慢性便秘患者对慢性便秘分级诊疗的认知度及其了解情况的影响因素研究

发布时间：2018-12-15 08:05

【摘要】：目的探讨上海市杨浦区慢性便秘患者对慢性便秘分级诊疗的认知度及其了解情况的影响因素。方法本研究采用抽样调查的方法,2016年10月—2017年2月抽取上海市杨浦区社区卫生服务中心2家,三级乙等医院1家,采用自制调查问卷对上海市杨浦区部分慢性便秘患者进行调查,Cronbach's α系数为0.768。结果共发放问卷240份,回收有效问卷219份,有效回收率91.25%。完全不了解慢性便秘分级诊疗的患者占48.9%,较了解及了解不多的患者分别占16.9%、34.2%。多因素Logistic回归分析结果显示,患者的年龄(20~60岁)、文化程度、近1年去社区卫生服务中心就医次数为慢性便秘患者慢性便秘分级诊疗了解情况的影响因素(P0.05)。结论上海市杨浦区慢性便秘患者对分级诊疗认知度低,年龄、文化程度、近1年去社区卫生服务中心就医次数是慢性便秘患者对慢性便秘分级诊疗了解情况的影响因素。社会及医疗机构应加大对慢性便秘分级诊疗的宣传力度,提高患者对社区卫生服务中心的认知度,以慢性便秘社区卫生服务中心首诊为突破口推进慢性便秘分级诊疗制度的落实。
[Abstract]:Objective to investigate the recognition of patients with chronic constipation in Yangpu District, Shanghai and its influencing factors. Methods from October 2016 to February 2017, two community health service centers in Yangpu District, Shanghai, and one Grade B hospital were selected by sampling survey. A self-made questionnaire was used to investigate some patients with chronic constipation in Yangpu District, Shanghai. The Cronbach's 伪 coefficient was 0. 768. Results A total of 240 questionnaires were sent out, 219 valid questionnaires were collected, and the effective recovery rate was 91.25%. 48.9 patients had no knowledge of chronic constipation grade diagnosis and treatment, while 16.9patients who knew more about chronic constipation had a better understanding and less understanding of the patients with chronic constipation grade diagnosis and treatment, and 16.9patients had 34.2 patients with chronic constipation. The results of multivariate Logistic regression analysis showed that the age (20 ~ 60 years old), the education level and the number of visits to the community health service center in the past year were the factors influencing the understanding of the patients with chronic constipation (P0.05). Conclusion the low recognition, age, education level of chronic constipation patients in Yangpu District, Shanghai, and the number of visits to the community health service center in the past year are the influencing factors for the patients with chronic constipation to understand the classification diagnosis and treatment of chronic constipation. The society and medical institutions should increase the publicity of grading diagnosis and treatment of chronic constipation and improve the patients' awareness of the community health service center. The first diagnosis of community health service center for chronic constipation promotes the implementation of classified diagnosis and treatment system of chronic constipation.
【作者单位】：同济大学附属杨浦医院全科医学科;同济大学医学院全科医学系;
【基金】：上海市卫生和计划生育委员会科研课题(201440344) 上海市卫生计生系统重要薄弱学科建设计划(2015ZB0603)
【分类号】：R574.62

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