Analysis of the results of screening and intervention for high-risk groups of COPD and appropriate technology for community comprehensive prevention and control in Zhongshan city
Objective To analyze the results of screening and intervention for high-risk groups of chronic obstructive pulmonary disease(COPD)and the appropriate methods for community comprehensive prevention and control.Methods A total of 4920 residents aged≥40 years in 14 towns and streets of Zhongshan City were screened by COPD self-screening questionnaire(COPD-SQ)from January to December 2023.All subjects were screened by COPD screening questionnaire,and the high-risk groups were further tested for pulmonary function.The screening results were analyzed and high-risk groups were classified,and health interventions were carried out according to different high-risk groups after classification and the effect was evaluated.Results Among the 4920 participants,1388(28.21%)were found to be at high risk,of which 973 were males(19.78%)and 415 were females(8.43%).The proportion of men at high risk was much higher than that of women.Through the screening questionnaire,it was found that 1388 high-risk people,304 high-risk people had pulmonary function test,the rate of pulmonary function test in high-risk people over 40 years old was 21.90%,and the rate of pulmonary function test was low.Through community comprehensive prevention and control intervention for 594 high-risk groups,56 people quit smoking,105 people reduced smoking duration and amount,53 people with respiratory diseases took medicine on time,58 people were vaccinated,and 373 people kept regular exercise.Conclusions Smoking,exposure to biomass fuel,history of respiratory diseases,frequent cough without cold,shortness of breath,and lack of vaccination are the main risk factors for COPD.At present,the rate of pulmonary function test in high-risk population is low.Pulmonary function screening in high-risk population aged≥40 years is the focus of grassroots work.Attention should be paid to people with smoking and respiratory diseases.Screening of high-risk groups of COPD is helpful for early diagnosis,early intervention and prevention of disease progression.It is practical to implement appropriate technology for COPD prevention and control in community,strengthen the health education of the disease and improve the awareness of prevention of the residents,so as to reduce the incidence of COPD.
Chronic obstructive pulmonary diseaseHigh-risk population screeningComprehensive prevention and control
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