文章摘要
方敏 唐世琪 谢芳 徐俊利 张秀玲.孝感城区中老年对慢性病及社区管理现状认知情况的调查研究[J].,2016,16(24):4668-4671
孝感城区中老年对慢性病及社区管理现状认知情况的调查研究
Investigation and Study on the Chronic Diseases and Their Status Quo ofCommunity Management Xiaogan Urban Area
  
DOI:
中文关键词: 孝感城区  中老年  慢性病  社区管理现状  认知情况
英文关键词: Xiaogan urban area  Middle aged and elderly  Chronic diseases  Community management status quo  Cognitive situation
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作者单位
方敏 唐世琪 谢芳 徐俊利 张秀玲 武汉大学人民医院体检中心湖北省孝感市中心医院人事科湖北省孝感市妇幼保健院妇保科湖北省孝感市中心医院神经内科 
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中文摘要:
      目的:调查孝感城区中老年对慢性病及其社区管理现状认知情况。方法:选择2010 年7 月至2015年7 月在孝感城区3 个社 区的500 名中老年人作为研究对象,利用自拟调查问卷对所有受试者进行数据调查,分析孝感城区中老年对慢性病的认知情况, 及对慢性病社区管理现状的认知情况,分析影响慢性病认知的因素。结果:在慢性病种类中,孝感城区中老年人对于高血压和糖 尿病,及风湿性关节炎与慢性支气管炎的认知率较高,而对于癌症、偏瘫及血栓的认知率较低,差异有统计学意义(P<0.05)。在慢 性病的危险因素中,孝感城区中老年人对于缺乏锻炼、吸烟及膳食不合理的认知率明显较高,而对于酗酒、缺乏保健知识及悲观 情绪的认知率明显较低,差异有统计学意义(P<0.05)。在慢性病社区管理现状上,孝感城区中老年对于指导其改变生活习惯的认 知率较高,为62.00%,而在进行三级预防、强化慢性病自我管理、定期举办慢性病专题讲座以及建立社区卫生的信息服务平台等 方面的认知率明显较低,分别为22.40%、36.80%、42.20%及21.80%,差异有统计学意义(P<0.05)。Logistic 分析显示,文化程度 低、经济收入低、未患慢性病及年龄≥ 60岁均为慢性病认知的危险因素。结论:孝感城区中老年对慢性病及其社区管理现状认知 仍存在一定的不足,相关社区卫生管理部门应针对问题的影响因素,积极采取措施,改善社区管理现状。
英文摘要:
      Objective:To investigate and study on the chronic diseases and their status quo of community management in Xiaogan urban area.Methods:500 cases of elderly people fromJuly 2010 to July 2015 in three communities of Xiaogan urban area as the research object, using self-made questionnaire survey data of all subjects, analysis of cognition of chronic diseases in elderly in urban area of Xiaogan, and community management of chronic disease cognition.Analysis factors influencing the cognition of the chronic disease.Results:In chronic diseases, the elderly people in Xiaogan urban area were significantly higher than those with high blood pressure and diabetes, and chronic bronchitis and chronic bronchitis, and the cognition rate of cancer, hemiplegia and thrombosis was significantly lower, and the difference was statistically significant (P<0.05). In the risk factors of chronic diseases, the elderly people in Xiaogan urban area were significantly higher than those of the lack of exercise, smoking and diet, and the cognitive rate of alcohol, lack of health knowledge and pessimistic mood was significantly lower, the difference was statistically significant (P<0.05). In the status quo of chronic disease community management, the elderly in Xiaogan city had a high recognition rate of 62.00%. In order to carry out the three levels of prevention, strengthen the management of chronic diseases, regularly organized chronic diseases, and the establishment of community health information service platform, such as cognitive rate was significantly lower, 22.40%, 36.80%, 42.20%, 21.80% respectively, the differences were statistically significant (P<0.05). Logistic regression analysis showed that the low cultural degree, low economic income, no chronic diseases and age ≥ 60 years were the risk factors of chronic disease cognition.Conclusion:There are some problems in the elderly patients with chronic diseases and their community management in Xiaogan urban area, and the relevant community health management department should focus on the factors that affect the problem, and actively take measures to improve the status of community management.
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