社区糖尿病高危人群对中医“治未病”服务需求及利用的研究  

Research demand and utilization of traditional Chinese medicine"Disease Prevention"service among community residents of high-risk diabetes

作　　者：王洪兴[1] 汪洋 王麒凯 李君[1] 朱竹琴 林菁菁[1] WANG Hong-xing;WANG Yang;WANG Qi-kai;LI Jun;ZHU Zhu-qin;LIN Jing-jing(Zhoujiadu Communtiy Health Service Center of Pudong New District,Shanghai 200126,China)

机构地区：[1]上海市浦东新区周家渡社区卫生服务中心,上海200126

出　　处：《中华全科医学》2020年第5期797-800,共4页Chinese Journal of General Practice

基　　金：上海中西医结合学会社区医学与健康管理项目(SH201754);浦东新区卫生系统优秀青年医学人才培养计划(PWRg2017-35)。

摘　　要：目的了解社区糖尿病高危人群对中医"治未病"的需求和利用情况,分析其影响因素,以便更好地提供中医"治未病"服务。方法采用自制问卷对周家渡街道6个居委874名糖尿病高危人群进行调查,调查内容包括基本情况、对中医"治未病"的知晓、需求及利用等。结果71.9%的高危人群知晓中医"治未病"服务,知晓途径前3位为朋友(家人)、医院和媒体;67.2%的高危人群接受过中医"治未病"服务,服务选择他助干预项目前3位为火罐、针刺和膏方,选择中医"治未病"医疗机构前3位为中医医院、综合医院和社区医院。不同年龄、文化程度和职业的社区糖尿病高危人群对中医"治未病"服务利用率之间差异有统计学意义(P<0.05)。结论糖尿病高危人群对中医"治未病"服务利用率不高,发展空间广阔,但需要加大对中医"治未病"理念的宣传力度,加强基层中医"治未病"服务能力建设,遵循居民生活规律,创造服务机会,提供可持续的优质服务。Objective To investigate the demand and utilization of"disease prevention"service among community residents of high-risk diabetes,and analyze this influencing factors,provide better services of traditional Chinese medicine"disease prevention"for them.Methods Self-made questionnaire was using to inquiry 874 residents of high-risk diabetes in 10 neighborhood committee in Zhoujiadu districts.The content of the questionnaire included basic situation,and cognition,demand and utilization in traditional Chinese medicine"disease prevention".Results Among respondents,there were 71.9%heard about the concept of traditional Chinese medicine"disease prevention",and ranked in turn:friends(family),hospital,media.There were 67.2%received traditional Chinese medicine"disease prevention"service,and select the intervention project for itself in turn:cupping therapy,acupuncture for treatment,cream formulae,chose medical institutions in turn:Chinese medicine hospital,comprehensive hospitals,community hospitals.The community residents of high-risk diabetes with different ages,education background and occupation were significantly different in the proportion of being willing to utilize the service(P<0.05).Conclusion The community residents of high-risk diabetes in utilization service is not high,therefore there is a broad development space,need to increase the publicity effort of the concept of traditional Chinese medicine"disease prevention"in society;strengthen the service ability in county;follow the rules of residents’life to create opportunities for service and provide sustainable high-quality service.

关 键 词：糖尿病 高危人群 中医“治未病” 需求 利用 

分 类 号：R587.1[医药卫生—内分泌] R499[医药卫生—内科学]