老年人慢性病378例调查及老年健康管理模式探讨

Investigation of chronic diseases in 378 elder persons and their proper health management model

目的分析蚌埠市老年人慢性疾病患病及诊治情况。方法采用随机抽样、集中调查和入户调查相结合的方法对蚌埠市部分60岁以上常住居民慢性病患病现况及诊治情况进行调查。结果高血压患病率为58.5%,血脂异常患病率为78.8%,糖尿病患病率为22.5%,肾功能下降患病率8.5%,男女慢性病患病率差异和各年龄组差异均无显著性(P>0.05)。就诊选择大中型医疗机构者占74.5%、社区中小型医疗机构者占21.7%。结论蚌埠市老年人慢性病患病率较高,慢性病的诊治选择大中型医疗机构的比例较高,选择社区中小型医疗机构者少。加强社区医疗机构的综合健康管理功能,利于减少慢性疾病的发生,降低医疗费用。

【Objective】 To investigate the prevalence and the health management model of chronic diseases for the elder in Bengbu city.【Methods】A combination of randomized sampling,grouping investigation and in-door survey focused on the prevalence and the health management model of chronic diseases for the persons elder than 60 in Bengbu city was carried out.【Results】The prevalence rate was 58.5% for hypertension,78.8% for dyslipidemia,22.5% for diabetes and 8.5% for renal dysfunction,respectively.There were no statistically significant differences（P 0.05） between men and women or any age group for the prevalence rate of chronic diseases.For the health management,most of the elder（74.5%） would choose middle to large medical centers while only small part（21.7%） would choose district medical agents.【Conclusion】 The prevalence rates of chronic diseases for elder in Bengbu city are relatively high.Most of the elder would choose middle to large medical centers for health management.In order to meet the challenge of chronic disease prevention and treatment for the elder and lower the governmental medical budget,community health agents should be introduced and strengthened for the function of management of chronic diseases.