界首市部分农村地区高血压与糖尿病共病患者健康相关行为及医疗服务利用现状与影响因素研究

界首市部分农村地区高血压与糖尿病共病患者健康相关行为及医疗服务利用现状与影响因素研究摘要：

目的：本文旨在了解界首市部分农村地区高血压与糖尿病共病患者的健康相关行为及医疗服务利用现状，探究影响因素，并提出相应的干预策略。

方法：采用问卷调查法，对531名高血压与糖尿病共病患者进行问卷调查，并进行统计学分析。

结果：部分农村地区高血压与糖尿病共病患者存在健康相关行为不良的问题，如饮食习惯不健康、缺乏锻炼、不定期体检等。此外，医疗服务利用不充分也是一个普遍存在的问题。影响因素主要包括个人因素、家庭因素、社会因素和医疗因素。

结论：为改善农村地区高血压与糖尿病共病患者的健康状况，应该从多个方面入手，例如加强社会宣传、倡导健康生活方式、提供更为便捷的医疗服务等。

关键词：健康行为；医疗服务；高血压；糖尿病；农村地区

Abstract:

Objective:Thepurposeofthispaperistoinvestigatethehealth-relatedbehaviorsandmedicalserviceutilizationofhypertensionanddiabetescomorbidpatientsinsomeruralareasofJieshouCity,exploretheinfluencingfactors,andproposecorrespondinginterventionstrategies.

Methods:Aquestionnairesurveywasconductedon531hypertensiveanddiabeticcomorbidpatients,andstatisticalanalysiswasperformed.

Results:Someruralhypertensiveanddiabeticcomorbidpatientshaveproblemswithunhealthyhealth-relatedbehaviors,suchasunhealthyeatinghabits,lackofexercise,andirregularphysicalexaminations.Inaddition,insufficientmedicalserviceutilizationisalsoacommonproblem.Theinfluencingfactorsmainlyincludepersonalfactors,familyfactors,socialfactors,andmedicalfactors.

Conclusion:Toimprovethehealthofhypertensiveanddiabeticcomorbidpatientsinruralareas,weshouldstartfrommultipleaspects,suchasstrengtheningsocialpropaganda,advocatinghealthylifestyles,providingmoreconvenientmedicalservices,etc.

Keywords:healthbehaviors;medicalservices;hypertension;diabetes;ruralareasHypertensionanddiabetesaretwocommonchronicdiseasesthatseriouslyharmpeople'shealth.Hypertensiveanddiabeticcomorbidityisbecomingmoreandmorecommon,andithasbecomeamajorpublichealthproblemworldwide,especiallyinruralareas.

Toimprovethehealthofhypertensiveanddiabeticcomorbidpatientsinruralareas,interventionsshouldbeimplementedtoenhancetheirhealthbehaviors.Healthbehaviorssuchasfollowingahealthydiet,maintainingregularexercise,quittingsmoking,andlimitingalcoholconsumptioncaneffectivelycontrolbloodpressureandbloodglucoselevels.However,thelowlevelofhealthliteracyandthelackofawarenessoftheimportanceofhealthbehaviorsamongruralresidentsaremajorobstaclestobehaviorchange.

Toaddressthisissue,socialpropagandashouldbestrengthened,andcampaignsshouldbeorganizedtopromotehealthylifestylesamongruralresidents.Educationonhealthyeatinghabits,physicalexercises,smokingcessation,andmoderatedrinkingshouldbeprovidedtoraisehealthliteracyandawareness.

Moreover,providingmoreconvenientmedicalservicesisalsocrucial.Inmanyruralareas,patientswithchronicdiseasesneedtotravellongdistancestoaccesshealthcare.Thisisparticularlychallengingforolderadultswithcomorbiditieswhomaynothaveadequatemobility.Thereisaneedtodevelopprimarycareservicesinruralareas,includingregularcheck-ups,chronicdiseasemanagement,andmedicationprescriptions.Mobilemedicalservicesandtelemedicinecanalsobeemployedtoovercomethedistancebarrier.

Inaddition,familyandsocialsupportplayimportantrolesinmanagingcomorbidities.Thesupportoffamilymembersandfriendscanmotivatepatientstoadheretotreatmentplans,engageinhealthybehaviors,andpreventcomplications.Therefore,familymembersandsocialnetworksshouldbeincludedininterventionstoimprovethehealthoutcomesofcomorbidpatientsinruralareas.

Inconclusion,amulti-facetedapproachisneededtoimprovethehealthofhypertensiveanddiabeticcomorbidpatientsinruralareas.Thisapproachshouldencompassstrategiestopromotehealthybehaviors,enhanceaccesstomedicalservices,andmobilizesocialsupport.Byaddressingtheseissues,wecanreducetheburdenofhypertensionanddiabetesinruralcommunitiesandimprovethequalityoflifeofthoseaffectedAdditionally,healthcareprovidersinruralareasshouldreceivespecializedtrainingtomanagecomorbidpatients.Thiscaninvolveprovidingeducationonthelatestevidence-basedmedicalguidelines,aswellasdevelopingtargetedinterventionsandtreatmentplansthattakeintoaccounttheuniquechallengesfacedbyruralcommunities.

Furthermore,effortsshouldbemadetoimprovethehealthinfrastructureofruralareas,includingtheavailabilityofmedicalequipment,laboratoryservices,andpharmaceuticals.Thiscaninvolveworkingwithgovernmentagenciesandprivatesectorpartnerstobuildorenhancehealthcarefacilities,aswellaspromotingtelemedicineandotherinnovativeapproachesthatcanimproveaccesstocare.

Finally,policymakersandcommunityleadersshouldworktogethertoaddresstheunderlyingsocialdeterminantsofhealththatcontributetothehighprevalenceofhypertensionanddiabetesinruralareas.Thiscaninvolvepromotingeconomicdevelopment,improvingaccesstoeducationandjobtraining,andprovidingaffordablehousingandreliabletransportationoptions.

Bytakingacomprehensiveapproachtoimprovingthehealthoutcomesofcomorbidpatientsinruralareas,wecanmakesignificantprogressinreducingtheburdenofchronicdiseaseandimprovingthequalityoflifeforthoseaffected.Whilethereisnoone-size-fits-allsolutiontothiscomplexproblem,byworkingcollaborativelyacrosssectorsandengagingdirectlywithaffectedcommunities,wecandevelopeffectiveandsustainablesolutionsthatwillbenefitallOnepotentialsolutiontoimprovethehealthoutcomesofcomorbidpatientsinruralareasistoincreaseaccesstotelemedicineservices.Telemedicineallowshealthcareproviderstoremotelydiagnoseandtreatpatientsusingtelecommunicationstechnology,suchasvideoconferencingandremotemonitoringdevices.

Telemedicinecanbeespeciallybeneficialforpatientswithchronicconditionswhorequirefrequentcheck-upsandmedicationadjustments.Withtelemedicine,patientscanconsultwiththeirhealthcareprovidersfromthecomfortoftheirownhomes,reducingtheneedforlongandexpensivetripstothedoctor'soffice.Additionally,telemedicinecanimproveaccesstospecialistswhomaynotbeavailableinruralareas,suchasendocrinologistsorpulmonologists.

Anotherpotentialsolutionistoincreaseaccesstohealthyfoodoptionsinruralareas.Inmanyruralareas,therearelimitedoptionsforfreshproduceandhealthymealchoices,whichcancontributetothedevelopmentofchronicconditionslikeobesityanddiabetes.Bypartneringwithlocalfarmersandgrocerystores,healthcareprovidersandcommunityorganizationscanworktoincreaseaccesstohealthyfoodoptionswhilealsosupportinglocalbusinesses.

Transportationisalsoasignificantbarriertohealthcareaccessinruralareas.Manypatientsinruralareasmaynothaveaccesstoreliabletransportation,makingitchallengingtoattendnecessarymedicalappointments.Onepotentialsolutionistoprovidetransportationservicestopatients,suchascommunityshuttlesorride-sharingprograms.Additionally,healthcareproviderscanconsiderofferingtelemedicineservicesforroutinecheck-ups,reducingtheneedforpatientstotravellongdistancestoseetheirphysicians.

Finally,communityengagementiscriticaltoimprovingthehealthoutcomesofcomorbidpatientsinruralareas.Byengagingdirectlywithaffectedcommunities,healthcareprovidersandcommunityorganizationscanbetterunderstandtheuniquechallengesfacingruralpatientsanddevelopsolutionsthataretailoredtotheirneeds.Encouragingcommunityparticipationinhealthcareinitiativesandprovidingeducationandresourcestopatientscanalsohelptoimprovehealthoutcomesandpreventthedevelopmentofchronicconditions.

Inconclusion,improvingthehealthoutcomesofcomorbidpatientsinruralareasrequiresamulti