动脉硬化早期筛查人群复检率低的相关分析

Correlation analysis of low review rate of early screening of arteriosclerosis patients

目的观察在健康体检中发现的3116例动脉硬化检测阳性人群的后续复检情况，计算其检测复检率，了解人群健康素养，引导人们养成健康的生活习惯，预防心脑血管疾病的发生，提高生活质量。方法从2012年7月至2013年12月体检者中筛选动脉硬化检测阳性者3116例入组。填写生活方式调查问卷，根据体检报告给予生活方式指导与干预措施，控制动脉硬化的危险因素，并于3个月、半年、1年调查复检率及动脉硬化疾病相关知识知晓率。对未进行复检者进行电话或短信随访，调查其不复检原因并进行Logistic回归分析。结果受检者首次体检知晓率为40．2％，3个月复检率9．7％、知晓率为89．7％，半年复检率4．5％、知晓率为90．7％，1年复检率2．1％、体检知晓率为96．9％。经Logistic回归分析发现：年龄、性别、婚姻状况、教育程度、职业、收入、医保情况、自感症状、疾病知识、社会支持因素为复检率低的影响因素。结论本次调查结果反映出本院体检者对慢性病的健康素养较低，受到多种因素影响，针对影响因素应给予制定相应的干预预防措施，可提升动脉硬化早期筛查复检率，提升疾病相关知识知晓率。

Objective To observe the follow-up examination positive crowd detection atherosclerosis in 3116 cases found in health examination,the test retest rate calculation, understanding population health literacy, and guide people to develop healthy habits,prevention of cardiovascular and cerebrovascular diseases,improve the quality of life. Methods From July 2012 to -2013 in December, 3116 patients who were screened for atherosclerosis were screened. Fill in lifestyle questionnaire, according to a medical report give lifestyle guidance and intervention measures, control the risk factors for atherosclerosis, and in three months, six months, 1 year investigation aware of knowledge about the re-inspection rate and atheroselerosis disease. Telephone or SMS follow- up on not inspected patients, investigate its reason and not re Logistic regression analysis. Results Client first check-up witting rate was 40.2% ,3 months review rate and witting rate was 89.7% ,and 9.7% for half a year the re-inspection rate and witting rate was 90.7 % ,4.5 % 1 year rate of 2.1%, a medical witting rate was 96.9%. Logistic regression analysis showed：the influence factors of age and gender, marital status, education level, occupation, income, medical conditions, symptoms, disease knowledge, perceived so- cial support factors for the low rate of reinspection. Conclusion The survey results reflect our hospital check-up for chronic health literacy is low,affected by many factors, aimed at influencing factors should be given preventive measures, formulate the correspond- ing intervention can increase the rate of early atherosclerosis screening the re-inspection,aware of knowledge about disease.