南宁市青秀区社区卫生诊断分析报告

Report of Community Diagnosis on Health Service in Qingxiu District,Nanning City

目的了解南宁市城市社区居民主要慢性疾病患病与健康危险因素状况、卫生知识知晓水平。方法在辖区内随机抽取1800户4827名居民进行了问卷调查，内容包括家庭人口、居住条件、医疗费用支出、家庭成员医疗保障和慢性病患病史以及成年居民的日常生活方式及饮食习惯、自我保健与卫生知识知晓等情况，并对15岁及以上居民进行了血压、身高、体重、腰围测量。结果居民两周患病率为16．39％，其中60岁以上居民最高，为36．60％。过去一年居民总住院率为5．14％，因疾病住院占77．91％，病人平均住院19．17d／人，住院平均医疗费用为9767．17元/人·年。居民医疗费用有基本医疗保险的占33．5％，完全自费的占41．8％。15岁及以上居民高血压患病率为9．43％，其中男性为8．38％，女性为10．35％。40～59岁组男性居民吸烟率为51．33％，饮酒率为16．31％；居民总超重率为27．19％，肥胖率为7．32％，中心性肥胖率为46．87％（男性40．36％，女性59．64％）。18岁及以上居民主动锻炼率为62．21％，平均每天静坐5．63h。居民日常饮食基本不吃奶、蛋和豆类及制品的分别为56．43％，37．85％和28．67％。在过去一年里，80％以上社区居民没有得到社区卫生机构的健康指导，且高血压和糖尿病等相关知识的知晓率仅为36．59％。结论社区60岁以上居民高血压患病率和两周患病率较高，因疾病住院的占大多数，住院医疗费用高，社会医疗保障覆盖率低，健康知识知晓率较低。针对城市社区的主要健康问题和居民不良生活方式，应进一步加强社区健康教育与促进，推广适宜干预技术，广泛开展慢性病社区综合干预与控制管理。

Objective To obtain prevalence data of the main sorts of non-communicable diseases （NCD）, risk factors for health and awareness level of health knowledge of community residents. Methods 4 827 residents from 1 800 households were investigated with questionnaire by interview at household in Qingxiu District, Nanning. The questionnaire included variables as follows： household numbers, living conditions, medical expenses, health insurance of family members, past chronic diseases history, lifestyle and dietary habits of adults, self health care and awareness of health knowledge. And pressure, body height, weight and waistline of residents aged 15 and over were measured. Results Two weeks morbidity rate （TWMR） of residents was 16.39%, the TWMR of residents aged 60 and over was the highest （36.60%）. During the past year, the total hospitalization rate of residents, hospitalization ratio due to diseases, average hospitalization days and average hospitalization costs were 5.14%, 77.91%, 19.17 day per capita, 9767.17 Yuan per man-year, respectively. For the medical expenses, 33.5% of patients paid by basic medical insurance, and 41.8% of them paid by themselves. The general prevalence of hypertension in residents aged 15 and over was 9.43%, 8.38% in male and 10.35% in female. The rates of smoking and drinking of male residents aged 40 to 59 were 51.33% and 16.31%.The total rates of overweight, obesity and central obesity were 27.19%, 7.32% and 46.87% （40.36% in male and 59.64% in female）. The initiative exercise rate of residents aged 18 and over was 62.21% and average sitting time was 5.63 hrs per day. The rate of scarcely ever intakes of milk, egg, beans and its products were 56.43%, 37.85% and 28.67%, respectively. In the past year, 80% of community residents didn＇t obtain health directions from community health service center and the percent of awareness about knowledge on hypertension and diabetes was just 36.59%. Conclusion The hypertension rate and TWMR of residents aged 60 and over are high. The main health problems in residents are high expenses of inpatients care, low coverage rate of social medical insurance, and low awareness rate about health knowledge. Health education and improvement should be strengthened and appropriate intervention techniques should be extended aiming at the main health problem and unhealthy lifestyle of urban residents. Integrated intervention and control management should be developed widely.