ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-03-014 预防医学研究 2026, 2(03): 53-56

基层健康服务——体检、筛查与健康宣教的依从性改善实践

北京市朝阳区孙河社区卫生服务中心

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摘要

目的 通过体检、筛查与健康宣教等基层健康服务改善脑卒中患者防治依从性。方法 填写调查问卷、开展体检与健康宣教,将符合标准患者纳入研究并根据体检结果进行随访、精细检查与转诊治疗,统计筛查人群基本信息与变化趋势,分析卒中发生影响因素与健康宣教结果,评价活动效果。结果 活动结束后分析发现,4年间参与筛查人群数量存在显著差异,同时性别比例也明显不同,男性占比有所下降;对筛查患者进行分类发现,低中危、高危、卒中与短暂性脑缺血发作(TIA)患者占比也呈现明显差异,而年龄分布上以60~79岁为最多,以上差异均有显著性(P<0.05)。结论 做好体检、筛查与健康宣教,对高危患者及时干预与治疗,可能有助于提升群众对卒中预防的依从性,降低卒中的发生与复发风险。

Abstract

Objective Improving the compliance of stroke patients in prevention and treatment through basic health services such as physical examinations, screenings and health education. Methods A stroke questionnaire was developed and physical examinations, screenings and health education were conducted. Patients meeting the criteria were included in the study and followed up, examined in detail and referred for treatment based on the examination results. Basic information and trends of the screened population were statistically analyzed, the influencing factors of stroke occurrence and the results of health education were analyzed, and the effectiveness of the activity was evaluated. Results After the activity, an analysis was conducted and it was found that there were significant differences in the number of participants in the screening over the four years, and the gender ratio was also significantly different, with the proportion of men decreasing. When classifying the screened patients, it was discovered that the proportions of low and medium-risk, high-risk, stroke and Transient ischemic attack(TIA) patients also showed significant differences, and the age distribution was the highest among those aged 60~79 years. All these differences were statistically significant(P<0.05). Conclusion By conducting physical examinations, screenings and health education, timely intervention and treatment for high-risk patients may help improve the compliance of the public in stroke prevention and reduce the occurrence and recurrence of stroke.

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[1]贾桂林.基层健康服务——体检、筛查与健康宣教的依从性改善实践[J].疾病预防与控制,2026,2(03):53-56.