首页> 中文期刊> 《中国全科医学》 >甘肃省民族与非民族地区居民健康档案与高血压管理对比研究

甘肃省民族与非民族地区居民健康档案与高血压管理对比研究

摘要

Objective To learn the current situation about establishment of resident health records and hypertension managements between multi-national and single-national regions in Gansu province. Methods In May,2013 by means of ran-dom cluster sampling method,multi-national and single-national regions in Kangle County of Linxia State and Liangzhou Dis-trict of Wuwei City selected as the research objects. The research data were obtained from the grassroots health unit,including the total population of the permanent residents,the population of the permanent residents in towns and counties,the total numbers of the files of resident health record accumulated and the overall numbers of hypertension residents under management. Our research-ers investigated 566 residents on the spot(264 from Kangle,302 from Liangzhou)to carry out hypertension management cam-paigns:measuring blood pressure for the residents,guiding them to fill in the" blood pressure record table" including" being diagnosed or not"," taking medicine on time or not"," being managed or not"," the management being effective or not". Re-sults In 2012,the rates of established paper( electronic)health records in towns and villages were 93. 78%,93. 17%(93. 78%,93. 17%) in Kangle County,and 81. 83%,86. 23%(76. 17%,86. 21%) in Liangzhou District respectively;the management rates of hypertension in Kangle County and Liangzhou district was 80. 02%,32. 93% respectively;the effective control rates of blood pressure investigated on the site were 10. 9%(12/110) in Kangle County and 25. 5%(24/94) in Liang-zhou District. Conclusion The rate of established health records and management rate of hypertension in Multi-national regions are both higher than those of Single-national regions,but the blood pressure effective control rates are both lower than 30%.%目的:了解甘肃省民族与非民族地区居民建档、高血压管理情况。方法于2013年5月,采用随机整群抽样的方法,从民族与非民族地区分别抽取临夏州康乐县、武威市凉州区为研究现场,从基层单位获得数据,包括常住居民总人口数,常住居民城镇、农村人口数,居民健康档案累计建档总人份数,高血压规范管理人数等;现场随机对566例(其中康乐县264例、凉州区302例)居民进行高血压管理调查,为居民测量血压,并填写《现场血压测量记录表》,记录是否确诊、是否按时服药、是否被管理、管理是否有效等。结果2012年,康乐县城镇、农村居民纸质(电子)健康档案建档率分别为93.78%、93.17%(93.78%、93.17%),凉州区分别为81.83%、86.23%(76.17%、86.21%);2012年康乐县、凉州区高血压管理率分别为80.02%、32.93%;2013年,现场调查得到康乐县血压有效控制率为10.9%(12/110),凉州区为25.5%(24/94)。结论民族地区居民建档率、高血压管理率均高于非民族地区,但两地高血压控制率均<30%。

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