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目的了解武汉市城市社区中老年人健康相关问题,寻求符合现代中老年人生活方式的健康教育与健康促进策略。方法对有一定工作基础的新、老两个社区,采取了系统随机抽样方法,进行入户问卷调查。结果城市社区高血压、冠心病等慢性病患病为影响中老年人的主要健康问题;中老年人健康体检行为较差,其根本原因是对体检重要性认识不够;中老年人身体不适首选去正规大医院,其次去零售药店买药,再次才是社到区卫生服务中心(站)。结论针对中老年人主要健康问题,加强综合性和连续性的社区保健和健康教育势在必行;加大健康体检的宣传教育力度,对中老年人的体检费用问题,政府应给与适当关注;应继续加强对社区卫生服务中心(站)的医务工作者专业培训,提高他们的业务素质;要加大对社区卫生服务中心功能的宣传力度,加强健康教育工作,逐步提升其可信度,使之真正成为保障人民健康的机制。
Objective To understand the health problems of middle-aged and elderly people in urban communities in Wuhan and to seek health education and health promotion strategies that are in line with the lifestyle of the middle-aged and elderly people in modern times. Methods A systematic random sampling method was adopted for the new and old communities with certain work foundation to conduct household questionnaire survey. Results The prevalence of chronic diseases such as hypertension and coronary heart disease in urban communities was the major health problem affecting middle-aged and elderly people. The reason of poor health examination in middle-aged and elderly people was the lack of understanding of the importance of physical examination. Large hospitals, followed by retail pharmacies to buy drugs, community health service center again to the community (station). Conclusion It is imperative to strengthen the comprehensive and continuous community health care and health education to address the major health problems of the elderly. To increase publicity and education of health checkups, the government should pay due attention to the medical expenses of middle-aged and elderly people ; Should continue to strengthen the professional training of medical workers in community health service centers (stations) and improve their professional qualities; we should step up publicity to the functions of community health service centers, strengthen health education and gradually increase their credibility, Make it a real mechanism for ensuring people’s health.