社区老年慢性病患者发病情况及中医药利用率的调查分析  

作　　者：余华敏 吴玥 禹佳琦 张成 王斌艳[1] 

机构地区：[1]浙江中医药大学公共卫生学院,310053

出　　处：《浙江临床医学》2024年第11期1719-1721,共3页Zhejiang Clinical Medical Journal

基　　金：国家自然科学基金资助项目(71774147);浙江省基础公益研究计划项目(LY21G030003);浙江省医药卫生科技计划项目(2022KY910);浙江省新苗人才计划项目(2022R410A019)。

摘　　要：目的调查社区老年慢性病患者发病情况及中医药利用率,为提升老年慢性病患者中医药服务的质量提供建议。方法采用分层整群抽样方法,对浙江省杭州、台州和丽水的社区老年人群进行问卷调查,了解老年慢性病人群中医药服务的利用情况。采用二分类Logistic回归分析法,分析影响中医药服务利用率的因素。结果共收集有效问卷2109份。调查显示,老年人群慢性病的患病率为63.92%。其中高血压患病率最高,为45.66%,其次是糖尿病,患病率为15.65%。老年慢性病患者中医药服务的利用率为40.73%,患一种慢性病的老年人中医药服务的利用率为39.86%(340/853)、患有两种慢性病的为41.15%(158/384),而患有三种及以上慢性病的为45.95%(51/111)。老年慢性病患者中医药服务利用率是非慢性病患者的1.390倍(95%CI:1.149~1.682)。然而,患多种慢性病的老年人与仅患一种慢性病的老年人在中医药服务利用率上的差异无统计学意义(P>0.05)。结论慢性病的存在增加了浙江省社区老年人群对中医药服务的利用,但慢性病的数量对中医药服务的利用率无明显影响。Objective To investigate the incidence of chronic diseases and the utilization rate of traditional Chinese medicine(TCM)among the elderly in communities,and to provide suggestions for improving the quality of TCM services for elderly patients with chronic diseases.Methods A stratified cluster sampling method was used to conduct a questionnaire survey among the elderly population in Hangzhou,Taizhou,and Lishui,Zhejiang Province,to understand the utilization of TCM services by elderly patients with chronic diseases.Binary logistic regression analysis was used to analyze the factors affecting the utilization rate of TCM services.Results A total of 2109 valid questionnaires were collected.The survey showed that the prevalence rate of chronic diseases in the elderly population was 63.92%.Among these,hypertension had the highest prevalence rate at 45.66%,followed by diabetes with a prevalence rate of 15.65%.The utilization rate of TCM services among elderly patients with chronic diseases was 40.73%.The utilization rate of TCM services by elderly patients with one chronic disease was 39.86%(340/853),for those with two chronic diseases it was 41.15%(158/384),and for those with three or more chronic diseases it was 45.95%(51/111).The utilization rate of TCM services by elderly patients with chronic diseases was 1.390 times that of non-chronic disease patients(95%CI:1.149~1.682).However,there was no statistically significant difference in the utilization rate of TCM services between elderly patients with multiple chronic diseases and those with only one chronic disease(P>0.05).Conclusion The presence of chronic diseases increases the utilization of TCM services among the elderly population in communities in Zhejiang Province,but the number of chronic diseases has no significant effect on the utilization rate of TCM services.

关 键 词：老年 中医药 慢性病 安德森行为模型 

分 类 号：R259[医药卫生—中西医结合]