上海市某社区老年人健康状况及卫生服务需求的调查

Investigation on health state and service requirements of the elderly in a certain community of Shanghai

目的 了解社区老年人的健康状况和卫生服务需求。方法 采用横断面调查的方法 ,以问卷和体检方式 ,调查上海市汽车公寓社区老年人的文化程度、疾病史、日常生活能力、卫生服务需求、高血压和糖尿病患者的疾病控制情况等。结果 被调查者中超重或肥胖占 6 6 1%、高血压占 4 2 2 %、冠心病占 10 0 %、糖尿病占 9 1%。高血压病患者中有 4 3 3%的患者很少或不测血压 ,血压控制良好率不到 2 5 0 %。糖尿病患者中 30 4 %的很少或不测空腹血糖 ,6 9 6 %的很少或不测餐后血糖。有 4 6 1%的老年人需要 1项或 1项以上的社区卫生服务项目 ,其中定期体检占32 6 % ,健康指导为 2 3 0 % ,有 5 3 9%的老年人认为不需要医疗以外的社区卫生服务项目。结论 社区老年人慢性病患病率高 ,疾病控制水平差 ,对社区卫生服务的认识不足 ,给社区卫生服务的医疗、预防、保健。

Objective To investigate the health state and service requirements of the elderly in a certain community.Methods Cross-study was used in the study.The educational degree,disease histories,daily living capability,heath care requires and the control state of hypertension and diabetes were recorded by questionnaires and physical examination.Results Overweight or obesity (66 1%) was the commonest disease,the next was hypertension (42 2%),coronary disease (10 0%) and diabetes (9 1%).43 3% hypertension patients never or seldom measured their blood pressure.The rate of idea blood pressure was lower than 25%.30 4% diabetes patients never or seldom measure their fasting glucose and 69 3% patients never or seldom measure their post meal glucose.46 1% of the elderly required one or more kinds of community health services,in which annul health examination was 32 6%,and the next was health guide (23 0%).53 9% of the elderly have no need of community health services except medical care.Conclusion The elderly in community had high prevalence and poor control of chronic diseases.They did not fully understand the community health services.All above brought the challenges to the medical care,health prevention,health education and reasonable utility of hygiene resources of the community health services.