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目的为了解和分析多湖街道居民的主要健康问题及影响因素,同时培养农村社区医生班学生的社区诊断能力。方法 2011年11月采用分层抽样抽取124户家庭366人进行问卷调查,调查内容包括人口学资料家庭及个人情况、流行病学诊断、健康因素调查及卫生服务需求。结果 84.7%的村民都参加了新型农村合作医疗(新农合),78.5%的村民两年内做过全面健康检查;高脂血症是多湖街道居民患病率最高的,占16.47%,其次是高血压,占10.10%;主要健康影响因素为缺少锻炼、超重、口味偏咸等;他们对于健康咨询、饮食指导和体格检查等社区卫生服务有强烈的需求。结论本街道最优先解决的问题应是加强健康促进,减少心脑血管疾病的发生,同时提高社区卫生服务人员的专业技能以满足居民的社区卫生服务需求。
Objective To understand and analyze the main health problems and influencing factors of residents in Duhu Lake and to cultivate community diagnoses ability of doctors in rural communities. Methods In November 2011, 366 out of 124 families were sampled by stratified sampling to conduct questionnaire survey. The survey included family and individual demographic data, epidemiological diagnosis, health factor survey and health service demand. Results 84.7% of the villagers participated in the new rural cooperative medical care (NRCMS), 78.5% of the villagers did a comprehensive health examination within two years; hyperlipidemia was the highest prevalence in the streets of Lake Dao, accounting for 16.47%, followed by Are high blood pressure, accounting for 10.10%; the main health factors are lack of exercise, overweight, salty taste, etc. They have strong demand for community health services such as health consultation, diet guidance and physical examination. Conclusion The highest priority should be given to strengthening health promotion, reducing the incidence of cardiovascular and cerebrovascular diseases, and improving the professional skills of community health service personnel to meet the residents’ community health service needs.