本文選題：高血壓 + 慢性病�。� 參考：《天津醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:通過對天津市的第五次衛(wèi)生服務(wù)調(diào)查中居民人口基本情況、慢性病患病率、高血壓病的患病率及不同地區(qū)和人口結(jié)構(gòu)之間進行對比及分析;了解近年來天津市居民的高血壓病發(fā)病情況及衛(wèi)生服務(wù)需求,為提高高血壓病的防治策略提供依據(jù)。方法:本研究主要研究對象是2013年的天津市第五次衛(wèi)生服務(wù)調(diào)查中的居民。采用多階段分層整群隨機抽樣的方法,以“家庭成員健康詢問調(diào)查表”的形式對家庭每位成員逐項進行調(diào)查。調(diào)查后進行了質(zhì)量復(fù)核,確保調(diào)查質(zhì)量。數(shù)據(jù)的整理利用SPSS軟件、excel等計算機軟件進行處理分析,對樣本人群的基本特征、高血壓病患者的衛(wèi)生服務(wù)需求進行描述性分析。結(jié)果:天津市2013年第五次衛(wèi)生服務(wù)調(diào)查共計調(diào)查人口數(shù)為25288人,男性占48.9%,女性占51.1%。其中市內(nèi)六區(qū)以65歲以上人口居多,而濱海地區(qū)、環(huán)城四區(qū)以及兩區(qū)三縣都以55~64歲人口居多,天津市及各地區(qū)均以初中文化程度比例最高。天津市15歲以上居民慢性病患病率為45.0%。高血壓病為排在首位的慢性疾病,患病率為24.7%。35歲以上人群高血壓發(fā)病率明顯上升,各地區(qū)均以65歲以上人群患病率最高。文化程度越高居民高血壓患病率逐漸下降,一周內(nèi)有測量血壓的患者占62.7%,整體來看血壓控制正常的占63.3%。結(jié)論:天津市的高血壓病患病率居于慢性病的患病率之首,且呈不斷上升趨勢,高血壓病患者的衛(wèi)生服務(wù)需求量不斷加大,防控高血壓病的局勢依舊嚴(yán)重,迫在眉睫。中老年人的高血壓病患病率、文化程度較低人群的高血壓病患病率居于突出位置,應(yīng)對這些重點人群實施高血壓病防控知識的健康教育及管理工作。在高血壓病患者當(dāng)中一直存在“三低”的問題(即低知曉率、低控制率、低治療率),這是我們在以后的高血壓病防治工作中應(yīng)該重點加強的內(nèi)容。
[Abstract]:Objective: to compare and analyze the basic situation of resident population, the prevalence rate of chronic diseases, the prevalence rate of hypertension and the different regions and population structure in the fifth health service survey in Tianjin. To understand the incidence of hypertension and the demand of health service in Tianjin residents in recent years, to provide the basis for improving the prevention and treatment strategy of hypertension. Methods: the main subjects of this study were residents of the Fifth Health Service Survey in Tianjin in 2013. The method of multi-stage stratified cluster random sampling was used to investigate each family member item by item in the form of "family member health inquiry questionnaire". After the investigation, a quality review was carried out to ensure the quality of the investigation. The data were processed and analyzed by SPSS software excel and other computer softwares. The basic characteristics of the sample population and the health service demand of the patients with hypertension were analyzed in a descriptive way. Results: the total population of the fifth health service survey in Tianjin in 2013 was 25288, 48.9% male and 51.1% female. In the six districts of the city, the population over 65 years old is the majority, while in the coastal area, the four districts around the city and the three counties in the two districts, the population aged 55 to 64 is the majority, and the proportion of junior high school education in Tianjin and every region is the highest. The prevalence rate of chronic diseases in Tianjin residents aged 15 years and above was 45.0%. Hypertension was the first chronic disease, and the prevalence rate of hypertension was 24.7.35 years old. The prevalence rate of hypertension was the highest in the population over 65 years old. The higher the education level, the lower the prevalence rate of hypertension, 62.7% of the patients with blood pressure measured within a week, and 63.3% of the patients with normal blood pressure control overall. Conclusion: the prevalence rate of hypertension in Tianjin is the first of chronic diseases, and it is on the rise. The demand for health services of patients with hypertension is increasing, and the situation of prevention and control of hypertension is still serious and urgent. The prevalence rate of hypertension in the middle and old people and the prevalence rate of hypertension in the population with lower education level are prominent. The health education and management of the knowledge of hypertension prevention and control should be carried out in these key groups. There are always "three low" problems in patients with hypertension (that is, low awareness rate, low control rate and low treatment rate), which should be emphasized in the prevention and treatment of hypertension in the future.
【學(xué)位授予單位】：天津醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R544.1

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本文編號：1949507