1.Knowledge requested by patients with coronary artery disease after stent implantation
Zhaoxia YIN ; Tao XIAO ; Zuoxia SHI ; Jing YAN ; Yang CHEN
Chinese Journal of General Practitioners 2014;13(11):895-898
Objective To survey the knowledge requested by patients with coronary artery disease (CAD) after stent implantation.Methods A survey on CAD and stent-related knowledge requested by CAD patients with stent implantation was conducted with a self-designed questionnaire from September 2013 to November 2013.Total 362 patients (235 males and 127 females) aged (67 ± 12) years participated in the survey in Yuetan Community Health Service Center and Fuxing Hospital in Beijing.Open questions and heuristic questions were used together during the survey.Results The knowledge requested by patients were:diet management(255,70.4%),side effects of medication(241,66.6%),management of physical activity (221,61.0%),prevention of CAD(181,50.0%),withdrawal of medication(176,48.6%),the life of stents (168,46.4%),post-operation check-up items (162,44.8%),the causes of CAD (156,43.1%)and drug mechanisms(134,37.0%).Patients with stent implantation less than one year requested more knowledge about the cause of CAD (x2 =37.4,P < 0.001),life-time of stent (x2 =39.9,P <0.001),prevention of CAD (x2 =13.4,P =0.001),post-operation check-up items (x2 =21.2,P =0.001) and requested less knowledge about withdrawal of medication (x2 =9.56,P =0.008),diet management (x2 =6.49,P =0.04) than those with more than one year.Patients aged < 70 years requested more knowledge about the cause of CAD (x2 =31.6,P < 0.001),prevention of CAD (x2 =9.99,P =0.007),life-time of stent (x2 =79.1,P < 0.001),side effects of medication (x2 =7.84,P =0.02) than patients aged > 70 years.Patients with education higher than junior high school requested more knowledge about the cause of CAD (x2 =26.6,P < 0.001),prevention of CAD (x2 =14.4,P =0.001) and life-time of stents (x2 =7.82,P =0.02) than those with education lower than junior high school.Patients with education higher than junior college requested more knowledge about the cause of CAD (x2 =26.6,P < 0.001) and post-operation check-up items (x2 =10.7,P =0.005) than those with education lower than junior college.Conclusion Some factors affect the knowledge requested by patients with coronary artery disease (CAD) after stent implantation,which should be considered in health education for CAD patients.
2.Epidemiological characteristics of injury cases from hospital-based surveillance in Jinhua
Cheng WANG ; Zuoxia CHEN ; Xiaohong WANG ; Zelin XU
Journal of Preventive Medicine 2019;31(9):870-872
Objective:
To understand the epidemiological characteristics of injury in Jinhua from 2014 to 2018,and to provide scientific basis for formulating injury intervention and prevention measures.
Methods:
The information of injury cases from three sentinel hospitals in Jinhua from 2014 to 2018 was collected through Zhejiang chronic diseases surveillance and management system. Descriptive analysis was conducted on the demographic characteristics,causes and time distribution of injury surveillance cases.
Results:
A total of 38 052 injuries were reported from 2014 to 2018,with 1.55 men for every woman. The average age of injury cases was(37.21±20.46)years,and increased year by year(P<0.05). The age of injury cases mainly concentrated in 25-44 years,with 13 880 cases accounting for 36.48%. The main occupation were migrant workers,with 17 694 cases accounting for 46.50%,and workers,with 6 441 cases accounting for 16.93%. The top five causes of injury were falls(13 555,35.62%),blunt injuries(9 785,25.72%),traffic injuries(4 990,13.12%),stabs or cuts(4 830,12.69%)and animal injuries(2 661,6.99%). The high incidence of injury lay in July to September,with 11 131 cases accounting for 29.25%.
Conclusion
The top cause of injury in Jinhua from 2014 to 2018 were fall. Males,migrant workers and people aged 25-44 years were at high risk of injury.
3.Effectiveness evaluation of standardized community-based hypertension management in Jinhua City
Zelin XU ; Zuoxia CHEN ; Xiaohong WANG ; Cheng WANG
Chinese Journal of Health Management 2018;12(5):437-441
Objective To evaluate the effectiveness of community?based standardized blood pressure control and lifestyle management in hypertensive patients in Jinhua. Methods The study included patients with primary hypertension from community health service centers in Yongkang, Lanxi, and an urban district in Jinhua. Electronic health record data from 2015 to 2017 were collected, and relevant indicators before and after standardized management were assessed. Rates and constituent ratios were used for statistical evaluation. Numeric data were compared using the chi square test, and means were compared using the t?test. Results Of 14 943 hypertensive patients who underwent standardized management, 8 052 were women (53.88%) and 6 891 were men (46.12%). The average age of these patients in early 2015 was 66.63 years. After 3 years of standardized management, the rate of blood pressure control increased from 42.85% to 49.50%. The difference was statistically significant (χ2=133.019, P<0.05). The mean systolic and diastolic blood pressure values (138.67 mmHg and 84.46 mmHg, respectively) (1 mmHg=0.133 kPa) after standardized management were significantly different from those (139.40 mmHg and 85.08 mmHg, respectively) before standardized management (t=7.667, P<0.05; t=6.583, P<0.05, respectively). The average body weight, number of cigarettes smoked daily, and regular exercise time (61.51 kg, 15.28 cigarettes, and 40.56 min, respectively) after standardized management were significantly different from those (61.62 kg, 15.49 cigarettes, and 40.31 min, respectively) before standardized management (t=5.015, P<0.05; t=1.848, P<0.05; t=2.455, P<0.05, respectively). The medication compliance and willingness of being managed had significantly increased. The difference was statistically significant (χ2=72.600, P<0.05; χ2=299.434, P<0.05, respectively). Conclusions Standardized community-based management of hypertension effectively improved the rate of blood pressure control and the overall health of residents.