新兵基础训练早期足踝部损伤危险因素分析  

Analysis of Risk Factors of Foot and Ankle Injury in the Early Stage of Basic Training for Recruits

作　　者：张丽 原金凤 于梅杰 鞠衍馨 ZHANG Li;YUAN Jinfeng;YU Meijie;JU Yanxin(Department of Anesthesiology,No.970 Hospital of Joint Logistics Support Force,Weihai 264200)

机构地区：[1]联勤保障部队第970医院麻醉科,威海264200

出　　处：《解放军医院管理杂志》2021年第8期725-727,共3页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的探讨新兵基础训练早期(2~4周)足踝部损伤危险因素,并提出针对性的护理对策。方法选取某部2019年度秋季入伍的新兵300名进行问卷调查,了解基础训练早期(2~4周)足踝部损伤情况,并采用单因素及多因素回归分析影响其足踝部损伤的危险因素,并提出相应护理措施。结果300名新兵中,142名发生训练早期足踝部损伤,发生率为47.33%;单因素分析显示,损伤组与非损伤组在家庭所在地、吸烟史、入伍前体育锻炼情况、参训时心理状态、训练防护知识掌握情况、训练前热身、训练量、训练鞋、训练服方面,存在显著差异(P<0.05);多因素分析显示,来自城市、参训时存在负性情绪、训练前未充分热身、自我感觉训练量过大、训练鞋不合适是影响新兵基础训练早期足踝部损伤的危险因素(P<0.05)。结论来自城市、参训时存在负性情绪、训练前未充分热身、自我感觉训练量过大、训练鞋不合适是影响新兵基础训练早期足踝部损伤的危险因素,应提高对以上因素的认识,做好针对性防护,以降低新兵基础训练早期足踝部损伤的发生率。Objective To analyze the risk factors of foot and ankle injury in the early stage of basic train⁃ing for recruits(2 to 4 weeks),and propose targeted nursing strategies.Methods A questionnaire survey of 300 recruits enlisted in the autumn of 2019 from a certain department was conducted to understand the foot and ankle injuries in the early stage of basic training(2 to 4 weeks),and single-factor and multi-factor regression analysis were used to analyze the risk factors of their foot and ankle injuries and corresponding nursing measures were also proposed.Results Among the 300 recruits,142 suffered foot and ankle injuries in the early training,with an inci⁃dence rate of 47.33%;univariate analysis showed that the injury group and the non-injury group were at home,smoking history,physical exercise before enlistment,and mental state during training.There were significant differ⁃ences in the mastery of training protection knowledge,warm-up before training,training volume,training shoes,training clothes(P<0.05);multi-factor analysis showed that coming from the city negative emotions during train⁃ing,and insufficient warm-up before training,self-awareness of too much training,and inappropriate training shoes were the risk factors that affected the early foot and ankle injury of recruits in basic training(P<0.05).Con⁃clusion Coming from the city,having negative emotions when participating in training,not warming up enough before training,feeling too much training,inappropriate training shoes are the risk factors that affect the early foot and ankle injury of the recruits during the basic training.Understanding the above factors and applying targeted pro⁃tection can reduce the incidence of early foot and ankle injuries.

关 键 词：新兵 基础训练 足踝部损伤 危险因素 护理对策 

分 类 号：R197.32[医药卫生—卫生事业管理]