中国488个区县对高血脂防控措施重要性、可行性评价及实施情况调查  

Investigation on the importance,feasibility evaluation,and implementa-tion of hyperlipidemia prevention and control measures in 488 districts and counties in China

作　　者：徐晓慧 杨静[1] 董文兰[1] 吉宁[1] 徐婷玲 郭晓雷[2] 马吉祥[2] 周脉耕[1] 蒋炜[1] XU Xiao-hui;YANG Jing;DONG Wen-lan;JI Ning;XU Ting-ling;GUO Xiao-lei;MA Ji-xiang;ZHOU Mai-geng;JIANG Wei(Chinese Center for Disease Control and Prevention,Center for Prevention and Control of chronic non-communicable Diseases,Beijing 100050,China;不详)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [2]山东省疾病预防控制中心,山东济南250014

出　　处：《现代预防医学》2023年第15期2778-2783,共6页Modern Preventive Medicine

基　　金：国家重点研发计划(2018YFC1315304)。

摘　　要：目的 了解我国慢性病综合防控示范区(简称“示范区”)疾控中心慢性病防控人员对高血脂各项防控措施重要性、可行性的看法,以及各项防控措施实施状况,为加强高血脂防控提供参考。方法 2020年10月向全国488个示范区疾控系统慢病科工作人员发放调查问卷,对高血脂防控措施(分5个层面,共13条措施)的重要性、可行性及实施情况进行问卷调查。重要性和可行性最低1分,最高5分。是否实施分别填1、0。采用(x±s)(95%CI)描述各项措施重要性、可行性得分分布,采用实施率描述各措施的实施情况。结果 发放问卷488份,实际回收468份,经数据清理后得到有效问卷438份,有效应答率为89.75%(438/488)。提升医疗机构血脂检测能力(4.80±0.52)与患者教育(4.80±0.53)两项措施重要性得分最高,最低的措施为建立血脂管理激励机制(4.44±0.87)分,其他措施重要性得分均高于4.50分。可行性总得分最高的措施为提升医疗机构血脂检测能力(4.20±0.89)分,其次为患者教育(4.10±0.90)分,最低的可行性为调整油类生产结构(3.12±1.04)分。推广适宜工具、建设健康餐厅/健康食堂实施率较高,分别为95%及92%,其次为提升医疗机构血脂检测能力和患者教育,分别为87%和82%。实施率低于20%的为建立血脂管理激励机制和调整油类生产结构,分别为13%和17%。结论 示范区基层疾控系统工作人员对高血脂防控措施重要性的认可程度较高,部分措施可行性及实施率较低。需基于当地实际情况借鉴国内外经验,积极探索实施血脂防控相关措施。Objective To understand the views of the CDC chronic disease prevention and control staff on the importance and feasibility of various prevention and control measures for hyperlipidemia,as well as the measure implementation in the demonstration area for comprehensive prevention and control of chronic diseases in China,to provide reference for strength-ening the prevention and control of hyperlipidemia.Methods A questionnaire survey on the importance,feasibility and implementation of hyperlipidemia prevention and control measures was conducted.The minimum score of importance and feasibility was 1 and the highest was 5.Implementation and no implementation were represented by 1 and 0,respectively.The importance and feasibility score distribution of each measure was described by x±s(95%CI),and the status of implementation was measured by implementation rate.Results In total 488 questionnaires were handed out and 468 were retrieved.After data cleaning,438 valid questionnaires were obtained,with an effective response rate of 89.75%(438/488).The importance scores of the two measures of improving the blood lipid detection ability of medical institutions(4.80 ±0.52) and patient education(4.80 ±0.53) were the highest,the lowest was the establishment of blood lipid management incentive mechanism(4.44±0.87),and the importance scores of other measures were higher than 4.50.The measure with the highest total feasibility score was to improve the blood lipid detection ability of medical institutions(4.20±0.89),followed by patient education(4.10±0.90),and the lowest feasibility was to adjust the oil production structure(3.12±1.04).The implementation rates of promoting appropriate tools and building healthy restaurants/healthy canteens were 95% and 92%,respectively,followed by improving the ability of blood lipid detection in medical institutions(87%) and patient education(82%).The measures with implementa-tion rate under 20% were the establishment of blood lipid management incentive mechanism(13%) and the adjustment of oil

关 键 词：高血脂 防控措施 重要性 可行性 实施 

分 类 号：R195.4[医药卫生—卫生统计学] R589.2[医药卫生—卫生事业管理]