健康檢查對老人高血壓及糖尿病之自我認知率、治療率和控制率的影響

吳逸帆; 吳岱穎; 賴正偉; 郭冠良

doi:10.3966/168232812018092803004

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P142 - 149

医药卫生 > 社会医学

DOI： 10.7023/TJFM

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健康检查对老人高血压及糖尿病之自我认知率、治疗率和控制率的影响

The Effect of Health Examination on Awareness, Treatment and Control Rate of Hypertension and Diabetes Mellitus among Older People

吴逸帆(Yi-Fan Wu) ；吴岱颖(Tai-Yin Wu) ；赖正伟(Cheng-Wei Lai) ；郭冠良(Kuan-Liang Kuo)

台湾家庭医学杂志； 28 卷 3 期 (2018 / 09 / 01) ， P142 - 149

繁体中文 DOI： 10.3966/168232812018092803004

老人；健康检查；健检後追踪；高血压；糖尿病；自我认知率；治疗率；控制率； awareness ； control rate ； diabetes ； elderly ； health examination ； hypertension ； post-health-exam follow up ； treatment rate

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摘要 │ 参考文献 (15) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Background: According to the statement of the Ministry of Health and Welfare in 2016, diabetes mellitus and hypertension were the 5^(th) and 8^(th) among the top ten leading causes of death. We assessed the prevalence, awareness, treatment and control rates of the senior citizens who participated in health checkups in Taipei City to analyze the benefit these health checkups can provide. Methods: This is a retrospective cohort study. We studied changes in the prevalence of hypertension and diabetes mellitus of the senior citizens who participated in the annual elderly health checkups held in Taipei City Hospital Renai Branch from 2008 to 2014. We also followed up the changes in awareness, treatment, and control rates of these two diseases in the subgroup of participants who participated in the health checkup for two or more times. Results: Among the study group of 9,017 cases who participated in health checkups at least once, the prevalence, awareness, treatment, and control rates for hypertension were 58.1%, 79.6%, 76.6%, and 48.9%, respectively, while those for diabetes were 17.4%, 78.7%, 74.3%, and 47.3%, respectively. Furthermore, among the subgroup of 5,209 cases who underwent the follow-up health checkups, we observed 17.6% awareness in the 648 cases who were unaware of hypertension in the first checkup, 23.1% treatment rate in the 749 cases diagnosed with hypertension but without treatment in the first checkup, and 49.6% control rate in the 963 cases who had not reached treatment goal in the first checkup. Meanwhile for diabetes mellitus, we observed 32.8% awareness in the 183 cases who were unaware of diabetes in the first checkup, 38.6% treatment rate in the 220 cases diagnosed with diabetes but without treatment in the first checkup, and 35.8% control rate in the 307 cases who had not reached treatment goal in first checkup. Conclusion: The annual health checkup for elderly aged 65 and over does increase the awareness, treatment and control rates of hypertension and diabetes mellitus effectively. We hope in future follow up studies, we could demonstrate the long-term impact on reducing cardiovascular and cerebrovascular damage and kidney disease.

参考文献 ( 15 ) 〈TOP〉

Huang, YN,Wu, TY,Kuo, KL,Wang, SM,Chen, CC(2011).Prevalence, awareness, treatment and control of hypertension and diabetes mellitus among adults participating in health examination in Taipei city.Taiwan J Fam Med,21,157-66.
连结：
American Diabetes Association(2011).Standards of medical care in diabetes-2011.Diabetes Care,34(Suppl 1),S11-61.
Blais, C,Rochette, L,Hamel, D,Poirier, P(2014).Prevalence, incidence, awareness and control of hypertension in the province of Quebec: perspective from administrative and survey data.Canad J Public Health,105,e79-85.
Chobanian, AV,Bakris, GL,Black, HR(2003).Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.Hypertension,42,1206-52.
Kiau, BB,Kau, J,Nainu, BM(2013).Prevalence, awareness, treatment and control of hypertension among the elderly: the 2006 National Health and Morbidity Survey III in Malaysia.Med J Malaysia,68,332-7.

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