天津市高血压病患者卫生服务需求调查研究

发布时间：2018-05-29 04:34

本文选题：高血压 + 慢性病　；参考：《天津医科大学》2017年硕士论文

【摘要】：目的:通过对天津市的第五次卫生服务调查中居民人口基本情况、慢性病患病率、高血压病的患病率及不同地区和人口结构之间进行对比及分析;了解近年来天津市居民的高血压病发病情况及卫生服务需求,为提高高血压病的防治策略提供依据。方法:本研究主要研究对象是2013年的天津市第五次卫生服务调查中的居民。采用多阶段分层整群随机抽样的方法,以“家庭成员健康询问调查表”的形式对家庭每位成员逐项进行调查。调查后进行了质量复核,确保调查质量。数据的整理利用SPSS软件、excel等计算机软件进行处理分析,对样本人群的基本特征、高血压病患者的卫生服务需求进行描述性分析。结果:天津市2013年第五次卫生服务调查共计调查人口数为25288人,男性占48.9%,女性占51.1%。其中市内六区以65岁以上人口居多,而滨海地区、环城四区以及两区三县都以55~64岁人口居多,天津市及各地区均以初中文化程度比例最高。天津市15岁以上居民慢性病患病率为45.0%。高血压病为排在首位的慢性疾病,患病率为24.7%。35岁以上人群高血压发病率明显上升,各地区均以65岁以上人群患病率最高。文化程度越高居民高血压患病率逐渐下降,一周内有测量血压的患者占62.7%,整体来看血压控制正常的占63.3%。结论:天津市的高血压病患病率居于慢性病的患病率之首,且呈不断上升趋势,高血压病患者的卫生服务需求量不断加大,防控高血压病的局势依旧严重,迫在眉睫。中老年人的高血压病患病率、文化程度较低人群的高血压病患病率居于突出位置,应对这些重点人群实施高血压病防控知识的健康教育及管理工作。在高血压病患者当中一直存在“三低”的问题(即低知晓率、低控制率、低治疗率),这是我们在以后的高血压病防治工作中应该重点加强的内容。
[Abstract]:Objective: to compare and analyze the basic situation of resident population, the prevalence rate of chronic diseases, the prevalence rate of hypertension and the different regions and population structure in the fifth health service survey in Tianjin. To understand the incidence of hypertension and the demand of health service in Tianjin residents in recent years, to provide the basis for improving the prevention and treatment strategy of hypertension. Methods: the main subjects of this study were residents of the Fifth Health Service Survey in Tianjin in 2013. The method of multi-stage stratified cluster random sampling was used to investigate each family member item by item in the form of "family member health inquiry questionnaire". After the investigation, a quality review was carried out to ensure the quality of the investigation. The data were processed and analyzed by SPSS software excel and other computer softwares. The basic characteristics of the sample population and the health service demand of the patients with hypertension were analyzed in a descriptive way. Results: the total population of the fifth health service survey in Tianjin in 2013 was 25288, 48.9% male and 51.1% female. In the six districts of the city, the population over 65 years old is the majority, while in the coastal area, the four districts around the city and the three counties in the two districts, the population aged 55 to 64 is the majority, and the proportion of junior high school education in Tianjin and every region is the highest. The prevalence rate of chronic diseases in Tianjin residents aged 15 years and above was 45.0%. Hypertension was the first chronic disease, and the prevalence rate of hypertension was 24.7.35 years old. The prevalence rate of hypertension was the highest in the population over 65 years old. The higher the education level, the lower the prevalence rate of hypertension, 62.7% of the patients with blood pressure measured within a week, and 63.3% of the patients with normal blood pressure control overall. Conclusion: the prevalence rate of hypertension in Tianjin is the first of chronic diseases, and it is on the rise. The demand for health services of patients with hypertension is increasing, and the situation of prevention and control of hypertension is still serious and urgent. The prevalence rate of hypertension in the middle and old people and the prevalence rate of hypertension in the population with lower education level are prominent. The health education and management of the knowledge of hypertension prevention and control should be carried out in these key groups. There are always "three low" problems in patients with hypertension (that is, low awareness rate, low control rate and low treatment rate), which should be emphasized in the prevention and treatment of hypertension in the future.
【学位授予单位】：天津医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R544.1

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