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目的了解湖南省流动人口接受高血压、糖尿病患者管理服务现状和存在问题,为推动全省流动人口基本公共卫生服务提供决策依据。方法选取2012年全省参加中国慢性病及其危险因素监测流动人口专题调查筛查出的高血压和糖尿病患者,采取问卷调查,并进行描述分析。结果流动人口高血压患病率16.7%;其中35岁以下患病率为5.21%,35岁以上患病率28.39%。糖尿病患病率4.3%;其中35岁以下患病率1.52%,35岁以上患病率7.17%;在筛查出的348名高血压患者和90名糖尿病患者中,仅有8名在本次调查前曾被医生诊断为高血压的患者和4名糖尿病患者,参加了基层医疗卫生机构提供的患者管理服务,高血压和糖尿病患者管理率分别为2.3%和4.44%。结论湖南省流动人口高血压和糖尿病患者管理服务水平亟待改善。
Objective To understand the status quo and existing problems of floating population in Hunan Province who are undergoing management of hypertension and diabetes and to provide decision-making basis for the promotion of basic public health services for migrants across the province. Methods The hypertension and diabetes patients screened from the 2012 special survey of chronic diseases and their risk factors in China were selected and investigated by questionnaires and descriptive analysis. Results The prevalence of hypertension in floating population was 16.7%. Among them, the prevalence rate was 5.21% under 35 and 28.39% over 35 years old. The prevalence of diabetes was 4.3%. Among them, the prevalence rate was 1.52% under 35 years of age and 7.17% over 35 years old. Only 8 out of 348 hypertensive patients and 90 diabetic patients screened out this time Prior to the survey, doctors diagnosed as hypertension and 4 diabetes patients participated in patient management services provided by primary health care institutions. The rates of hypertension and diabetes management were 2.3% and 4.44% respectively. Conclusion The management and service level of hypertension and diabetes patients in floating population in Hunan Province needs to be improved urgently.