老年慢性病患者社区照护管理与其社会因素的相关性
发布时间:2018-07-27 13:10
【摘要】:目的探讨老年慢性病患者社区照护管理现状及其社会影响因素。方法采用概率比例规模抽样法,涉及苏州市5个区中3 328名年龄≥60岁的老年居民,以其中1 990例高血压或(和)糖尿病的患者为研究对象。社会资料包括:户籍、受教育程度、职业、家庭人均月收入;社区照护管理服务利用情况包括:血压、血糖测量频率,调查前1年内随访次数。结果调查前1年内未接受过社区照护管理服务随访的高血压患者占81.68%,糖尿病患者占87.90%。相关性分析显示,户籍、职业、家庭人均月收入是高血压患者1年内社区照护随访次数的独立影响因素(P0.05);其中非农村户口是农村户口随访次数的2.718倍,农民是事业单位负责人的0.469倍,家庭人均月收入次高20%、最高20%分别为收入最低20%的2.257和2.418倍。户籍、受教育程度、职业、家庭人均月收入均对糖尿病患者1年内社区照护随访次数无明显影响(P0.05)。结论苏州市老年慢性病患者社区照护可获得性较差;户籍、职业、家庭人均月收入是老年高血压患者1年内社区照护随访次数的社会决定因素。
[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.
【作者单位】: 苏州大学附属第一医院;
【分类号】:R473.2
,
本文编号:2147942
[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.
【作者单位】: 苏州大学附属第一医院;
【分类号】:R473.2
,
本文编号:2147942
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