社区居民健康风险评估55例分析

Health Risk Assessment for Community Residents:A analysis of 55 cases

目的通过在社区居民中开展健康风险评估(健康评估),了解社区居民的健康风险状态,为社区卫生服务机构开展健康管理工作摸底。方法采用国内目前应用较广的"健康评估模型"作为评估工具,于2007年1月——2008年1月对55例社区居民开展了健康评估。结果健康评估发现,代谢综合征者6例,有高血压病史及新发现高血压者31例,有糖尿病病史及新发现糖尿病者8例,有血脂异常病史及新发现血脂异常者21例,肥胖者9例,脂肪肝者20例。有健康风险、需重点采取干预措施的对象共有48例(87%)。结论(1)社区重点居民健康风险较高,在社区开展健康管理很有必要,但要将需要转变为需求,还有许多工作要做;(2)开展社区健康管理,符合社区卫生服务的发展方向,需要再深入探索。

Objective To learn the health risks status of the community residents by carrying out health risk assessments for the community residents, to provide a basis for the health management work in community health service （CHS） institutions. Methods More use of the domestic application of the current assessment of The Health assessment Model popularly applied in China was taken as the tool to assess the health conditions of 55 community residents from January 2007 to January 2008. Results Among the 55 subjects there 6 with metabolite syndrome, 31 with hypertension history or newly diagnosed hypertension, 8 with diabetes mellitus history or newly diagnosed diabetes, 21 with history of abnormal blood lipid or newly diagnosed abnormal blood lipid, 9 being obese and 20 with fatty liver, There were 48 cases （87%） who had health risk and needed interventions. Conclusion （ 1 ） The health management is necessary for community residents, for they have higher health risks. However there are still much work to be done in changing necessity into demand, （2） Carrying out community health management is in line with developing trend of CHS, which needs to explore.