摘要
目的:分析我国慢性病防治干预措施的实施性研究现状,探讨影响慢性病干预措施实施的因素,为改善干预方案、提升干预措施的实施效率提供参考.方法:检索中国知网、万方和PubMed数据库,利用End-Note软件进行文献筛选.对纳入的慢性病防治干预措施实施性研究进行文献计量分析,主要关注发表年份、地区分布、干预措施和影响因素.结果:慢性病防治干预措施的实施性研究逐渐增多.慢性病一、二、三级预防相关干预措施的实施性研究分别占比为30.00％、34.44％、35.56％,研究类别均衡分布.影响慢性病防治干预措施实施的因素从供需两方面共归纳出8个一级因素.供方层面包括服务水平、政策保障、经费投入和媒体宣传,相关报道文献数分别为34篇、8篇、6篇和5篇.需方层面包括知信行因素、个人因素、医疗保险和心理因素,相关报道文献数分别为50篇、49篇、12篇和6篇.结论:需方层面的知信行因素和个人因素是影响我国慢性病干预措施实施的重要因素.近年来,慢性病防治干预措施的实施性研究逐渐增多,但需要加强对农村地区的关注.宣传教育是推动慢性病干预实施进展的重要手段,可利用个人-家庭-社会三位一体的模式开展宣传教育工作.
Abstract
Objective:To analyze the current situation of the implementation of intervention measures for chronic disease pre-vention and treatment in China,and to explore the factors affecting the implementation of chronic disease intervention,so as to pro-vide a reference for improving intervention programs and increasing implementation efficiency of interventions.Methods:CNKI,Wanfang and PubMed databases were searched,and EndNote software was used for literature screening.Bibliometric analysis was conducted on the included studies on the implementation of chronic disease prevention and intervention measures,focusing on the year of publication,regional distribution,intervention measures and influencing factors.Results:The research on the implementa-tion of chronic disease prevention and intervention measures has gradually increased.The implementation of interventions related to the primary,secondary,and tertiary prevention of chronic diseases accounted for 30.00％,34.44％and 35.56％respectively,with a balanced distribution of research categories.The factors affecting the implementation of chronic disease prevention and intervention measures were summarized into 8 first-level factors from both supply and demand.The supply side included service level,policy guarantee,funding input and media publicity.The number of related reports was 34,8,6 and 5 respectively.The demand side in-cluded the knowledge,attitude and practice factors,personal factors,medical insurance and psychological factors,and the number of related reports was 50,49,12 and 6 respectively.Conclusion:The knowledge,attitude and practice factors of the demand side and the factors at the individual level are the main factors affecting the implementation of chronic disease intervention measures in China.In recent years,the implementation of chronic disease prevention and treatment interventions has gradually increased,but more attention needs to be paid to rural areas.Propaganda and education are important means to promote the implementation of chronic disease intervention,which can take advantage of the individual-family-society trinity publicity model.
维普
万方数据