残疾人健康状况研究——以上海市金山区卫镇为例

发布时间：2018-08-30 20:24

【摘要】：本文通过分析上海市金山区金山卫镇残疾人健康现状及慢性病发病风险,探索以残疾人健康状况为导向的个性化健康管理服务,从而实现精准服务。以金山卫镇1443名持证残疾人为研究对象,从上海市康复综合信息平台和上海市金山区卫生事务中心数据平台分别收集到了2011至2015年金山卫镇858名残疾人的健康体检记录和1301名残疾人的健康档案,并采用入户调查的方式收集了1392名残疾人的健康行为数据。运用一般描述性分析方法对健康体检资料进行分析,并运用Framingham风险评估工具分别评估金山卫镇残疾人患心血管病和高血压的风险。结果显示,残疾人健康体检异常项前5位分别为高血压(41.96%)、高血脂(40.68%)、肥胖(36.36%)、心电图异常(34.73%)和脂肪肝(28.44%),478名30~74岁的残疾人中有89人(18.62%)心血管疾病10年发病风险达到30%以上,435名20~69岁的残疾人中分别有1人、79人和186人1年、2年、4年高血压发病风险达15%以上。卫生部门应以不同健康状况的残疾人群的健康需求为导向,针对残疾人群健康状况特点,为残疾人群提供有针对性的健康管理服务。
[Abstract]:Based on the analysis of the health status of the disabled and the risk of chronic diseases in Jinshan Wei Town, Jinshan District, Shanghai, this paper explores the individualized health management service based on the health status of the disabled so as to realize the accurate service. Taking 1443 licensed disabled people in Jinshanwei Town as the research object, From the Shanghai Rehabilitation Comprehensive Information platform and the Shanghai Jinshan District Health Affairs Center data platform, the health check-up records of 858 disabled persons and the health records of 1301 disabled persons were collected from 2011 to 2015 in Jinshanwei Town, respectively. Data on health behavior of 1392 persons with disabilities were collected by household survey. The general descriptive analysis method was used to analyze the health examination data and the Framingham risk assessment tool was used to evaluate the risk of cardiovascular disease and hypertension for the disabled in Jinshanwei town. The results show that Hypertension (41.96%), hyperlipidemia (40.68%), obesity (36.36%), abnormal electrocardiogram (34.73%), fatty liver (28.44%) and fatty liver (28.44%) accounted for 89 (18.62%) of 478 persons with 30 or 74 years of age who had a 10-year cardiovascular disease risk of more than 30% (18.62%). The risk of hypertension was more than 15% in 1, 79 and 186 persons with disabilities for 1 year, 2 years and 4 years, respectively. The health department should be oriented to the health needs of the disabled people with different health conditions, and provide targeted health management services for the disabled population according to the characteristics of the health status of the disabled people.
【作者单位】：复旦大学公共卫生学院;上海市金山区事务中心;
【基金】：国家自然科学基金项目(71573153,71774030) 上海市残联重点学科建设项目(2DXK201506) 上海市金山区科学技术创新资金项目(JSKW2015-3-38)
【分类号】：D669.69;R193

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