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目的了解上海市嘉定区居民对慢性病相关政策的知晓率、满意度及获益情况。方法采取拦截法在全区13家社区卫生服务中心门诊抽取650名前来就诊的居民进行问卷调查。结果居民对于居住周边绿化、体育设施、媒体慢性病防治知识宣传、就医环境、社区医院硬件建设及医疗服务水平满意的比例分别为91.60%、85.50%、96.79%、96.18%、95.57%和98.63%;居民对于高血压、糖尿病和肿瘤随访管理工作的知晓率分别为82.29%、78.63%和57.10%;对于高血压、糖尿病和肿瘤随访工作的获益率分别为43.97%、36.34%和18.50%;对于高血压、糖尿病和肿瘤随访管理工作满意的比例分别为99.42%、99.80%和98.96%;居民对于大肠癌筛查工作、两癌筛查、糖尿病运动干预、免费测血糖、35岁首诊测压、高血压免费服药、高血压自我管理、全民健康生活方式、慢性病宣传周及控烟条例的知晓率分别为79.17%、58.87%、50.46%、71.87%、68.35%、40.06%、60.70%、86.85%、54.13%和76.30%;对大肠癌筛查、糖尿病运动干预、免费测血糖、高血压免费服药和高血压自我管理等工作的满意率均为100.00%,对于两癌筛查、35岁首诊测压、全民健康生活方式、慢性病宣传周及控烟条例的满意率分别为99.74%、99.38%、99.28%、99.26%和99.30%。结论通过慢性病患者管理、高危人群发现和干预、健康知识传播等多种慢性病综合防控手段,嘉定区慢性病防控工作取了一定的成效,获得了居民的认可,但仍存在需进一步完善的地方,在今后的工作中,需充分利用信息化,加大对高危人群发现和干预、健康知识传播等的投入,以促进慢性病防控工作的持续发展。
Objective To understand the residents’ awareness, satisfaction and benefits of chronic diseases related policies in Jiading District of Shanghai. Methods To intercept 650 residents from 13 community health service centers in the district for questionnaire survey. Results Residents were 91.60%, 85.50%, 96.79%, 96.18%, 95.57% and 98.63%, respectively, satisfied with the publicity of living greening, sports facilities, prevention and treatment of chronic diseases in the media, medical environment, community hospital hardware construction and medical services. Residents’ awareness of follow-up management of hypertension, diabetes and cancer were 82.29%, 78.63% and 57.10%, respectively, and 43.97%, 36.34% and 18.50% for hypertension, diabetes and tumor follow-up respectively; Satisfactory rates for hypertension, diabetes and tumor follow-up management were 99.42%, 99.80% and 98.96% respectively. Residents conducted screening tests for colorectal cancer, screening for two cancers, intervention for diabetes mellitus, free blood glucose measurement, , The awareness rate of free medical treatment of hypertension, self-management of hypertension, healthy lifestyle, chronic disease awareness week and tobacco control regulation were 79.17%, 58.87%, 50.46%, 71.87%, 68.35%, 40.06%, 60.70% and 86.85% , 54.13% and 76.30% respectively. The satisfaction rates of colorectal cancer screening, diabetic exercise intervention, free blood sugar test, free medication of hypertension and self-management of hypertension were all 100.00 %, Satisfaction rate of 99.74%, 99.38%, 99.28%, 99.26% and 99.30% for the two cancer screening, 35-year-old first consultation manometry, universal healthy life style, chronic disease awareness week and tobacco control regulations respectively. Conclusion Chronic diseases prevention and control work in Jiading District has achieved some success through the prevention and control of chronic diseases, including management of chronic diseases, detection and intervention of high-risk groups, and dissemination of health knowledge, and has been approved by residents. However, there is still room for further improvement In the future work, it is necessary to make full use of informatization and increase input in the detection and intervention of high-risk groups and the dissemination of health knowledge so as to promote the sustainable development of prevention and control of chronic diseases.