Al-Ghamdi Ageel J, Al-Turki Khalid A, Al-Baghli Nadira A, El-Zubaier Ahmad G
Directorate of Heath Affairs, Ministry of Health, Dammam, Saudi Arabia.
J Family Community Med. 2007 Sep;14(3):91-7.
To describe a community-based diabetes and hypertension screening campaign, the percentage of screened positive individuals, identified the participation rate, and the factors affecting the participation. CAMPAIGN DESIGN AND METHODS: A community-based screening campaign whose main objective was the screening for diabetes and hypertension was conducted in the Eastern Province of Saudi Arabia for three and half months in the year 2004. A structured questionnaire was used. Diabetes mellitus was diagnosed on the basis of repeated detection of a fasting blood sugar equal to or more than 126 mg/dl, and hypertension when the blood pressure was 140/90 mm Hg or more.
Of the 650,000 target population, 214,381 (33%) participated, and 197,681 questionnaire were completed. Of the number of individuals screened, 31,711 (16%) were positive for abnormal blood pressure and /or glucose, and needed confirmation of their results. Only 17296 (54.5%) of them were referred to health facilities for confirmation of results
Community screening campaigns for diabetes mellitus and hypertension is extremely efficient in identifying undiagnosed diabetic and hypertensive individuals. The most successful strategy for the screening and confirmation of results was through PHCCs, especially in the rural areas, where there was good organization and strict adherence to guidelines on methodology.
描述一项基于社区的糖尿病和高血压筛查活动,筛查出的阳性个体百分比,确定参与率以及影响参与的因素。
2004年在沙特阿拉伯东部省份开展了一项为期三个半月的、以筛查糖尿病和高血压为主要目标的基于社区的筛查活动。使用了一份结构化问卷。糖尿病的诊断依据是多次检测空腹血糖等于或高于126毫克/分升,高血压的诊断标准是血压为140/90毫米汞柱或更高。
在65万目标人群中,214381人(33%)参与了筛查,共完成了197681份问卷。在接受筛查的个体中,31711人(16%)血压和/或血糖异常呈阳性,需要对其结果进行确认。其中只有17296人(54.5%)被转至医疗机构进行结果确认。
针对糖尿病和高血压的社区筛查活动在识别未确诊的糖尿病和高血压个体方面极其有效。筛查和确认结果最成功的策略是通过基层医疗保健中心,尤其是在农村地区,那里组织良好且严格遵守方法指南。