【摘要】 目的 了解社区60岁及以上人群对慢性阻塞性肺疾病(慢阻肺)与高血压病、糖尿病、脑梗死等常见慢性病的整体认知情况,为制定社区老年人群常见的慢性病防治策略提供依据。方法 利用自设问卷询问参加社区体检的人群对慢阻肺、高血压病、糖尿病、脑梗死的高危因素、危害及防治方法 等总体认知,将受慢病影响最大的60岁及以上人群作为分析对象。结果 60岁及以上人群共发放资料500份,资料完整合格者为428份。男189人,女239人。其中1.17%知晓肺功能检查,66.59%的人知晓血糖检查,68.93%的人知晓CT检查。仅1.87%的人知道慢阻肺疾病的名称,0.70%的人能基本正确知晓慢阻肺的高危因素、危害及防治知识。有92.52%的人表示知道高血压病的名称,能基本正确知晓高血压病高危因素、危害及防治知识的分别为25.70%、28.97%、28.97%。有85.28%的人表示知道糖尿病的名称,能基本正确知晓糖尿病高危因素的为23.13%,危害为19.86%,防治知识为18.93%。有80.61%的人表示知道脑梗死,能基本正确知晓脑梗死高危因素的为19.39%,危害为32.71%,防治知识为26.40%。对慢阻肺疾病名称的知晓率、危害因素、疾病的危害以及防治知识的知晓率均明显低于其他3种常见慢性疾病,差异有统计学意义(P<0.01)。而在高血压病、糖尿病、脑梗死这3种疾病中,高血压病的推广普及工作较早,脑梗死的危害较重,其认知也高于对糖尿病的认知。结论 社区居民对慢阻肺及其相关知识的认知极低,居民对脑梗死,高血压,糖尿病的危害和防治知识知晓度也不高。今后应加强慢性病防治知识教育。更多还原

【Abstract】 objective To investigate the rate of awareness of person with aged older than 60 years old,on chronic obstructive pulmonary disease(COPD),hypertension,diabetes,cerebral infarction,and to provide the basis for formulating manage strategy of chronic diseases in community.Methods A set of questionnaire including disease’s name,which are COPD,hypertension,diabetes,cerebral infarction and their risk factors,harmfulness to health and prevention methods,was undertaken to find the cognitive rate from people mostly suffered chronic diseases,aged larger than 60 years old,who participated in community routine physical examination.Results Totally 500 questionnaires were sent out,people over the age of 60 completing qualified questionnaire were 428(Male/female:189/239).Among them,only 1.17%knew pulmonary function test,66.59%knew blood glucose examination,68.93%knew CT examination.Only 1.87%knew the disease name of COPD,0.70%for COPD’s risk factors,harmfulness to health and prevention knowledge.People who said that they knew hypertension were 92.52%,25.70%,28.97%,28.97%for hypertension’s risk factors,harmfulness and prevention knowledge respectively.People who said that they knew the disease name of diabetes were 85.28%,23.13%,19.86%and 18.93%for diabetes’ risk factors,harmfulness to health and prevention knowledge respectively.People who said that they recognize the name of cerebral infarction were 80.61%,and 19.39%,32.71%,26.40%for accurately know myocardial infarction’s risk factors,harmfulness to health,and the knowledge of prevention respectively.People owned less knowledge about COPD than about diabetes,hypertension and cerebral infarction(P<0.01).Conclusion Old people in community have much less knowledge about COPD than about other chronic diseases,but they knew few methods about harmfulness to health,prevention of hypertension,diabetes,and cerebral infarction,which suggests that they should be given much more knowledge about these chronic diseases.更多还原