访管理”的功能占8.7%和9.7%。参加高血压社区健康服务中心管理者的年龄(中位数为49岁,P_(25)~P_(75)为42~59岁)小于未参加者(中位数为55岁,P_(25)~P_(75)为44~63岁),差异有统计学意义(P<0.05),而参加者与未参加者的性别、户籍情况、文化程度和经济状况差异均无统计学意义(P>0.05)。参加糖尿病随访管理者与未参加随访管理者比较,年龄、性别、户籍、文化程度和家庭人均月收入差异均无统计学意义(P>0.05)。结论知晓自身患病是患者参与社区健康服务中心随访管理的重要因素,应采取措施提高社区居民对自身慢性病的知晓率,同时进一步增加居民对社区键康服务功能的了解。
Objective To understand the rate of community-based chronic disease awareness and follow-up management of community health service centers in Bao’an District, and provide a reference for effectively improving the community management rate of chronic diseases. Methods From June to November 2015, a total of 1 283 inhabitants were enrolled in this study using the multi-stage random sampling method in the community resident population aged 18-69 who lived in Shenzhen for more than 6 months before the survey. Questionnaires, physical examination and laboratory tests. SPSS 20.0 statistical package for χ ~ 2 test, rank sum test. Results The prevalence of hypertension and diabetes in the surveyed population was 27.0% and 7.8%, respectively. The prevalence of hypertension and diabetes was 57.2% (95% CI: 52.0% -62.4%) and 65.0% (95% CI: 55.7% -74.3%). Among them, 55.1% (95% CI: 48.1% -62.0%) and 60.0% (95% CI: 48.1% -71.9%) were involved in follow-up management, The Community Health Service can provide follow-up management of chronic diseases accounted for 8.7% and 9.7%. Participants in the Hypertensive Community Health Service Center had a median age of 49 years (range, P 25-25 P 75 75 to 42 59) less than those who did not (median 55, P 25) (P <.75) were 44-63 years old, the difference was statistically significant (P <0.05), while there was no significant difference between the participants and non-participants in gender, household registration, education level and economic status (P> 0.05). There was no significant difference in age, sex, household registration, educational attainment and per capita monthly household income among diabetic follow-up managers and non-participating follow-up managers (P> 0.05). Conclusions Awareness of their own illness is an important factor in patients’ participation in follow-up management of community health service centers. Measures should be taken to increase community residents’ awareness of their own chronic diseases and further increase residents’ understanding of community health service functions.