摘要
为探讨社区老年就诊者老年性皮肤瘙痒症(senile pruritus,SP)的患病情况和临床特征,为社区SP防治提供参考,采用横断面调查、分层抽样法,于2019年3月1日至5月31日在张家口市桥西区明德北社区卫生服务中心和北京市朝阳区垡头社区卫生服务中心2个中心的全科门诊中随机抽取300例年龄≥60岁的就诊者,计算SP的发病率,采用问卷调查的方法,对SP患者进行SP的知晓情况、治疗情况及临床特征进行调查。对不同特征社区就诊的SP患者皮肤瘙痒程度进行比较,对生活方式与行为习惯对SP患者瘙痒的影响因素进行分析。社区老年就诊者SP发病率为33.30%(198/600),知晓率为29.29%(58/198),治疗率为23.23%(46/198);洗澡次数>3次/周(χ^(2)=9.129)、洗澡时间>1 h/次(χ^(2)=12.742)、经常用碱性洗涤物洗澡(χ^(2)=8.695)、生活不规律(χ^(2)=14.819)、有辛辣饮食习惯(χ^(2)=9.852)、不用保湿类护肤品(χ^(2)=6.614)、经常饮浓茶(χ^(2)=6.258)、经常喝咖啡(χ^(2)=6.513)、睡眠不佳(χ^(2)=12.364)、情绪烦躁易怒者(χ^(2)=23.120)SP的发生率高,差异有统计学意义(均P<0.05)。提示社区老年就诊者SP发病率高,知晓率和治疗率较低,需要加强SP患者的健康教育,改善不良生活方式与行为习惯,以减少社区SP的发生率。
Three hundred patients aged≥60 year,who visited general practice clinic of Zhangjiakou Mingdebei Community Health Service Center or Beijing Fatou Community Health Service Center from March to May 2019,were randomly selected as study subjects.The prevalence of senile prutitus(SP)was calculated;the awareness,treatment and clinical characteristics of SP were surveyed with questionnaire.The degree of skin pruritus was compared among SP patients with different characteristics in the community,and the factors influencing pruritus of SP patients were analyzed.The results revealed that the prevalence of SP in elderly patients visiting community general practice clinic was 33.30%(198/600),the SP awareness rate was 29.29%(58/198),and the SP treatment rate was 23.23%(46/198).Frequent bath taken(>3 times/week,χ^(2)=9.129),long bathing time(>1 h/time,χ^(2)=12.742),regular use of alkaline detergents(χ^(2)=8.695),irregular life(χ^(2)=14.819),spicy food(χ^(2)=9.852),not using moisturizer for skin care(χ^(2)=6.614),frequent drinking strong tea(χ^(2)=6.258),frequent drinking coffee(χ^(2)=6.513),poor sleep quality(χ^(2)=12.364)and irritability temperament(χ^(2)=23.120)were significantly associated with pruritus in elderly patients.(all P<0.05).The study indicates that the elderly patients in the community have a high incidence of SP,low awareness and low treatment rates.It is necessary to strengthen the health education,improve life style and live habits to reduce the incidence of SP in the community.
作者
龙雄初
赵社海
龙枚飞
王伟娟
刘小虎
贾志霞
Long Xiongchu;Zhao Shehai;Long Meifei;Wang Weijuan;Liu Xiaohu;Jia Zhixia(Department of Emergency,the 81st Hospital of the People′s Liberation Army,Zhangjiakou 075000,China;Department of General Practice,Mingdebei Community Health Service Center of Qiaoxi District,Zhangjiakou 075000,China;Department of General Practice,Fatou Community Health Service Center of Chaoyang District,Beijing 100023,China;Department of Pharmacy,Zhangjiakou Hospital of Traditional Chinese Medicine,Zhangjiakou 075000,China;Department of Anorectal Surgery,the Affiliated Hospital of Medical School of Ningbo University,Ningbo 315000,China)
出处
《中华全科医师杂志》
2021年第1期89-93,共5页
Chinese Journal of General Practitioners
