中青年健康饮食行为与胆结石患病风险的相关性  

Relationship between healthy eating behavior among young and middle-aged people and risk of gallstone disease

作　　者：王晶[1] 宫瑜[1] 张茜[1] 冯丽[1] 李雅芬[1] Wang Jing;Gong Yu;Zhang Qian;Feng Li;Li Yafen(Biliary and Esthetic Surgery Unit of the 2nd General Surgery Department,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院第二普通外科胆道、整形美容外科病房,辽宁沈阳110004

出　　处：《护理学杂志》2022年第10期6-10,共5页Journal of Nursing Science

基　　金：辽宁省重点研发计划指导计划项目(2019225106)。

摘　　要：目的了解中青年健康饮食行为现状及影响因素,并分析其与胆结石患病风险的相关性,为制订中青年饮食干预方案提供指导。方法选取健康体检的中青年1038人为调查对象,使用基本情况问卷和成年人健康饮食行为评价量表进行调查。结果中青年健康饮食行为总分为73.93±12.85。多元线性回归分析结果显示,性别、文化程度、居住情况、胆结石既往病史和家族胆结石史是中青年健康饮食行为的影响因素(P<0.05,P<0.01)。随访1年,饮食行为不健康中青年胆结石患病率显著高于饮食行为健康者(P<0.01)。多因素Cox回归分析结果显示,年龄、胆结石既往病史、家族胆结石史、健康饮食意识、规律用餐态度、健康饮食习惯是中青年患胆结石的影响因素(HR 0.091~0.299,均P<0.01)。结论中青年健康饮食行为处于中等水平,其健康饮食行为受多因素影响。医护人员应加强健康指导,引导其建立良好的饮食行为,以预防胆结石发生。Objective To understand the current status and influencing factors of healthy eating behavior among young and middle-aged people,and to analyze its relationship with the risk of gallstone disease,so as to provide guidance for developing dietary intervention programs for this population.Methods A total of 1038 young and middle-aged people undergoing health examination were selected,and they were investigated utilizing the basic information questionnaire and the Adult Healthy Eating Behavior Evaluation Scale.Results The total score of healthy eating behavior in the participants was 73.93±12.85.Multiple linear regression results showed that,gender,educational background,living status,past medical history of gallstone disease and family history of gallstone disease were the influencing factors of healthy eating behavior in young and middle-aged people(P<0.05,P<0.01).During the 1-year follow-up,the prevalence of gallstone disease in the young and middle-aged people with unhealthy diet was significantly higher than their counterparts with healthy diet(P<0.01).The results of multivariate Cox regression analysis showed that,age,past medical history of gallstone disease,family history of gallstone disease,awareness of healthy eating,regular eating attitude,and healthy eating habits were the influencing factors of gallstone disease in young and middle-aged people(HR:0.091-0.299,P<0.01 for all).Conclusion The healthy eating behavior among young and middle-aged people is at a medium level,which is affected by several factors.Medical staff should strengthen health education,so as to guide them establish healthy eating behavior to prevent gallstone disease.

关 键 词：中青年 健康体检 饮食行为 饮食习惯 胆结石 风险因素 健康教育 

分 类 号：R473.6[医药卫生—护理学] R151.42[医药卫生—临床医学]