孝感市基本公共卫生服务糖尿病患者社区健康管理效果  

Basic public health service: effectiveness of diabetic health management in the communities of Xiaogan City

作　　者：任勇[1] 普智敏[1] 蔡全民[1] 李启泉[1] 

机构地区：[1]湖北省孝感市疾病预防控制中心,432000

出　　处：《职业与健康》2015年第6期803-805,共3页Occupation and Health

摘　　要：目的了解基本公共卫生服务糖尿病患者健康管理项目的开展现状。方法在城市和农村采用分层多阶段随机抽样方法选择有代表性的样本,调查≥35岁管理满1年的糖尿病患者499例,通过调查问卷和体格检查,分析糖尿病患者社区健康管理效果。结果糖尿病防治知识知晓率达到70%,45%的人参加体育锻炼,良好的生活方式逐步形成,30%的患者有忘记服药的经历,自我管理有待加强,城市和农村糖尿病患者管理情况存在一定差异,社区卫生服务和满意度达到90%。结论调查显示糖尿病患者纳入基本公共卫生服务项目,有助于提高糖尿病患者知识知晓率和血糖控制率,能促进糖尿病患者逐步形成良好的生活方式,糖尿病患者普遍缺乏自我管理的知识和技能,需进一步加强对基层医务工作的培训,优化糖尿病管理模式。[ Objective ] To understand the current situation of health management project for the diabetics in public health service. [Methods] Representative samples were collected from urban area and rural area by multi-stage stratified random sampling method. Totally 499 diabetes patients over 35 years with at least 1 year health management were surveyed. Community health management effectiveness of diabetics was analyzed via questionnaire and physical examination. [ Results ] The awareness rate of diabetes knowledge was 70%, 45% diabetics participated in physical exercises and formed good lifestyles, 30% diabetics had forgotten taking medicines, and their self-management needs to be strengthened. The degree of health service satisfaction in the communities reached 90%. [ Conclusion ] The investigation shows the inclusion of diabetics in essential public health can help to improve the knowledge awareness and glycemic control rate of diabetics, can promote formation of good lifestyle. There is a general lack of knowledge and self-management skills among the diabetics. It is necessary to further enhance the training for basic medical units and improve the management mode for the diabetics.

关 键 词：糖尿病 管理 效果 基本公共卫生服务 

分 类 号：R19[医药卫生—卫生事业管理]