任洁, 张晓丽, 康印东, 乔够梅, 王宏玲, 刘麟玲, 李爽, 刘媛媛, 杨斌妮, 胡娟. 某高原驻地官兵泌尿系结石患者健康行为现状及影响因素研究[J]. 职业卫生与应急救援, 2022, 40(6): 655-660. DOI: 10.16369/j.oher.issn.1007-1326.2022.06.005
引用本文: 任洁, 张晓丽, 康印东, 乔够梅, 王宏玲, 刘麟玲, 李爽, 刘媛媛, 杨斌妮, 胡娟. 某高原驻地官兵泌尿系结石患者健康行为现状及影响因素研究[J]. 职业卫生与应急救援, 2022, 40(6): 655-660. DOI: 10.16369/j.oher.issn.1007-1326.2022.06.005
REN Jie, ZHANG Xiaoli, KANG Yindong, QIAO Goumei, WANG Hongling, LIU Linling, LI Shuang, LIU Yuanyuan, YANG Binni, HU Juan. Study on health behavior status and influencing factors of urolithiasis patients among officers and soldiers in the plateau[J]. Occupational Health and Emergency Rescue, 2022, 40(6): 655-660. DOI: 10.16369/j.oher.issn.1007-1326.2022.06.005
Citation: REN Jie, ZHANG Xiaoli, KANG Yindong, QIAO Goumei, WANG Hongling, LIU Linling, LI Shuang, LIU Yuanyuan, YANG Binni, HU Juan. Study on health behavior status and influencing factors of urolithiasis patients among officers and soldiers in the plateau[J]. Occupational Health and Emergency Rescue, 2022, 40(6): 655-660. DOI: 10.16369/j.oher.issn.1007-1326.2022.06.005

某高原驻地官兵泌尿系结石患者健康行为现状及影响因素研究

Study on health behavior status and influencing factors of urolithiasis patients among officers and soldiers in the plateau

  • 摘要:
      目的  了解某高原驻地官兵泌尿系结石患者健康行为现状,并探讨其影响因素。
      方法  采用便利抽样法,选取2020年6月-2021年7月患有泌尿系结石的158名某高原驻地官兵为观察组,158名未患泌尿系结石的官兵为对照组,应用一般资料调查表、慢性病病人健康素养量表、Champion健康信念量表及健康行为量表对高原官兵进行调查,采用多元线性回归法分析健康行为的影响因素。
      结果  观察组高原官兵健康行为总分为(109.84±15.49)分,低于对照组的(127.20±14.16)分(P < 0.05)。多元线性回归分析结果显示: (1) 回归模型有统计学意义(R2=0.468;调整R2=0.447;F=17.664;P < 0.001);(2) 相比 < 25岁的官兵,25~35岁、>35岁的官兵的健康行为总分分别降低11.184、22.378分(P < 0.05);(3) 相比于未婚的高原官兵,已婚官兵健康行为总分增加8.516分(P < 0.05);(4) 相比于低训练强度的高原官兵,驻训中强度、高强度的高原官兵健康行为总分分别降低5.373、11.728分(P < 0.05);(5) 相比于驻训时间 < 6个月的官兵,6~12个月以及>12个月的官兵健康行为总分分别降低5.280、12.591分(P < 0.05);(6) 健康信念及健康素养总分每提高1分,健康行为总分分别提高0.191、0.385分(P < 0.05)。
      结论  高原官兵泌尿系结石患者健康行为有待提高,且受多重因素影响。应通过强化健康教育、优化训练方式、提高患者健康素养、健康信念等措施,提升高原官兵泌尿系结石患者的健康行为水平。

     

    Abstract:
      Objective  To investigate the status quo of health behavior of urolithiasis patients among officers and soldiers in the plateau, and explore its influencing factors.
      Methods  A total of 158 officers and soldiers in the plateau who suffered from urolithiasis from June 2020 to July 2021 and 158 officers and soldiers in the plateau who did not suffer from urolithiasis as the control group were selected by the convenient sampling method and surveyed with general information questionnaire, health promoting lifestyle profile (HPLP) for patients with chronic diseases, Champion's health belief model scale (CHBMS) and health literacy management scale(HeLMS). The multiple linear regression method was used to analyze the influencing factors of health behavior.
      Results  The total score of health behavior of officers and soldiers with urolithiasis was (109.84±15.49) and lower than that of the control group (127.20±14.16)(P < 0.05). The results of multiple linear regression analysis showed that: (1) the regression model was statistically significant (R2=0.468; adjusted R2=0.447; F=17.664; P < 0.001);(2) compared with the officers and soldiers with age lower than 25 years old, the total scores of health behaviors of officers and soldiers aged 25-35 and higher than 35 years old decreased by 11.184 and 22.378, respectively (P < 0.05); (3) compared with unmarried officers and soldiers, the total score of health behavior of married officers and soldiers increased by 8.516 (P < 0.05); (4) compared with the officers and soldiers with low training intensity, the total scores of health behaviors of officers and soldiers with medium and high training intensity decreased by 5.373 and 11.728, respectively (P < 0.05);(5) compared with the officers and soldiers with training time less than 6 months, the total scores of health behaviors of the officers and soldiers with training time of 6 -12 months and more than 12 months decreased by 5.280 and 12.591 points, respectively(P < 0.05);(6) compared with the total scores of health beliefs and health literacy increasing 1 point, the health behavior increased by 0.191 and 0.385 points, respectively(P < 0.05).
      Conclusions  The health behavior of the patients with urolithiasis among officers and soldiers in the plateau needs to be improved, which was affected by multiple factors. We should strengthen health education, optimize training methods, improve patients' health literacy and health beliefs to improve the health behavior level of patients with urolithiasis in the plateau.

     

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