大学生压力管理与亚健康状态的相关性分析  

Associations between stress management and suboptimal health status among college students:a cross-sectional study

作　　者：陈洁瑜[1,2] 安启元 陈泽伟[1,2] 邝柳燕 经媛[1,3] 孙晓敏 罗仁[1,2] 赵晓山[1,2] CHEN Jie-yu;AN Qi-yuan;CHEN Ze-wei;KUANG Liu-yan;J;SUN Xiao-min;LUO Ren;ZHAO Xi-ao-shan(School of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学中医药学院,广东广州510515 [2]南方医科大学南方医院中医科,广东广州510515 [3]南方医科大学学报编辑部,广东广州510515

出　　处：《中国健康教育》2018年第7期579-582,593,共5页Chinese Journal of Health Education

基　　金：国家自然科学基金-广东联合基金重点项目(U1132001);国家自然科学基金(81373707;81403447);2016年广东大学生科技创新培育专项资金(攀登计划专项资金)项目(pdjh2016b0093);广东省科技计划项目(2013A032500008);广州市科技计划产学研重大专项(2014Y2-00504);广州市科技计划项目(20160910012)

摘　　要：目的探讨大学生压力管理与亚健康的相关性。方法采用横断面调查的方法,在广东地区随机抽取4个城市4所大学的大学生作为调查对象,使用《亚健康评定量表》与《促进压力管理生活方式量表》在被调查者体检时进行现场调查。结果11 144名大学生亚健康的现患率高达55.9%,压力管理总分平均分为(21.671±3.943)分,亚健康组的总分的平均分(20.654±3.567)最低(F(2,11141)=947.787,P<0.001)。在校正社会人口学等变量模型中,Logistic回归分析发现压力管理对亚健康有显著影响(P<0.001),对于优秀的压力管理水平(最小暴露者),差的压力管理水平(最高暴露者)发生亚健康的危险性高达30倍(OR=29.565,95%CI:14.868～58.793),一般的压力管理水平(较高暴露者)发生亚健康的危险性约为19倍(OR=18.616,95%CI:58.793～22.342),次优的压力管理水平发生亚健康的危险性为4倍(OR=4.391,95%CI:3.861～4.994)。多因素Logistic回归分析发现,除了SM8条目,其余的压力管理条目均与亚健康密切相关(P<0.05)。结论不良的压力管理是亚健康发生的危险因素;有必要从压力管理层面提升大学生的身体素质及健康水平。Objective To study associations between suboptimal health status （SHS） and stress management a- mong college students. Methods A cross-sectional survey were conducted with a questionnaire, included with Sub-Health Measurement Scale Version 1.0 （SHMS V1.0） and stress management-promoting lifestyle profile （SMPLP）, in 4 colleges located in 4 districts in Guangdong Province. Results Of 11 144 participants, the prevalence rate of SHS was 55.9% , with a mean scores of stress management （21. 671 ± 3. 943 ）. In SHS group, the average score was （ 20. 654 ± 3. 567 ） with the lowest one （F（2.11141） = 947. 787, P 〈 0. 001 ）. By logistic regression analysis after demographic adjustment, the group with worst stress management had higher risk of SHS than those with excellent management （ OR = 29. 565, 95% CI： 14. 868 -58. 793）. Additionally, compared with the excellent stress management, the groups with general level and subop- timal level of management had higher risk （ OR = 18. 616, 95% CI： 58. 793 - 22. 342 ; OR = 4. 391, 95% CI： 3. 861 - 4. 994, P 〈0. 001 ） , respectively. By multiple regression analysis, all items of stress management were related with SHS （P 〈 0. 05 ）, expect of item SM8. Conclusion Unhealthy stress management is a risk factor for SHS. It is necessary to make health promotion work on stress management perspective for college students.

关 键 词：亚健康 压力管理 大学生 健康促进 

分 类 号：R193[医药卫生—卫生事业管理]