上海市徐汇区居民健康自我管理状况分析  

Analysis of Self-Management of Health Among Residents in Xuhui District of Shanghai

作　　者：金小蕾 沈群芳 殷安欣 柳怡章 崔子禕 王欣悦 沈红[1] Jin Xiaolei;Shen Qunfang;Yin Anxin;Liu Yizhang;Cui Ziyi;Wang Xinyue;Shen Hong(Xuhui District Center for Disease Control and Prevention,Shanghai 200237,China;School of Public Health of Fudan University,Shanghai 200032,China)

机构地区：[1]上海市徐汇区疾病预防控制中心,上海200237 [2]复旦大学公共卫生学院,上海200032

出　　处：《健康教育与健康促进》2023年第2期140-144,共5页Health Education and Health Promotion

基　　金：上海市徐汇区医学科研项目(SHXH202036)。

摘　　要：目目的的调查上海市徐汇区居民健康自我管理小组成员的满意度与需求现况,为更好地开展健康自我管理小组工作、提升组员满意度与居民参与度提供科学依据。方方法法采用多阶段随机抽样进行调查,使用自制的《徐汇区居民健康自我管理服务满意度与需求调查问卷》,满意度影响因素分析采用独立样本t检验与单因素方差分析。结结果果本次调查共464人,平均年龄为(62.9±13.1)岁,有慢性病等健康问题的成员占比为74.8%。调查对象对健康自我管理服务的满意度平均得分为(93.11±10.86)分。七个评分条目中,总体满意度条目平均得分最高,为(14.36±1.51)分;外部人员激励条目平均得分最低,为(13.42±2.71)分。调查人员关于健康自我管理小组活动的意见中,有40.5%的调查对象觉得小组活动时间太少。家人支持(t=8.042,P<0.05)和活动频次(t=4.455,P<0.05)与满意度得分显著相关。健康讲座的需求度较高(97.9%),“看电视/广播”(56.7%)是主要获取健康信息的方式,“手机、电脑等电子产品使用不熟练”(23.1%)在查询健康信息时困扰程度较高。结结论论徐汇区健康自我管理小组成员对服务具有较高的满意度,但人员激励等方面仍需进一步改善。需求上,管理人员应采取措施提高健康讲座的开展频率与质量,服务人员应关注老年成员的电子产品使用问题。Objective To investigate the satisfaction and demand of the members of the health self-management team in Xuhui District of Shanghai, and to provide scientific basis for better carrying out the work of the health self-management team and improving the satisfaction of the members and the participation of the residents. Methods A multistage random sampling survey was conducted. The self-made questionnaire on Satisfaction and Demand of health self-management service among Xuhui district residents was used. The influencing factors of satisfaction were analyzed by independent sample t-test and one-way ANOVA. Results A total of 464 people were investigated, with an average age of(62.9±13.1) years. 74.8% of the members had chronic diseases and other health problems. The average score of the respondents' satisfaction with the health self-management service of the residents was(93.11±10.86). Among the seven scoring items, the average score of the overall satisfaction item was the highest(14.36±1.51). The average score of incentive items for external personnel is the lowest(13.42±2.71). Amout of 40.5%of the investigators' opinions on health self-management group activities felt that group activities were too short. Family support(t=8.042, P<0.05) and activity frequency(t=4.455, P<0.05) were significantly correlated with satisfaction scores. The demand for health lectures is high(97.9%),“watching TV/radio”(56.7%) is the main way to obtain health information, and “unskillful use of electronic products such as mobile phones and computers”(23.1%) has a high degree of trouble when querying health information. Conclusion The members of the health self-management team in Xuhui district have a high degree of satisfaction with the service, but the staff motivation and other aspects still need to be further improved. In terms of demand, managers should take measures to improve the frequency and quality of health lectures, and service personnel should pay attention to the use of electronic products among elderly members.

关 键 词：居民 健康自我管理 满意度 需求 分析 

分 类 号：R193[医药卫生—卫生事业管理]