北京市东城区老年患病情况及社区干预模式的效果

Prevalence of diseases in elderly residents and effects of community-based intervention in dongcheng district,beijing

目的:调查北京市东城区卫生服务中心辖区内老年居民患病情况,并分析医疗服务模式社区干预的效果。方法:对北京市东城区卫生服务中心辖区内60岁以上老年居民实施医疗服务模式社区干预,于基线和终末分别进行两次问卷调查,调查内容包括老年居民健康相关行为、老年居民患病情况、疾病相关知识知晓情况及对社区卫生服务的满意度。结果:终末调查时,调查对象吸烟、饮酒、不良饮食、不良睡眠、缺乏锻炼等不良生活方式较基线调查时均有所降低(P<0.05);终末调查时,调查对象对高血压、脑血管疾病、糖尿病、慢性支气管炎等疾病知晓率均高于基线调查时(P<0.05);终末调查时,调查对象对社区卫生服务各项满意度较基线调查时有所提高(P<0.05)。结论:社区医疗服务模式的建立在一定程度上改善了老年居民不良生活行为,提高了老年居民对疾病的知晓度,居民对该模式的实施满意度较高。

Objective：To investigate the prevalence of diseases in elderly residents in Community Health Service Center of Dongcheng District, Beijing, and to study the effects of community-based health intervention on the basis of medical service. Methods： We undertook community-based medical service interventions on the residents aged 60 or above in the administrative regions of Community Health Service Center of Dongcheng District. Questionnaire surveys regarding health-related behaviors of elderly residents, prevalence of geriatric diseases, awareness of disease-associated knowledge and the satisfaction of community health services were conducted at baseline and end of intervention. Results： Following end of survey, the interventions were associated with significantly reduced prevalence of smoking, alcohol drinking, poor diet or sleep and lack of exercise yet markedly increased disease awareness of hypertension, cerebrovascular disease, diabetes and chronic bronchitis compared with baseline levels （ all P 〈 0.05 ）. There was an improved satisfaction of community health service compared with baseline levels （P 〈 0.05 ）. Conclusion： The practice of medical services may be associated with diminished unhealthy behaviors, augmented awareness of geriatric diseases and improved satisfaction to health services in elderly residents.