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出 处:《北京中医药大学学报》2015年第4期284-288,共5页Journal of Beijing University of Traditional Chinese Medicine
基 金:北京市中医药管理局复合型中医药学术带头人培养项目(No.0102012)
摘 要:目的调查北京社区居民对中医预防保健服务的需求,分析影响需求的因素,为社区全面推广中医预防保健服务提供科学依据。方法对3个社区的900位居民进行问卷调查,并分别访谈3个社区卫生机构负责人。结果 57.1%的居民希望通过电视广播获得中医预防保健知识;高血压病、骨关节退行性病、糖尿病和便秘患者愿意参与或尝试中医预防保健服务的比例分别为51.1%、49.6%、47.0%和44.6%;居民中愿意接受拔罐、针灸、推拿、药膳、膏方的比例分别为34.7%、28.9%、22.5%、21.9%和21.7%。若中医预防保健服务不纳入医保,愿意接受服务的居民仅为26.5%。结论居民对中医预防保健服务有较大需求,特别是老年人和慢性病患者;男性对拔罐、推拿的接受程度均高于女性,老年人更愿意接受针灸和药膳,居民对膏方、拔罐的接受度与受教育程度呈正相关。针对不同需求的居民,应采用不同的推广策略和措施,加快中医预防保健在社区的普及。Objective To find out the influence factors on demands for community healthcare of TCM in Beijing, and to provide evidence for promotion of TCM healthcare service. Methods 900 residents in three communities were included to complete the questionnaire, with recovery rate of 99.4% (895/900) .Besides, each principal of the community heahhcare institute was reviewed. Results 57. 1% of the residents hoped to obtain TCM healthcare knowledge on TV or broadcast. 51.1% of hypertension patients, 49. 6% of degenerative bone and joint disease patients, 47.0% of diabetes patients and 44. 6% of constipation patients expected to be treated by TCM healthcare service. 34. 7% of residents would receive cupping treatment, 28. 9% would receive acupuncture, 22. 5% would be massaged, 21.9% and 21.7% would take medicinal diet and herbal paste correspondingly. However, if TCM heahhcare services are not included in the medical insurance system, only 26. 5% of residents would receive them. Conclusion Elderly persons and chronic disease patients had strong demands for TCM healthcare services. The ratio of men who would take cupping treatment and massage was more than that of women. Acupuncture treatment and medicinal diet were the most common choice in elderly persons. The acceptability of residents taking herbal paste and cupping treatment was positively correlated with their educational level. As the results, according to different demands, promotion strategy and methods should be performed to speed up the popularization of TCM heahhcare in community.
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