常州市倒班男性工人心血管疾病风险评估及个体化干预研究  

Risk assessment and individualized intervention for cardiovascular disease of male shift workers in Changzhou

作　　者：秦彩萍[1] 史珣瑜 吴文君[1] QIN Cai-ping;SHI Xun-yu;WU Wen-jun(The First People’s Hospital of Changzhou city,Changzhou 213003,China)

机构地区：[1]常州市第一人民医院

出　　处：《工业卫生与职业病》2020年第1期52-55,共4页Industrial Health and Occupational Diseases

摘　　要：目的评估常州市倒班男性工人心血管疾病(CVD)发生风险并分析个体化干预效果。方法采用判断抽样法抽取常州市倒班男性工人456名,采用WHO/ISH风险预测CVD风险等级。在CVD风险等级≥10%的355名倒班男性工人中,随机选取86名,分为研究组和对照组,每组43例。对照组采取常规管理,研究组在对照组基础上给予个体化综合干预。比较两组干预前后CVD风险预测等级、CVD知识知晓水平、健康相关行为、自我管理水平与生活质量变化。结果干预后研究组CVD风险分级<10%比例明显高于对照组,≥40%比例明显低于对照组,差异有统计学意义(P<0.05)。两组CVD知识评分及评分分级明显高于本组干预前,且研究组明显高于对照组,差异有统计学意义(P<0.05)。研究组吸烟纠正率、饮酒纠正率、健康饮食、规律运动及遵医嘱服药改善率明显高于对照组,差异有统计学意义(P<0.05)。两组自我管理得分和生活质量得分明显高于本组干预前;且研究组明显高于对照组,差异有统计学意义(P<0.05)。结论个体化干预可有效降低倒班男性工人CVD发病风险,改善健康知识与行为,提高自我管理水平与生活质量。Objective To assess cardiovascular disease(CVD)risk for Changzhou shift-work male workers and analyzes individualized intervention effect.Methods 456 male shift workers in Changzhou were selected by judgment sampling method,and the risk grade of CVD was predicted by WHO/ISH.Among the 355 male shift workers with CVD risk grade≥10%,86 were randomly selected and divided into intervention group and control group,with 43 cases in each group.The control group adopted routine management,and the intervention group was given individualized comprehensive intervention on the basis of the control group.The risk prediction grade,knowledge level of CVD,health-related behaviors,self-management level and life quality changes of the two groups before and after intervention were compared.Results After intervention,the risk grade of CVD in the intervention group<10%was significantly higher than that in the control group,and the proportion≥40%was significantly lower than that in the control group,with statistically significant differences(P<0.05).CVD knowledge score and grade of the two groups were significantly higher than that of the group before intervention,and that of the research group was significantly higher than that of the control group,with statistically significant differences(P<0.05).The correction rate of smoking,drinking,healthy diet,regular physical activity and taking medicine as instructed in the intervention group was significantly higher than that in the control group,with statistically significant differences(P<0.05).Self-management scores and life quality scores of the two groups were significantly higher than those before intervention.And the intervention group was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusions Individualized intervention can effectively reduce the risk of CVD,improve health knowledge and behavior,improve self-management level and life quality of male shift workers.

关 键 词：倒班 工人 风险 心血管疾病 个体化干预 

分 类 号：R54[医药卫生—心血管疾病]