【摘要】：目的探討老年慢性病患者社區(qū)照護(hù)管理現(xiàn)狀及其社會(huì)影響因素。方法采用概率比例規(guī)模抽樣法,涉及蘇州市5個(gè)區(qū)中3 328名年齡≥60歲的老年居民,以其中1 990例高血壓或(和)糖尿病的患者為研究對(duì)象。社會(huì)資料包括:戶(hù)籍、受教育程度、職業(yè)、家庭人均月收入;社區(qū)照護(hù)管理服務(wù)利用情況包括:血壓、血糖測(cè)量頻率,調(diào)查前1年內(nèi)隨訪次數(shù)。結(jié)果調(diào)查前1年內(nèi)未接受過(guò)社區(qū)照護(hù)管理服務(wù)隨訪的高血壓患者占81.68%,糖尿病患者占87.90%。相關(guān)性分析顯示,戶(hù)籍、職業(yè)、家庭人均月收入是高血壓患者1年內(nèi)社區(qū)照護(hù)隨訪次數(shù)的獨(dú)立影響因素(P0.05);其中非農(nóng)村戶(hù)口是農(nóng)村戶(hù)口隨訪次數(shù)的2.718倍,農(nóng)民是事業(yè)單位負(fù)責(zé)人的0.469倍,家庭人均月收入次高20%、最高20%分別為收入最低20%的2.257和2.418倍。戶(hù)籍、受教育程度、職業(yè)、家庭人均月收入均對(duì)糖尿病患者1年內(nèi)社區(qū)照護(hù)隨訪次數(shù)無(wú)明顯影響(P0.05)。結(jié)論蘇州市老年慢性病患者社區(qū)照護(hù)可獲得性較差;戶(hù)籍、職業(yè)、家庭人均月收入是老年高血壓患者1年內(nèi)社區(qū)照護(hù)隨訪次數(shù)的社會(huì)決定因素。
[Abstract]:Objective to explore the status and social influence factors of community care management in the elderly patients with chronic diseases. Methods using the probability scale scale sampling method, 3328 elderly residents aged more than 60 years old in 5 districts of Suzhou were involved, and 1990 patients with hypertension or (and) diabetes were studied. Social data included: household registration, education, job. Industry, family per capita income, community care management service utilization, including blood pressure, blood glucose measurement frequency, and the number of follow-up times within the first 1 years of investigation. Results 81.68% of patients who had not received community care management service within the first 1 years of the survey accounted for 81.68% of the hypertension, and diabetes patients accounted for 87.90%. correlation analysis, household registration, occupation, and family per capita monthly income. It was the independent influence factor (P0.05) of the frequency of community care follow-up in 1 years. The non rural household registered 2.718 times as the follow-up number of the rural household registration, 0.469 times the farmer's responsibility, the average monthly income of the family was 20%, the highest 20% was 2.257 and 2.418 times the lowest income 20%. The household registration, education, occupation, home The per capita monthly income of the tribunals had no significant influence on the number of follow-up visits of the diabetic patients within 1 years (P0.05). Conclusion the availability of community care in the elderly patients with chronic diseases in Suzhou was poor, and the monthly income of household registration, occupation and family per capita was the social determinant of the follow-up times of community care in the aged patients with hypertension in 1 years.
【作者單位】： 蘇州大學(xué)附屬第一醫(yī)院;
【分類(lèi)號(hào)】：R473.2
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本文編號(hào)：2147942