某三甲医院职工理想心血管健康行为和因素的调查分析  

The Investigation of Ideal Cardiovascular Health Behaviors and Factors Among Staff of a Third Class Hospital

作　　者：刘国英[1,2] 王克英 韩玉梅 杨宁[1,2] 解肖冰 LIU Guoying;WANG Keying;HAN Yumei;YANG Ning;XIE Xiaobing(Beijing Physical Examination Center,Beijing 100050,China;Beijing Quality Control and Improvement Center for Physical Examination,Beijing 100050,China)

机构地区：[1]北京市体检中心,北京100050 [2]北京市体检质量控制和改进中心,北京100050

出　　处：《健康体检与管理》2021年第4期288-294,共7页Journal of Health Examination and Management

基　　金：北京市体检中心科研基金(BJTJ-2018-06)。

摘　　要：目的:了解某三甲医院在职职工理想心血管健康行为和因素分布,为该人群制定健康管理方案提供依据。方法:选取2018年3~5月,参加健康体检某三甲医院在职职工441人作为研究对象,年龄20~60(39.51±9.97)岁,男性224人(50.8%),女性217人(49.2%),按性别年龄分组,分析该人群理想心血管健康行为和因素分布及影响因素。结果:研究对象中,具有全部7项理想心血管健康行为和因素的仅4人,占0.9%。男性具有5~7项理想心血管健康行为和因素比例(13.8%)明显低于女性(52.1%),而男性具有≤3项理想心血管健康行为和因素比例(69.6%)明显高于女性(24.0%)。研究对象平均理想心血管指标数为(3.15±0.77),男性(2.80±0.74)明显低于女性(3.52±0.60);男性各年龄组,18~29岁组平均理想心血管指标数明显高于40~49岁组、50~60岁组;女性各年龄组,18~29岁组平均理想心血管指标数明显高于40~49岁组、50~60岁组,30~39岁组平均理想心血管指标数明显高于40~49岁组、50~60岁组,无论男女随着年龄增加平均理想心血管指标数均下降。7项心血管健康行为和因素,理想体育锻炼比例最低(9.1%),其次是理想食盐摄入(43.8%)和理想血压(44.2%)比例。63.3%的研究对象体育锻炼处于一般状态。18~29岁组的50.8%女性缺乏运动锻炼。男性理想吸烟和理想血压比例随着年龄增长而降低。女性理想空腹血糖、理想总胆固醇和理想血压比例随着年龄增长而降低。结论:研究对象理想心血管健康行为和因素比例较低,不同性别和年龄人群心血管健康行为和因素分布存在差异,健康管理应有所侧重,采用有针对性的干预措施,提高其心血管健康水平。Objective:To understand the distributions of ideal cardiovascular health behaviors and factors among on-job employees in a tertiary hospital and provide a basis of formulating health management plan for them.Methods:From March to May of 2018,totally 441 on-job employees in the tertiary hospital who underwent health examination were collected,aged from 20 to 60 years old(39.51±9.97),with 224 males(50.8%)and 217 females(49.2%).By dividing them into groups based on gender and age,the distributions of ideal cardiovascular health behaviors and factors,as well as the influential factors were analyzed.Results:Among the participants,only 4 met all 7 ideal cardiovascular health behaviors and factors,accounted for 0.9%.The prevalence(13.80%)of male who met 5 to 7 ideal cardiovascular health behaviors and factors was obviously lower than that(52.1%)of female,but the prevalence about meeting less than 3 ideal cardiovascular health behaviors and factors was converse,which was 69.6%of male but 24.0%of female.The average ideal cardiovascular index of the participants was(3.15±0.77),and males’(2.80±0.74)was obviously lower than females’(3.52±0.60).Among each age group of male,those who were 18 to 29 years old had a clearly higher index than those were 40 to 49 years old or 50 to 60 years old.As for female,those who were 18 to 29 years old had a clearly higher index than those were 40 to 49 years old or 50 to 60 years old,and also those who were 30 to 39 years old had a clearly higher index than those were 40 to 49 years old or 50 to 60 years old.So the average ideal cardiovascular index decreased with age whether males or females.Among the 7 cardiovascular health behaviors and factors,the ideal physical exercise was the lowest(9.1%),and the next is the ideal salt intake(43.8%)and ideal blood pressure(44.2%).The physical exercise for 63.3%of the participants was in general status.Among the female group aged 18 to 29 years old,50.8%of them are lacked of physical exercise.For male the prevalence of ideal smoking and ideal b

关 键 词：理想心血管健康行为 在职职工 健康管理 

分 类 号：R194.3[医药卫生—卫生事业管理]