兴围社区老年慢性非传染性疾病居民传染病防治素养调查与干预分析  

Investigation in and intervention on the infectious diseases prevention and control literacy of elderly residents with chronic non-communicable diseases in Xingwei community

作　　者：邹国涛 谭宏韬 ZOU Guotao;TAN Hongtao(Xingwei Community Health Service Center,Shenzhen Fuyong People′s Hospital,Shenzheng 518103,China;不详)

机构地区：[1]深圳市宝安区福永人民医院兴围社区健康服务中心,广东深圳518103 [2]惠州市中心人民医院,广东惠州516000

出　　处：《现代医院》2021年第8期1255-1257,1260,共4页Modern Hospitals

基　　金：2020年医疗卫生健康事业发展专项资金(传承发展中医药事业)广东省中医药局中医药科研项目(20201361);2020年深圳市宝安区医疗卫生基础研究项目(2020JD116)。

摘　　要：目的调查研究兴围社区慢非病老年患者传染病防治素养水平与健康行为干预效果。方法随机选择兴围社区有高血压、糖尿病慢病档案的老年患者共1000例进行传染病防治素养问卷调查,并随机抽取400例患者为观察组,剩余600例为空白组。观察组进行健康行为干预,14 d后再次进行问卷调查,计算传染病防治素养水平,并对比空白组与观察组干预后的传染病发生率与正确洗手率。结果在1000例患者中,有378例调查问卷得分达到总分的80%及以上,传染病防治素养水平为37.8%,其中男性患者的传染病防治素养水平为36.12%,女性患者为39.59%,差异不具有统计学意义(P>0.05)。观察组干预前传染病防治素养水平为37.75%,干预后为56.25%,差异具有统计学意义(P<0.01)。观察组干预后传染病发生率为1.50%,低于空白组的11.83%,差异具有统计学意义(P<0.01);观察组干预后的正确洗手率为35.50%,高于空白组的15.67%,差异具有统计学意义(P<0.01)。结论兴围社区慢非病老年患者传染病防治素养水平偏低,健康行为干预能有效地提高慢非病老年患者的传染病防治素养水平,有助于患者养成正确洗手习惯,降低传染病发生率。Objective To investigate the infectious diseases prevention and control literacy of elderly patients with chronic non-communicable diseases in Xingwei community and study the intervention effect on health behavior.Methods A total of 1000 elderly patients with such chronic diseases as high blood pressure and diabetes in Xingwei community were randomly selected to investigate their prevention and control literacy about infectious diseases:400 of them randomly selected as the observation group and the rest 600 as the control group.The observation group was treated with healthy behavior intervention.After 14 days,we repeated the investigation,calculated their literacy level,and compared the incidence of infectious diseases and correct hand washing rate between the control group and the observation group after intervention.Results Among the 1000 patients,378 patients′questionnaire score accounted for 80%or more of the total points,and their infectious diseases prevention and control literacy level was 37.8%,the literacy level of male patients was 36.12%,and that of female patients was 39.59%,without significant difference between the males and females(P>0.05).The literacy level of the observation group was 37.75%before intervention but 56.25%after intervention,with statistically significant difference(P<0.01).The incidence of infectious diseases of the observation group was 1.50%after intervention,which was lower than 11.83%of the control group,with statistically significant difference(P<0.01).The correct hand washing rate of the observation group was 35.50%after intervention,which was higher than 15.67%of the control group,with statistically significant difference(P<0.01).Conclusion The infectious diseases prevention and control literacy of elderly patients with chronic non-communicable diseases in Xingwei community is at a lower level.Health behavior intervention can not only effectively improve their literacy,but also help them develop correct hand washing habits and reduce the incidence of infectious diseases.

关 键 词：慢性非传染性疾病 传染病防治素养 健康行为干预 传染病发生率 正确洗手率 

分 类 号：R197.323.2[医药卫生—卫生事业管理] R195.4[医药卫生—公共卫生与预防医学]