CAJ | 학술논문

目的评价群体干预策略对人群中分布广泛、具有可干预性的健康危险因素进行干预的效果.方法以济南市某医院339名员工为研究对象,通过对生物学(血压高、血糖高、血脂高、超重或肥胖),心理(自我感觉健康差、压力大、工作满意度差、生活满意度差)和生活方式(身体活动少、睡眠质量差、饮酒、吸烟、不合理膳食、使用放松药物)14个健康危险因素进行评估,确认研究对象中分布最广泛、且具有可干预性的身体活动少作干预项目,采取群体干预策略进行干预,比较干预前后各健康危险因素在人群中的分布比例.结果干预6个月后,有3个健康危险因素在员工中的分布比例出现了具有统计学意义的降低(P＜0.05),身体活动少从57.8%下降到38.6%,血脂高从9.4%下降到5.3%,不合理膳食从28.9%下降到14.8%.员工的健康危险因素个数从基线的平均3.10个减少到末期的平均2.71个,并具有统计学意义(P＜0.01).结论基于解决主要矛盾、循证医学及健康促进三大原则,采取群体干预策略的健康干预可以有效改善健康危险因素状态.
목적 평개군체간예책략대인군중분포엄범、구유가간예성적건강위험인소진행간예적효과.방법 이제남시모의원339명원공위연구대상,통과대생물학(혈압고、혈당고、혈지고、초중혹비반),심리(자아감각건강차、압력대、공작만의도차、생활만의도차)화생활방식(신체활동소、수면질량차、음주、흡연、불합리선식、사용방송약물)14개건강위험인소진행평고,학인연구대상중분포최엄범、차구유가간예성적신체활동소작간예항목,채취군체간예책략진행간예,비교간예전후각건강위험인소재인군중적분포비례.결과 간예6개월후,유3개건강위험인소재원공중적분포비례출현료구유통계학의의적강저(P＜0.05),신체활동소종57.8%하강도38.6%,혈지고종9.4%하강도5.3%,불합리선식종28.9%하강도14.8%.원공적건강위험인소개수종기선적평균3.10개감소도말기적평균2.71개,병구유통계학의의(P＜0.01).결론 기우해결주요모순、순증의학급건강촉진삼대원칙,채취군체간예책략적건강간예가이유효개선건강위험인소상태.
Objective To evaluate the effectiveness of intervention for health risk factor in hospital employees. Methods This study was carried out among 339 employees of a hospital in Jinan, Shandong Province. Based on the results of Health Risk Appraisal for 14 health risk factors, we designed a 6-months intervention program for the most widely distributed and intervenable health risk factors; and then evaluated the changes of health risk factors after 6 months. Results After 6-month intervention the prevalence of 3 health risk factors decreased (P ＜ 0.05 ): physical inactivity decreased from 57.8% to 38.6%,hyperlipidemia from 9.4% to 5.3%, and unhealthy dietary from 28.9% to 14.8%. Compared with the baseline data, the average number of health risk factors were reduced from 3.10 to 2. 71 ( P ＜ 0. 01 ).Conclusion The intervention can reduce health risk factors effectively.