【摘要】：目的了解上海市崇明縣農(nóng)村人群對慢性阻塞性肺疾病(COPD)的認(rèn)知現(xiàn)狀,為制定COPD社區(qū)防治策略提供客觀依據(jù)。方法采用整群隨機(jī)抽樣的方法,于2013年4—7月對上海市崇明縣港沿鎮(zhèn)20歲以上人群進(jìn)行COPD、高血壓病、糖尿病和腦梗死等疾病名稱、高危因素、危害和防治知識等認(rèn)知現(xiàn)狀的橫斷面調(diào)查。結(jié)果抽查的800名被調(diào)查者中,645名(80.63%)完成認(rèn)知現(xiàn)狀調(diào)查問卷,其中男266名,女379名,平均年齡為(61.6±14.8)歲。確診COPD患者62例,患病率為9.61%,所有需要藥物治療的患者均未接受過規(guī)范的吸入藥物治療。被調(diào)查者對肺功能檢查的知曉率為4.19%,顯著低于對頭顱CT(72.87%)、血糖檢查(74.42%)的知曉率(P值均0.01);對COPD的疾病名稱的知曉率僅為3.41%,顯著低于對高血壓病(92.71%)、糖尿病(87.44%)和腦梗死(83.88%)等其他慢性疾病的知曉率(P值均0.01);對COPD的高危因素、危害、防治知識的知曉率均為2.02%,顯著低于對高血壓病的高危因素(30.70%)、危害(34.11%)和防治知識(33.64%)的知曉率,對糖尿病的高危因素(26.20%)、危害(22.17%)和防治知識(21.40%)的知曉率,以及對腦梗死的高危因素(20.16%)、危害(32.87%)和防治知識(28.53%)的知曉率(P值均0.01)。≥60歲人群對COPD的疾病名稱、高危因素、危害和防治知識的知曉率均顯著低于其他年齡段人群(P值均0.05)。結(jié)論上海市崇明縣港沿鎮(zhèn)社區(qū)居民對肺功能檢查的知曉率低,對COPD的疾病認(rèn)知程度差,需加大健康教育和宣傳的力度。
[Abstract]:Objective to investigate the status of cognition of chronic obstructive pulmonary disease (COPD) among rural population in Chongming County, Shanghai, and to provide objective evidence for formulating strategies for prevention and treatment of COPD in the community. Methods from April to July 2013, COPD, hypertension, diabetes mellitus and cerebral infarction were carried out among 20-year-old people in Hongyan Town, Chongming County, Shanghai, by cluster random sampling, and the high-risk factors were analyzed. A cross-sectional survey of the cognitive status of hazards and knowledge of prevention and treatment. Results of the 800 respondents, 645 (80.63%) completed the cognitive status questionnaire, including 266 males and 379 females, with an average age of (61.6 鹵14.8) years. 62 patients with COPD were diagnosed, the prevalence rate was 9.61%, and none of the patients who needed drug therapy had received standard inhaled drug therapy. The awareness rate of pulmonary function test was 4.19%, which was significantly lower than that of head CT (72.87%) and blood glucose test (74.42%). The rate of knowing the disease name of COPD was only 3.41%, which was significantly lower than that of other chronic diseases such as hypertension (92.71%), diabetes mellitus (87.44%) and cerebral infarction (83.88%). The awareness rate of high risk factors, hazards and knowledge of prevention and treatment of COPD was 2.02%, significantly lower than that of high risk factors of hypertension (30.70%), hazards (34.11%) and knowledge of prevention and treatment (33.64%), and that of high risk factors (30.70%), hazards (34.11%) and prevention and treatment knowledge (33.64%). The awareness rate of high risk factors of diabetes mellitus (26.20%), hazards (22.17%) and prevention and treatment knowledge (21.40%), as well as the high risk factors of cerebral infarction (20.16%), The awareness rate of hazard (32.87%) and prevention and cure knowledge (28.53%) were 0. 01. The disease name and high-risk factors of COPD in 鈮，

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