首页|新疆某健康体检机构重要异常结果分析与随访结果研究

新疆某健康体检机构重要异常结果分析与随访结果研究

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目的 研究新疆某健康体检机构重要异常结果人群分布特征及随访结果。方法 选取 2022 年在新疆医科大学健康管理中心参加健康体检的受检者65 045 例,检出4 665 例有重要异常结果的受检者,制定重要异常结果A类B类随访规则,进行电话通知及 1 月、6 月随访,使用随访信息系统进行提醒及表单记录。结果 4 665 例重要异常结果受检者中 A 类重要异常结果 447 例(9。58%),B 类 4 218 例(90。42%);男性 2 815 例(60。34%)、女性 1 850 例(39。66%),男性高于女性(P<0。05);年龄与重要异常结果存在相关性(P<0。05);41~50 岁(1 114 例)、51~60 岁(1 211 例)这两个年龄段重要段异常结果人数占比高。有效通知 4 457 例(95。54%),通知后有效随访 4 397 例(98。65%),失访60 例(1。35%);电话随访后就诊 2 118 例(48。17%),未就诊 2 279 例(51。83%);未就诊男性 1 562(58。57%)高于女性 717(41。45%),性别与是否就诊有统计学意义(P<0。05)。就诊后非肿瘤性疾病 1 194 例(56。40%),恶性肿瘤性疾病97 例(4。5%),未明确 827 例(39。1%)。结论 重要异常结果男性高于女性,随年龄增长重要异常结果发生率增高。随访路径实施中通知及随访成功率还应提高。受检者对重要异常结果指标理解不够及重视程度不高(60。44%),未按随访建议进行及时就诊,需加强健康宣教提高其健康意识,督促其重视及时治疗,对提高疾病"早筛查,早评估,早干预"有重要意义。
Analysisof important abnormal results and follow-up results in a health examination institution in Xin-jiang
Objective To study the population distribution characteristics and follow-up results of a health examination institution in Xinjiang.Methods 65 045 subjects who took physical examination in the Health Management Center of Xinjiang Medical University in 2022,and 4 665 subjects with important abnormal results were selected.The follow-up rules of important abnormal results class B were formulated,telephone notification and follow-up in January and June,and follow-up were recorded by follow-up information system.Results Of the 4665 cases,447 cases(9.58% )had important abnormal results of class A and 4 218 cases(90.42% )had important abnormal results of class B;there were 2 815 males(60.34% )and 1 850 females(39.66% ),indicating cases were higher in males than in females(P<0.05);there was a correlation between age and impor-tant abnormal results(P<0.05).The number of abnormal results in important sections of 41-50 years old(1 114 cases)and 51-60 years old(1 211 cases)accounted for a high proportion.4 457 cases(95.54% )were effectively notified,4 397 cases(98.65% )were effectively followed up after notification,and 60 cases(1.35% )lost follow-up.After telephone follow-up,2118 cases(48.17% )were treated and 2 279 cases(51.83% )were not treated.1 562(58.57% )ofmales who did not see a doctor,compared with 717(41.45% )of females,and there was statistical significance between sex and whether they saw a doc-tor or not(P<0.05).There were 1 194 cases(56.40% )of non-tumor diseases,97 cases(4.5% )of malignant diseases and 827 cases(39.1% )of undefined diseases.Conclusion Significant abnormal results are higher in men than women,and the in-cidence of significant abnormalities increases with age.The notification and follow-up success rate in the implementation of the follow-up pathway should also be improved.The subjects did not fully understand and paid enough attention to the important abnormal outcome indicators(60.44% )or see a doctor in time according to the follow-up recommendations.Health education needs to be strengthened to improve their health awareness and urge them to get timely treatment,which was of great significance to improve the"early screening,early evaluation and early intervention"of the disease.

Important abnormal indicatorsHealth checkupPost-test follow-upEffect evaluation

韩雷、渠林楠、江艳、伊力达尔·阿布迪外力、席晓玲

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新疆医科大学第一附属医院 新疆乌鲁木齐 830054

重要异常结果 健康体检 检后随访 效果评价

新疆自治区创新环境(人才、基地)建设专项科技创新基地建设(资源共享平台建设)项目

PT2207

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(1)
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