摘要
目的:为掌握平洲社区居民慢性非传染性疾病的疾病谱及其危险因素,评价慢性非传染性疾病社区综合干预的效果。方法:(1)对我院健康管理中心2007年5月～2007年6月30日为止的所有年满18周岁的受检并已建立个人健康档案人员相关资料进行整理,运用深圳天方达软件开发公司研发的杏林妙手和顺风耳系统以及KYN系统对该人群进行疾病风险评估,并进行流行病学的统计和分析,得到具统计学意义的社区成年人的慢性非传染性疾病谱。(2)2007年7月～2008年7月对整体受检人群进行为期12个月的社区综合干预,措施包括健康教育、改变不良生活行为方式,强调合理膳食、戒烟戒酒、运动量化干预、心理平衡等,并对血压、血糖、血脂等各项指标定期进行监测。(3)经过为期12个月的社区综合干预后于2008年7月对受检人群进行全面的复查并进行统计学分析及对比。结果:综合干预12个月后复检人群高血压发病率由19.85%下降到15.60%、脂肪肝发病率由13.33%下降到10.14%、血糖升高发病率由7.64%下降到5.62%等较干预前有显著下降(P<0.05),干预效果显著。本研究结果符合国内外众多的流行病学调查研究数据。结论:在社区基础上开展慢性非传染性疾病的综合干预不仅可行,而且是有效的,是降低慢性非传染性疾病发病率的有效途径。
Objective： To grasp Pingzhou community residents with chronic non-infectious diseases and risk factors of disease, evaluation of chronic non-infectious diseases community complex intervention. Methods： （i） in our hospital and health management center in May 2007 - June 30, 2007, 18 years of age in all the subjects and the establishment of personal health-related data files, used Xinglinmiaoshou and Shunfeng＇er systems produced by Shenzhen Tianfangda Software Development Company, as well as the crowd KYN system for disease risk assessment and epidemiological statistics and analysis, to get a significant community of adults with chronic non-infectious diseases. （ii） in July 2007 - July 2008 on the overall population examined a 12-month community-based integrated intervention measures including health education, change of unhealthy behavior patterns of life, stressing a reasonable diet, quit drinking, exercise to quantify intervention, psychological balance, and blood pressure, blood sugar, blood lipid indicators monitored on a regular basis. （iii） after a period of 12 months after the community complex intervention, in July 2008 conducted a comprehensive review and statistical analysis and comparison for the examined crowd. Results： 12 months after the comprehensive intervention, the hypertension incidence rate of the re-examined crowd dropped to 15.60% from 19.85 %, the incidence of fatty liver dropped to 10.14% from 13.33%, blood glucose increased incidence dropped to 5.62% from 7.64%, decreasing significantly （P 〈0.05）, showing significant intervention effects. The results of this study were in line with the large number of epidemiological survey research data at home and abroad. Conclusion： The comprehensive intervention of chronic non-infectious diseases in the communities is not only feasible, but also is effective. It is an effective way to reduce the incidence of the chronic non-infectious diseases.
出处
《临床医学工程》
2009年第2期49-51,56,共4页
Clinical Medicine & Engineering
基金
2007年佛山市科委科技攻关项目(受理编号:200726立项编号:200708110立项文号:佛科[2007]79号)
关键词
社区
慢性非传染性疾病
疾病谱
综合干预
效果评价
community
chronic non-infectious diseases
disease spectrum
comprehensive intervention
evaluation
