北京市城区高血压和糖尿病患者社区管理现状

Community management of patients with hypertension and diabetes in Beijing

目的了解北京市城区高血压和糖尿病患者管理情况和病情控制现状,为社区开展慢性病管理工作提供参考依据。方法采用多阶段随机抽样和系统随机抽样相结合的方法对北京市4个城区16家社区卫生服务机构的1511例就诊患者进行问卷调查,分析高血压和糖尿病患者的病情控制情况,并对控制效果进行影响因素分析。结果在1511例调查对象中,高血压患者776例,占51.4%,糖尿病患者315例,占20.8%;高血压和糖尿病患者的病情得到控制的人数分别为331例和113例,控制率分别为42.6%和35.9%;高血压和糖尿病患者病情控制的影响因素是患者能够规律服药。结论社区卫生服务机构管理的患者病情控制率较高,慢性病的社区综合管理在慢性病的防治中发挥重要作用。

Objective To find out management status of patients with hypertension and diabetes in Beijing＇s urban areas for the management of chronic diseases in community.Methods We used the combination of multi-stage random sampling and systematic random sampling method to draw 1 511 patients from 16 community health service institutions.Management status of patients with hypertension and diabetes and its risk factors among the patients were analyzed.Results Among the patients,there were 776 with hypertension（51.4%） and 315 with diabetes（20.8%）.The control rate for hypertention patients was 42.6% and 35.9% for diabetes,respectively.The major influence factor for hypertension and diabetes control rate among the patients was taking medicine regularly.Conclusion Management status of patients receiving community health service is satisfactory.Community health services pay an important role in the management of chronic disease.