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作 者:陈丽秋 CHEN Li-qiu(Department of Disease Control,the People's Hospital of Jiangmen City,Guangdong Province,Jiangmen 529000,China)
机构地区:[1]广东省江门市人民医院疾病控制科
出 处:《中国当代医药》2019年第17期179-182,共4页China Modern Medicine
基 金:广东省江门市第二批医疗卫生科技计划项目(2017A4015)
摘 要:目的了解江门市高三学生的身心健康状况,为有针对地开展学生健康教育工作提出建议。方法采用整群随机抽样方法于2018年5~6月在江门市11所学校选取研究对象,每所学校随机抽取100例高三学生进行康奈尔健康问卷调查,共1100例研究对象。采用总分(A-R)与精神症状(M-R)评分法进行评价,并对躯体健康状态与精神健康状态的相关性进行分析。结果205例学生有身心健康障碍,155例学生有精神症状异常表现。阳性回答率较高的分别是眼和耳、习惯、不适应、抑郁、敏感、紧张、愤怒等。男生的A-R值与M-R值均低于女生,差异有统计学意义(P<0.05);家庭所在地为农村的学生,其A-R值与M-R值高于城市学生,差异有统计学意义(P<0.05)。独生子女学生的A-R值、M-R值与非独生子女学生比较,差异无统计学意义(P>0.05)。父母不同文化程度学生的A-R值、M-R值比较,差异无统计学意义(P>0.05)。学生的躯体健康状态与精神健康状态互相影响,两者与身心健康状况成正相关(r=0.93、0.86,P<0.05)。结论高三学生身心障碍筛查阳性率为19.07%,其中部分群体(如女生、农村学生等)的身心障碍发生率偏高。Objective To understand the physical and mental health status of senior high students in Jiangmen city,and to provide suggestions for targeted health education.Methods A cluster random sampling method was used to select research objects in 11 schools in Jiangmen city from May to June 2018.One hundred senior high students from these 11 schools each were randomly selected to conduct a Cornell health questionnaire survey,totaling 1100.The total scoring (A-R) and the psychiatric symptom (M-R) scoring were used for evaluation,and the correlation between somatic health status and mental health status was analyzed.Results There were 205 students diagnosed with physical and mental health disorders and 155 students with abnormal mental symptoms after investigation.The higher positive response rates were eye and ear,habit,inadaptation,depression,sensitivity,nervousness,anger,and so on.The A-R and M-R values of male students were both lower than those of female ones with statistical significance (P<0.05).The A-R and M-R values of rural students were higher than those of urban students (P<0.05).There was no significant difference in the A-R value or M-R value of the only-child students compared with the non-only child students (P>0.05).The A-R and M-R values didn't differ statistically in students whose parents were in different educational levels (P>0.05).The somatic health status and the mental health status interacted with each other,and the two were positively related to the physical and mental health status (r=0.93,0.86,P<0.05).Conclusion The positivity rate of screening for physical and mental disorders in senior high students was 19.07%.The incidence of physical and mental disorders in girls and rural students was high.
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