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目的:了解社区居民糖尿病防治知识获得途径,评估宣教干预效果。方法:按数字表法随机抽取某社区200户家庭487位居民作为糖尿病防治知识宣教干预对象,进行防治知识获得途径和宣教干预前后2次问卷调查,评估宣教干预效果。结果:居民均曾经接触过糖尿病防治知识,以手机网络获得知识来源途径最高,为36.8%;其次为报刊、卫生宣教和张贴画,分别为32.9%、18.3%和5.4%。宣教干预前,居民糖尿病防治知识知晓率水平总体偏低,尤其是成人血糖正常值及诱发糖尿病危险因素知晓率只有9.2%和11.4%。40岁以上成年人每年是否应查一次血糖知晓率最高,为70.9%。宣教干预后,居民12项糖尿病防治知识知晓率显著提高(χ~2值>35.6,P<0.001),宣教干预取得了很好的效果。结论:居民糖尿病防治知识主要来源于手机网络、报刊和卫生宣教,宣教干预能显著提高居民知晓率水平。为此,卫生部门应加强对居民的糖尿病防治知识宣传,提高其知晓率水平,增强其预防能力,遏制糖尿病发病率高发态势。
OBJECTIVE: To understand the ways of community diabetes prevention and control and evaluate the effectiveness of mission intervention. Methods: 487 residents from 200 households in a certain community were randomly selected as the subjects of intervention in knowledge of prevention and treatment of diabetes by digital table method. The methods of obtaining knowledge on prevention and treatment and the questionnaire survey before and after the intervention of education were evaluated to evaluate the effect of education intervention. Results: Residents had been exposed to diabetes prevention and treatment knowledge, the highest access to knowledge sources by mobile phone network was 36.8%; followed by newspapers, health education and postings, respectively, 32.9%, 18.3% and 5.4%. Pre-mission intervention, resident awareness of diabetes prevention and control of the overall level of awareness is low, especially in adults with normal blood glucose and diabetes risk factors awareness rate was only 9.2% and 11.4%. Adults over the age of 40 should be checked once a year, the highest awareness of blood glucose, was 70.9%. After the intervention of education, the awareness rate of 12 items of diabetes prevention and control among residents was significantly increased (χ ~ 2> 35.6, P <0.001), and the mission intervention achieved good results. Conclusion: Residents knowledge of diabetes prevention mainly comes from mobile internet, newspapers and health education, and mission intervention can significantly improve residents’ awareness rate. To this end, the health sector should strengthen residents of diabetes prevention and control of publicity to enhance their awareness of the level of awareness and enhance their preventive capacity to curb the high incidence of diabetes.