山东省城市社区老年人心脑血管疾病患病现状及影响因素分析  

Analysis of the Status and Influencing Factors of Cardiovascular and Cerebrovascular Diseases among the Elderly in Urban Communities of Shandong Province

作　　者：刘玉琢 徐超 秘玉清 王啸宇 陈倩 陈彤 薛梓晨 罗盛[1] 李伟[3] Liu Yuzhuo(Weifang Medical University,Weifang,P.R.China)

机构地区：[1]潍坊医学院管理学院,山东潍坊261053 [2]潍坊医学院护理学院 [3]潍坊医学院公共卫生学院

出　　处：《中国卫生事业管理》2022年第12期893-898,共6页Chinese Health Service Management

基　　金：国家自然科学基金项目“整体健康管理视角下老年社区慢性病管理系统脆弱性分析及管理策略研究—以山东省为例”(71774119);教育部人文社会科学研究青年基金项目“健康中国战略视域下我国农村社区养老服务体系脆弱性分析及优化管理策略研究”(18YJCZH118);山东省自然科学基金资助项目“基于整体健康管理的城市社区养老服务体系优化建构研究-以山东省为例”(ZR2019MG027);全国统计科学研究项目“基于脆弱性分析的城市社区养老服务项目综合评价体系研究”(2020LY044);全国统计科学研究项目“城市社区突发急性传染病防控能力综合评价”(2021LY033);中国学位与研究生教育学会研究课题“‘科教、产教、理实’三融合视域下护理专业学位研究生协同育人及管理策略研究”(2020MS1020)。

摘　　要：目的:调查山东省城市社区老年人心脑血管疾病(CCVDs)的患病情况,探究CCVDs患病的相关危险因素,为CCVDs的预防及健康管理提供参考依据。方法:采用多阶段随机分层抽样的方法抽取3233位老年人。采用问卷调查的方式对老年人CCVDs患病情况、日常行为方式、健康相关生命质量等信息进行收集,采用二分类Logistic回归分析CCVDs患病的影响因素。结果:山东省城市社区老年人CCVDs患病率较高(55.21%),高血压(40.02%)、糖尿病(16.21%)、冠心病(11.07%)、脑卒中(3.06%)是其中患病率较高的几种CCVDs。二分类Logistic回归分析结果发现,年龄、婚姻状况、CCVDs家族史、心理健康状况、膳食习惯、睡眠质量是CCVDs患病的危险因素。结论:山东省老年人CCVDs患病率较高,CCVDs对老年人生命质量有极大威胁,以社区为基础积极开展CCVDs的三级预防,形成CCVDs患者的生命全周期健康管理是有效降低老年人CCVDs发病率、死亡率的重要手段。Objective To investigate the prevalence of cardiovascular and cerebrovascular diseases(CCVDs)of the elderly in urban communities of Shandong Province,explore their risk factors,and provide reference for the prevention and health management of CCVDs.Methods 3233 elderly were selected by multi-stage randomized stratified sampling method,and surveyed with questionnaire from the prevalence of CCVDs,daily behavior pattern and health-related quality of life in the elderly.Binary Logistic regression was used to analyze the influencing factors of CCVDs.Results The prevalence of CCVDs among the elderly in urban communities in Shandong was higher(55.21%),in which hypertension(40.02%),diabetes(16.21%),coronary heart disease(11.07%)and stroke(3.06%)were the most common CCVDs.The results of binary Logistic regression analysis showed that age,marital status,family history of CCVDs,mental health status,dietary habits and sleep quality were the risk factors for CCVDs.Conclusion The prevalence of CCVDs in the elderly was high in Shandong Province.And CCVDs was a great threat to the quality of life of the elderly.It is an important means to effectively reduce the incidence and mortality of CCVDs in the elderly by actively carrying out the tertiary prevention of CCVDs based on community and forming the life cycle health management of CCVDs patients.

关 键 词：心脑血管疾病(CCVDs) 老年人 危险因素 三级预防 

分 类 号：R195.4[医药卫生—卫生统计学]