中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
1期
35-39
,共5页
李园%任多富%丁萍飞%张芹%张娟%石文惠%吴静%施小明%梁晓峰
李園%任多富%丁萍飛%張芹%張娟%石文惠%吳靜%施小明%樑曉峰
리완%임다부%정평비%장근%장연%석문혜%오정%시소명%량효봉
高血压%糖尿病,2型%基本公共卫生服务%疾病管理
高血壓%糖尿病,2型%基本公共衛生服務%疾病管理
고혈압%당뇨병,2형%기본공공위생복무%질병관리
Hypertension%Diabetes mellitus,type 2%Community health services%Disease management
目的 了解基本公共卫生服务高血压和2型糖尿病患者健康管理项目的开展现状.方法 在全国选取8省(自治区),采用分层多阶段随机抽样方法,共调查≥35岁管理满1年的高血压患者5 116名和2型糖尿病患者3 586名.通过面对面问卷调查和现场体检,调查患者接受健康管理情况、血压和血糖水平、随访满意度等.结果 高血压和糖尿病患者管理率分别为23.6％(城市:17.1％,农村:28.1％,x2=27 195.33,P＜0.001)和19.1％(城市:14.1％,农村:23.8％,x2=7 423.67,P＜0.001),规范管理率分别为61.1％(城市:63.3％,农村:58.6％,x2=11.82,P＜0.001)和59.0％(城市:61.5％,农村:55.6％,x2=12.66,P＜0.001),患者血压和血糖控制率分别为50.3％(城市:62.0％,农村:36.6％,x2=329.31,P＜0.001)和53.9％(城市:60.8％,农村:44.7％,x2=90.53,P＜0.001),高血压和糖尿病患者随访满意率分别为83.0％(城市:84.7％,农村:80.7％,x2=13.42,P＜ 0.001)和84.5％(城市:88.0％,农村:79.5％,x2=43.90,P＜0.001).结论 基本公共卫生服务高血压和糖尿病患者健康管理项目取得一定成效.
目的 瞭解基本公共衛生服務高血壓和2型糖尿病患者健康管理項目的開展現狀.方法 在全國選取8省(自治區),採用分層多階段隨機抽樣方法,共調查≥35歲管理滿1年的高血壓患者5 116名和2型糖尿病患者3 586名.通過麵對麵問捲調查和現場體檢,調查患者接受健康管理情況、血壓和血糖水平、隨訪滿意度等.結果 高血壓和糖尿病患者管理率分彆為23.6％(城市:17.1％,農村:28.1％,x2=27 195.33,P＜0.001)和19.1％(城市:14.1％,農村:23.8％,x2=7 423.67,P＜0.001),規範管理率分彆為61.1％(城市:63.3％,農村:58.6％,x2=11.82,P＜0.001)和59.0％(城市:61.5％,農村:55.6％,x2=12.66,P＜0.001),患者血壓和血糖控製率分彆為50.3％(城市:62.0％,農村:36.6％,x2=329.31,P＜0.001)和53.9％(城市:60.8％,農村:44.7％,x2=90.53,P＜0.001),高血壓和糖尿病患者隨訪滿意率分彆為83.0％(城市:84.7％,農村:80.7％,x2=13.42,P＜ 0.001)和84.5％(城市:88.0％,農村:79.5％,x2=43.90,P＜0.001).結論 基本公共衛生服務高血壓和糖尿病患者健康管理項目取得一定成效.
목적 료해기본공공위생복무고혈압화2형당뇨병환자건강관리항목적개전현상.방법 재전국선취8성(자치구),채용분층다계단수궤추양방법,공조사≥35세관리만1년적고혈압환자5 116명화2형당뇨병환자3 586명.통과면대면문권조사화현장체검,조사환자접수건강관리정황、혈압화혈당수평、수방만의도등.결과 고혈압화당뇨병환자관리솔분별위23.6％(성시:17.1％,농촌:28.1％,x2=27 195.33,P＜0.001)화19.1％(성시:14.1％,농촌:23.8％,x2=7 423.67,P＜0.001),규범관리솔분별위61.1％(성시:63.3％,농촌:58.6％,x2=11.82,P＜0.001)화59.0％(성시:61.5％,농촌:55.6％,x2=12.66,P＜0.001),환자혈압화혈당공제솔분별위50.3％(성시:62.0％,농촌:36.6％,x2=329.31,P＜0.001)화53.9％(성시:60.8％,농촌:44.7％,x2=90.53,P＜0.001),고혈압화당뇨병환자수방만의솔분별위83.0％(성시:84.7％,농촌:80.7％,x2=13.42,P＜ 0.001)화84.5％(성시:88.0％,농촌:79.5％,x2=43.90,P＜0.001).결론 기본공공위생복무고혈압화당뇨병환자건강관리항목취득일정성효.
Objective To understand the situation and efficacy of community-based management programs on hypertension and type 2 diabetes mellitus patients in primary health service centers.Methods In eight provinces being selected,a stratified multistage random sampling method was used to survey 5 116 cases of hypertension patients and 3 586 cases of type 2 diabetes mellitus patients aged over 35 years who had been under the management program for over 1 year.Face-to-face questionnaire interview and physical and biochemical examination were applied to collect related information,blood pressure and situation of glucose control.Results The rates of management on hypertension patients and type 2 diabetes mellitus patients were 23.6％ (urban:17.1％,rural:28.1％,x2=27 195.33,P＜0.001) and 19.1％ (urban:14.1％,rural:23.8％,x2=7 423.67,P＜0.001) while the standardized management rates were 61.1％ (urban:63.3％,rural:58.6％,x2=11.82,P＜0.001) and 59.0％ (urban:61.5％,rural:55.6％,x2 =12.66,P＜ 0.001),respectively.Rate on blood pressure control among hypertension patients and the rate on fasting glucose control on type 2 diabetes mellitus patients were 50.3％ (urban:62.0％,rural:36.6％,x2=329.31,P＜0.001) and 53.9％ (urban:60.8％,rural:44.7％,x2=90.53,P＜0.001),respectively.Satisfaction rates for the management service of the hypertension patients and type 2 diabetes mellitus patients were 83.0％ (urban:84.7％,rural:80.7％,x2=13.42,P＜0.001) and 84.5％ (urban:88.0％,rural:79.5％,x2=43.90,P＜0.001),respectively.Conclusion Efficiency was achieved to some extent in managing hypertension and type 2 diabetes mellitus patients in primary health service centers.Further improvement was expected on rates regarding management,standardized management and control on both blood pressure and glucose.
