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目的:了解和分析金华市源东乡农村居民的主要健康问题及其影响因素和社区卫生服务需求,为进行社区诊断提供依据。方法:采用入户调查的方法对随机抽取的91户家庭171名村民进行问卷调查和定性访谈法收集资料。结果:高血压(8.6%)是源东乡村民患病率最高的疾病,其次是糖尿病(0.97%);存在喜咸食(62.9%)、喜甜食(56.9%)、运动不足(51.5%)、吸烟(31.1%)等不良生活方式;多数村民主要通过看电视获取保健知识,他们对于健康咨询、饮食指导和体格检查等社区卫生服务有强烈的需求。结论:要在农村社区加强预防服务工作,重点培养农村社区医生的临床预防服务能力和社区预防服务能力,创建具有健康人群、健康环境的健康社区。
Objective: To understand and analyze the main health problems of rural residents in Yuandong Township, Jinhua City, as well as their influencing factors and community health service needs, so as to provide the basis for community diagnosis. Methods: A questionnaire survey and qualitative interviews were conducted with 171 villagers from 91 households randomly selected by household survey method. Results: Hypertension (8.6%) was the most prevalent in Dongdong rural residents, followed by diabetes (0.97%); Smoking (31.1%) and other unhealthy lifestyles. Most villagers mainly seek health care through watching television. They have strong demand for community health services such as health counseling, diet guidance and physical examination. CONCLUSIONS: Prevention services should be strengthened in rural communities, with a focus on cultivating doctors’ ability of clinical prevention services and community prevention services in rural communities to create a healthy community with healthy population and healthy environment.