中国全科医学Issue(33)：4025-4029,4033,6.DOI:10.3969/j.issn.1007-9572.2015.33.002
提高糖尿病患者健康素养对其社区卫生服务利用的影响研究
Influence of the Utilization of Community Health Service on Improving the Health Literacy of Patients With Diabetes Mellitus
摘要
Abstract
Objective To investigate the influence of the utilization of community health service on improving the health literacy of patients with diabetes mellitus. Methods From July 2013 to July 2014,we selected diabetes patients from Desheng Community in the Xicheng District in Beijing using cluster random sampling method by two stages(534 patients before intervention and 413 patients after intervention). Team - based individualized health management intervention was carried out in Desheng Community Health Service Center. Comparison was made in general information,health literacy,the utilization of basic medical services,the utilization of basic public health services and health status between before and after intervention. Results After intervention,patients' age,gender,nationality,marital status,number of family members,family monthly income and insurance type were not significantly different from those before intervention(P > 0. 05),while patients' educational level and the occupation distribution were significantly different from those before intervention( P < 0. 05 ) . Before intervention,153 (28. 7% )patients had basic health literacy and 381 ( 71. 3% ) had low - level health literacy;after intervention,147 (35. 6% )patients had basic health literacy and 266(64. 4% )patients had low - level health literacy. After intervention,the health literacy level of the subjects was higher than that before intervention( χ2 = 5. 185,P < 0. 05) . After intervention, preferred medical settings,visits to doctors within two weeks and contracts signed with general practitioners were significantly different from those before intervention(P < 0. 05),and hospitalization in the last year was not significantly different from that before intervention( P > 0. 05 ) . After intervention,the establishment of health records,the utilization of social health education,the participation of physical examination free of charge in community,the inoculation of influenza vaccine and the accepted guidance of life style were significantly different from those before intervention(P < 0. 05). After intervention,self -evaluated health status and self - evaluated diabetes control were not significantly different from those before intervention(P >0. 05);blood glucose level was significantly different from that before intervention(P < 0. 05). Conclusion The improvement of the health literacy of diabetes patients could promote their effective utilization of community health service and improve their health status.关键词
糖尿病/社区卫生服务/健康管理/健康素养/健康状况Key words
Diabetes mellitus/Community health services/Health management/Health literacy/Health status分类
医药卫生引用本文复制引用
温秀芹,韩琤琤,刘菊红,赵洁,常春,曾庆奇,郑韵婷..提高糖尿病患者健康素养对其社区卫生服务利用的影响研究[J].中国全科医学,2015,(33):4025-4029,4033,6.基金项目
教育部博士点基金资助项目 （）
