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中国初级卫生保健:2018,32(9):58-60
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上海市某地区老年人体检结果分析及健康管理的效果评价
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中文摘要: 目的 了解松江区佘山镇65岁及以上老年人的健康体检结果,分析重点人群的检后健康管理,为更好地开展社区老年人健康管理提供依据。方法 回顾性分析2016年松江区佘山镇接受免费健康体检的6 940名65岁及以上老年人的体检资料,分析其体检结果,同时对重点人群进行检后随访管理,评价健康管理的效果。结果 6 940名受检的老年人中,健康异常检出率为57.36%,前五位健康问题依次为心电图异常(50.26%)、超重或肥胖(47.51%)、高血压(40.48%)、脂肪肝(35.55%)和血吸虫性肝病(30.58%);男性脂肪肝、血吸虫性肝病的检出率均明显高于女性,而心电图异常检出率明显低于女性(P<0.05)。随着年龄的增加,心电图异常、高血压和血吸虫性肝病的检出率依次升高,而脂肪肝检出率则依次降低(P<0.05)。女性主要健康异常检出率明显高于男性,且不同年龄组的检出率由高到低依次为≥80岁>65~69岁>70~79岁。与干预前比较,重点人群实施健康管理干预后,满意度明显提高,对体检报告的理解程度和健康异常的处理明显改善(P<0.05)。结论 松江区佘山镇老年人健康状况并不理想,社区卫生服务机构应做好重点人群的检后随访管理,增强老年人的自我健康管理意识,完善社区对老年人的规范管理。
Abstract:OBJECTIVE To investigate the result of health examination in elderly people aged 65 years and over in Sheshan town of Songjiang district, analyze the health management for focus groups after examination, in order to provide the basis for carrying out targeted community health management in elderly people. METHODS The physical examination data of 6940 cases of elderly people aged 65 years and over who receive free health examination in Sheshan town of Songjiang district from 2016.1 to 2016.12 were selected and retrospectively analyzed, and focus groups were evaluated after health management. RESULTS In all the 6940 people carried on health examination, the detection rate of health abnormality was 60.07%. The Top five health problems were abnormal ECG(50.26%), overweight or obesity(47.51%), hypertension (40.48%), fatty liver(35.55%), schistosomiasisjaponca(30.58%).The detection rate of fatty liver, schistosomiasisjaponca in males was significantly higher than that in females, while the detection rate of abnormal ECG was significantly lower than that in females. With the increase of age, the detection rate of abnormal ECG, hypertension, schistosomiasisjaponca was increased, the detection rate of fatty liver was reduced(P﹤0.05).The detection rate of major health abnormality in females was significantly higher than males, and the detection rate of different age groups from high to low in turn was ≥80 years old﹥65~69 years old﹥70~79 years old. Compared with before intervention, the satisfaction degree of focus groups was significantly increased, and understanding of the medical report and health exception handling was obviously improved after intervention(P﹤0.05). CONCLUSIONS The health status of the elderly in Sheshan town of Songjiang district was worrying. Community health service institutions should pay more attention to health management for focus groups after examination, strengthen the awareness of health management, and improve standardize the management of the elderly.
文章编号:3201809022     中图分类号:R194.3    文献标志码:
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