ABSTRACT
Objective@#To understand the epidemiological characteristics of injury in Jinhua from 2014 to 2018,and to provide scientific basis for formulating injury intervention and prevention measures.@*Methods@#The information of injury cases from three sentinel hospitals in Jinhua from 2014 to 2018 was collected through Zhejiang chronic diseases surveillance and management system. Descriptive analysis was conducted on the demographic characteristics,causes and time distribution of injury surveillance cases.@*Results@#A total of 38 052 injuries were reported from 2014 to 2018,with 1.55 men for every woman. The average age of injury cases was（37.21±20.46）years,and increased year by year（P<0.05）. The age of injury cases mainly concentrated in 25-44 years,with 13 880 cases accounting for 36.48%. The main occupation were migrant workers,with 17 694 cases accounting for 46.50%,and workers,with 6 441 cases accounting for 16.93%. The top five causes of injury were falls（13 555,35.62%）,blunt injuries（9 785,25.72%）,traffic injuries（4 990,13.12%）,stabs or cuts（4 830,12.69%）and animal injuries（2 661,6.99%）. The high incidence of injury lay in July to September,with 11 131 cases accounting for 29.25%. @*Conclusion@#The top cause of injury in Jinhua from 2014 to 2018 were fall. Males,migrant workers and people aged 25-44 years were at high risk of injury.
ABSTRACT
Objective To evaluate the effectiveness of community?based standardized blood pressure control and lifestyle management in hypertensive patients in Jinhua. Methods The study included patients with primary hypertension from community health service centers in Yongkang, Lanxi, and an urban district in Jinhua. Electronic health record data from 2015 to 2017 were collected, and relevant indicators before and after standardized management were assessed. Rates and constituent ratios were used for statistical evaluation. Numeric data were compared using the chi square test, and means were compared using the t?test. Results Of 14 943 hypertensive patients who underwent standardized management, 8 052 were women (53.88%) and 6 891 were men (46.12%). The average age of these patients in early 2015 was 66.63 years. After 3 years of standardized management, the rate of blood pressure control increased from 42.85% to 49.50%. The difference was statistically significant (χ2=133.019, P<0.05). The mean systolic and diastolic blood pressure values (138.67 mmHg and 84.46 mmHg, respectively) (1 mmHg=0.133 kPa) after standardized management were significantly different from those (139.40 mmHg and 85.08 mmHg, respectively) before standardized management (t=7.667, P<0.05; t=6.583, P<0.05, respectively). The average body weight, number of cigarettes smoked daily, and regular exercise time (61.51 kg, 15.28 cigarettes, and 40.56 min, respectively) after standardized management were significantly different from those (61.62 kg, 15.49 cigarettes, and 40.31 min, respectively) before standardized management (t=5.015, P<0.05; t=1.848, P<0.05; t=2.455, P<0.05, respectively). The medication compliance and willingness of being managed had significantly increased. The difference was statistically significant (χ2=72.600, P<0.05; χ2=299.434, P<0.05, respectively). Conclusions Standardized community-based management of hypertension effectively improved the rate of blood pressure control and the overall health of residents.