摘要
目的了解上海市金山区医务人员亚健康状况及其影响因素,为防治其亚健康发生提供科学依据。方法采用等比例分层随机抽样方法,采用自行设计问卷于2017年7—9月对上海市金山区医务人员进行亚健康调查,采用单、多因素分析方法对金山区医务人员亚健康发生影响因素进行分析。结果共对628名金山区医务人员进行调查,调查对象平均年龄(34.55±9.14)岁,男女比例2.2∶1。亚健康检出率为47.9%(301/628),其中三级医院、二级医院、社区卫生服务中心和疾病预防控制中心亚健康检出率分别为55.8%、48.7%、37.7%、50.0%,差异有统计学意义(P<0.05)。多因素分析结果显示,年龄30~39、40~49、≥50岁(OR=0.470、0.468、0.163)的金山区医务人员亚健康发生的可能性较低,少数民族(OR=10.670)、已婚分居或丧偶(OR=13.070、47.807)、近3个月有持续1周以上的情绪沮丧和郁闷(OR=2.578)、3餐从不定时吃饭(OR=5.218)、睡眠质量很差(OR=2.873)、周工作时间长>40 h(OR=2.717)和工作压力大(OR=2.099、3.760)的金山区医务人员亚健康发生可能性较大。结论上海市金山区医务人员亚健康检出率较高,并受多因素影响,应针对危险因素,采取相应的干预措施。
Objective To survey the status and influencing factors of sub⁃health in the medical staff,so as to pro⁃vide scientific basis for the prevention and treatment of sub⁃health.Methods An equal proportion stratified random sam⁃pling method was adopted to investigate the sub⁃health status of the medical staff in Jinshan District,Shanghai from July to September 2017.Data were analyzed by univariate and multivariate logistic regressions.Results A total of 628 valid ques⁃tionnaires were included,the average age of the subjects was(34.55±9.14)years old,and the male⁃to⁃female sex ratio was 2.2∶1.Of the participants,the detection rate of sub⁃health was 47.9%(301/628),the rates in tertiary hospitals,sec⁃ondary hospitals,community health service centers and centers for disease prevention and control were 55.8%,48.7%,37.7%,and 50.0%respectively(P<0.05).Multivariate logistic regression showed that medical personnel in Jinshan Dis⁃trict aged 30-39,40-49 and≥50 years(OR=0.470,0.468,0.163)were less likely to have sub⁃health,while those who were ethnic minorities(OR=10.670),married seperalion or widowed(OR=13.070,47.807),had depressed mood and de⁃pression lasting for more than one week in recent three months(OR=2.578),never ate regularly(OR=5.218),had poor sleep quality(OR=2.873),worked more than 40 hours a week(OR=2.717),and had high working stress(OR=2.099,3.760)were more likely to have sub⁃health.Conclusions The sub⁃health detection rate of medical staff in Jinshan District,Shanghai was relatively high and affected by many factors.Corresponding intervention measures should be taken according to the risk factors.
作者
王伟伟
田猛
吴首伟
王琦
蒋玉花
WANG Wei⁃wei;TIAN Meng;WU Shou⁃wei;WANG Qi;JIANG Yu⁃hua(Jinshan Branch of Shanghai Sixth People's Hospital,Shanghai 201599,China;Jinshan Center for Disease Control and Prevention;Prevention and Health Care Department of Lvxiang Community Health Service Center of Jinshan District)
出处
《华南预防医学》
2020年第2期133-137,共5页
South China Journal of Preventive Medicine
基金
金山区团区委重点课题(2017-4)
上海市第六人民医院金山分院院级课题(2016-2)。
关键词
医务人员
亚健康
影响因素
Medical staff
Sub⁃health
Influencing factor
