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慢性阻塞性肺疾病与社区常见慢性病在上海市崇明县农村人群中的认知现状

发布时间:2019-04-28 11:56
【摘要】:目的了解上海市崇明县农村人群对慢性阻塞性肺疾病(COPD)的认知现状,为制定COPD社区防治策略提供客观依据。方法采用整群随机抽样的方法,于2013年4—7月对上海市崇明县港沿镇20岁以上人群进行COPD、高血压病、糖尿病和脑梗死等疾病名称、高危因素、危害和防治知识等认知现状的横断面调查。结果抽查的800名被调查者中,645名(80.63%)完成认知现状调查问卷,其中男266名,女379名,平均年龄为(61.6±14.8)岁。确诊COPD患者62例,患病率为9.61%,所有需要药物治疗的患者均未接受过规范的吸入药物治疗。被调查者对肺功能检查的知晓率为4.19%,显著低于对头颅CT(72.87%)、血糖检查(74.42%)的知晓率(P值均0.01);对COPD的疾病名称的知晓率仅为3.41%,显著低于对高血压病(92.71%)、糖尿病(87.44%)和脑梗死(83.88%)等其他慢性疾病的知晓率(P值均0.01);对COPD的高危因素、危害、防治知识的知晓率均为2.02%,显著低于对高血压病的高危因素(30.70%)、危害(34.11%)和防治知识(33.64%)的知晓率,对糖尿病的高危因素(26.20%)、危害(22.17%)和防治知识(21.40%)的知晓率,以及对脑梗死的高危因素(20.16%)、危害(32.87%)和防治知识(28.53%)的知晓率(P值均0.01)。≥60岁人群对COPD的疾病名称、高危因素、危害和防治知识的知晓率均显著低于其他年龄段人群(P值均0.05)。结论上海市崇明县港沿镇社区居民对肺功能检查的知晓率低,对COPD的疾病认知程度差,需加大健康教育和宣传的力度。
[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 卤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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