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目的了解普洱市中小学教师慢性病患者就医行为及影响因素,为制定针对性的慢性病就医行为干预措施提供科学依据。方法采用整群和多阶段分层随机抽样法,对普洱市辖区内577名在职中小学教师进行慢性病就医行为问卷调查。结果普洱市中小学教师慢性病患病率为69.2%(399/577),患病后以县级医疗机构就医为主,及时就医率为39.3%;慢性病患者中有43.9%选择西医治疗,37.3%选择中西医结合治疗,98.0%在医院治疗的基础上进行自我治疗。职务、患病类型、疾病关注度、医疗费用是就医行为的影响因素(P<0.05)。结论普洱市中小学教师慢性病预防意识不高,慢性病就医行为具有明显的地域特征和职业特征。应加强普洱市中小学教师健康素养,完善卫生政策,提高区域间医疗服务水平,达到促进该群体就医行为的目的。
Objective To understand the medical behaviors and influential factors of chronic disease patients in primary and secondary schools in Pu’er and to provide a scientific basis for formulating targeted medical interventions for chronic diseases. Methods A cluster and multi-stage stratified random sampling method was used to investigate the behavior of 577 active primary and secondary school teachers in Pu’er city. Results The prevalence of chronic diseases among primary and secondary school teachers in Pu’er City was 69.2% (399/577). After the illness, the prevalence of medical treatment was 39.3% at the county level and 43.9% of the patients with chronic diseases were treated by Western medicine, while 37.3% Choose Integrative Medicine treatment, 98.0% self-treatment on the basis of hospital treatment. Job title, type of illness, degree of disease concern and medical expenses were the influencing factors of medical treatment (P <0.05). Conclusion Primary and secondary school teachers in Pu’er City have a low awareness of prevention of chronic diseases, and have obvious geographical and occupational characteristics in chronic diseases. The health literacy of primary and secondary school teachers in Pu’er should be strengthened, the health policy should be perfected, the inter-regional medical service level should be improved, and the purpose of promoting medical treatment for this group should be achieved.