中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2015年
13期
1518-1522
,共5页
高血压%健康素养%基本公共卫生服务利用%自我管理行为
高血壓%健康素養%基本公共衛生服務利用%自我管理行為
고혈압%건강소양%기본공공위생복무이용%자아관리행위
Hypertension%Health literacy%Utilization of basic public health services%Self-management behaviors
目的：探讨社区高血压患者健康素养与基本公共卫生服务利用之间的关系。方法采用整群随机抽样法，于2013年4—5月在德胜社区抽取844例高血压患者进行问卷调查，调查内容包括人口社会学特征、健康素养、自我管理行为、基本公共卫生服务利用情况。将健康素养得分﹥6分的患者归为基本健康素养组，将健康素养得分≤6分的患者归为低健康素养组。健康素养与基本公共卫生服务利用的关系采用Pearson相关分析。结果低健康素养组患者570例（占67.5%），基本健康素养组274例（占32.5%）。基本健康素养组患者在建立健康档案、利用社区健康教育、免费体检、免费流感疫苗接种、接受生活方式指导、免费血压监测上均高于低健康素养组，差异有统计学意义（P﹤0.05）；在自己监测血压、控制盐摄入上亦高于低健康素养组，差异有统计学意义（P﹤0.05）。Pearson相关分析结果显示：健康素养与建立健康档案（r=0.073，P=0.038）、利用社区健康教育（r=0.722，P=0.012）、免费体检（r=0.199，P=0.000）、免费流感疫苗接种（r=0.102，P=0.015）、接受生活方式指导（r=0.252，P=0.000）、免费血压监测（r=0.081，P=0.022）均呈正相关；与自己监测血压（r=0.242，P=0.000）、控制盐摄入（r=0.111， P=0.001）亦呈正相关。结论社区高血压患者的健康素养与基本公共卫生服务利用及自我管理行为间均存在正相关关系，建议更多开展旨在提高患者健康素养水平的活动，加强对患者进行有针对性的个体化指导和自我管理技能培训，加强对基本公共卫生服务项目的宣传力度；在制定卫生服务相关政策时，要考虑到患者的需求及利益，吸引患者主动参与利用服务，进而帮助患者达到改善整体健康状况。
目的：探討社區高血壓患者健康素養與基本公共衛生服務利用之間的關繫。方法採用整群隨機抽樣法，于2013年4—5月在德勝社區抽取844例高血壓患者進行問捲調查，調查內容包括人口社會學特徵、健康素養、自我管理行為、基本公共衛生服務利用情況。將健康素養得分﹥6分的患者歸為基本健康素養組，將健康素養得分≤6分的患者歸為低健康素養組。健康素養與基本公共衛生服務利用的關繫採用Pearson相關分析。結果低健康素養組患者570例（佔67.5%），基本健康素養組274例（佔32.5%）。基本健康素養組患者在建立健康檔案、利用社區健康教育、免費體檢、免費流感疫苗接種、接受生活方式指導、免費血壓鑑測上均高于低健康素養組，差異有統計學意義（P﹤0.05）；在自己鑑測血壓、控製鹽攝入上亦高于低健康素養組，差異有統計學意義（P﹤0.05）。Pearson相關分析結果顯示：健康素養與建立健康檔案（r=0.073，P=0.038）、利用社區健康教育（r=0.722，P=0.012）、免費體檢（r=0.199，P=0.000）、免費流感疫苗接種（r=0.102，P=0.015）、接受生活方式指導（r=0.252，P=0.000）、免費血壓鑑測（r=0.081，P=0.022）均呈正相關；與自己鑑測血壓（r=0.242，P=0.000）、控製鹽攝入（r=0.111， P=0.001）亦呈正相關。結論社區高血壓患者的健康素養與基本公共衛生服務利用及自我管理行為間均存在正相關關繫，建議更多開展旨在提高患者健康素養水平的活動，加彊對患者進行有針對性的箇體化指導和自我管理技能培訓，加彊對基本公共衛生服務項目的宣傳力度；在製定衛生服務相關政策時，要攷慮到患者的需求及利益，吸引患者主動參與利用服務，進而幫助患者達到改善整體健康狀況。
목적：탐토사구고혈압환자건강소양여기본공공위생복무이용지간적관계。방법채용정군수궤추양법，우2013년4—5월재덕성사구추취844례고혈압환자진행문권조사，조사내용포괄인구사회학특정、건강소양、자아관리행위、기본공공위생복무이용정황。장건강소양득분﹥6분적환자귀위기본건강소양조，장건강소양득분≤6분적환자귀위저건강소양조。건강소양여기본공공위생복무이용적관계채용Pearson상관분석。결과저건강소양조환자570례（점67.5%），기본건강소양조274례（점32.5%）。기본건강소양조환자재건립건강당안、이용사구건강교육、면비체검、면비류감역묘접충、접수생활방식지도、면비혈압감측상균고우저건강소양조，차이유통계학의의（P﹤0.05）；재자기감측혈압、공제염섭입상역고우저건강소양조，차이유통계학의의（P﹤0.05）。Pearson상관분석결과현시：건강소양여건립건강당안（r=0.073，P=0.038）、이용사구건강교육（r=0.722，P=0.012）、면비체검（r=0.199，P=0.000）、면비류감역묘접충（r=0.102，P=0.015）、접수생활방식지도（r=0.252，P=0.000）、면비혈압감측（r=0.081，P=0.022）균정정상관；여자기감측혈압（r=0.242，P=0.000）、공제염섭입（r=0.111， P=0.001）역정정상관。결론사구고혈압환자적건강소양여기본공공위생복무이용급자아관리행위간균존재정상관관계，건의경다개전지재제고환자건강소양수평적활동，가강대환자진행유침대성적개체화지도화자아관리기능배훈，가강대기본공공위생복무항목적선전력도；재제정위생복무상관정책시，요고필도환자적수구급이익，흡인환자주동삼여이용복무，진이방조환자체도개선정체건강상황。
Objective To explore the relationship between health literacy and the utilization of basic public health services among hyperpietics in communities. Methods By using the cluster random sampling method,844 hyperpietics in Beijing Desheng Community were enrolled and completed the questionnaire survey from April to May in 2013. The questionnaire content included demographic characteristics, health literacy, self - management behaviors and the utilization of basic public health services. The subjects with health literacy score ﹥6 were classified as the basic health literacy group and the subjects with health literacy score ≤6 were classified as the inadequate health literacy group. Pearson correlation analysis was conducted to analyze the relationship between health literacy and the utilization of basic public health services. Results Among all the subjects,570 (67. 5%)had inadequate health literacy and 274(32. 5%)had basic health literacy. The basic health literacy group was better (P﹤0. 05)than the inadequate health literacy group in the performance concerning health record establishment,community health education,free physical examination,free influenza vaccination,lifestyle guidance and free blood pressure monitoring;the basic health literacy group was also better(P﹤0. 05)than the inadequate health literacy group in the performance concerning blood pressure self -monitoring and the control of salt intake. The results of Pearson correlation analysis indicated that health literacy was positively correlated with the establishment of health records(r=0. 073,P=0. 038),health education(r=0. 722, P=0.012),free physical examination(r =0.199,P =0.000),free influenza vaccinations(r =0.102,P =0.015), lifestyle guidance(r=0. 252,P=0. 000)and free blood pressure monitoring(r=0. 081,P=0. 022);health literacy was also positively correlated with blood pressure self monitoring(r=0. 242,P=0. 000)and the control of salt intake(r=0. 111,P=0. 001). Conclusion Health literacy is positively correlated with the utilization of basic public health services and self -management behaviors among hyperpietics in communities. We suggest more activities should be carried out to improve the health literacy of hyperpietics,personalized guidance and self -management training should be promoted,and the publicity of basic public health services should be enhanced. When formulating public health service policies,needs and benefits of hyperpietics should be taken into consideration to attract their active participation and utilization of services and help them to improve overall health condition.
