龙柏社区残疾人群健康状况和卫生服务需求调查分析  

Investigation and Analysis of the Health Status and Health Service Needs of People with Disabilities in Longbai Community

作　　者：徐卫平[1] 陶太珍[2] 金海华[1] 王萍[1] 

机构地区：[1]上海市闵行区龙柏社区卫生服务中心,201105 [2]上海健康职业技术学院

出　　处：《中国全科医学》2011年第14期1622-1625,共4页Chinese General Practice

摘　　要：目的通过对社区残疾人群健康状况的调查分析,为提高残疾人群生活质量提供适当的社区卫生服务提供依据。方法分析社区残疾人群健康体检和调查问卷资料。结果本次残疾人员体检及问卷调查572人,男性占56.64%,女性占43.36%,男女之比为1.31∶1;年龄12-110岁,中位年龄54岁,≥35岁者占残疾人的88.64%;肢体残疾占较大比例（38.99%）,其次为视力残疾（占19.06%）、精神残疾（占16.43%）和智力残疾（占15.38%）;70.00%的残疾人生活自理存在困难（Barthel指数评分〈60分）;慢性病患病率居前的疾病是高血压病（32.69%）,其次是超重和肥胖、血脂异常、胆囊炎和糖尿病;在卫生服务需求意愿中,207人（36.19%）选择社区卫生服务站的全科医生,172人（30.07%）选择社区卫生服务中心的医生;服务地点大多选择社区卫生服务中心（63.11%）;在服务项目需求方面,依次是定期体检、康复指导、家庭病床和上门诊疗,且不同类型的残疾人服务需求有所不同。结论为残疾人提供有针对性的社区卫生保健、康复服务,对提高残疾人生活质量具有积极意义。Objective To provide evidence for improving the health service of community with disabled people by analyzing the health state of people with disabilities in community and questionnaire data.Methods The health state of people with disabilities in community and questionnaire data were analyzed.Results 572 people with disabilities from Longbai community had medical examination and questionnaire survey.Of the people with disabilities,men accounted for 56.64%,women 43.36%,the sex ratio was 1.31∶ 1.The youngest was 12 years,while the oldest was 110 years old,the median age was 54 years old,people above 35 years of age accounted for 88.64%;Proportions of people with various disabilities were as follows：physical disability 38.99%;visual disability 19.06%;mental disability 16.43%;mental retardation 15.38%;70.00% of the people with disabilities had difficulty in self-care（Barthel Index 60）;The top chronic disease prevalence was hypertension（32.69%）,followed by overweight and obesity,dyslipidemia,cholecystitis and diabetes;The community health service willingness：general practitioners and community doctors were preferred;Service locations：community health service centers were chosen by most respondents;Demands in services were regular medical examinations,rehabilitation guide,home care and home treatment,and the demand for different types of disabled people were different.Conclusion It is significant to provide targeted services for different types of disabilities in order to improve life quality of people with disabilities in community.

关 键 词：残疾人 健康状况 社区卫生服务需求 

分 类 号：R492.1[医药卫生—康复医学]