社区医护人员科学健身素养对健康状态影响研究  

Impact of scientific fitness literacy on the health status of community medical staff

作　　者：李晨溪 刘海涛 段亚丽 张锐 汪震坡 李新辉[1] LI Chenxi;LIU Haitao;DUAN Yali;ZHANG Rui;WANG Zhenpo;LI Xinhui(Department of Preventive Medicine,Shihezi University,Shehezi 832000,China;Community Health Service Management and Guidance Center,Shihezi Municipal Health Commission,Shehezi 832000,China;Department of Public Health,Shihezi Urban Community Health Service Center,Shehezi 832000,China)

机构地区：[1]石河子大学预防医学系,新疆石河子832000 [2]石河子市卫健委社区卫生服务管理指导中心,新疆石河子832000 [3]石河子市城区社区卫生服务中心公共卫生科,新疆石河子832000

出　　处：《社区医学杂志》2023年第8期394-399,404,共7页Journal Of Community Medicine

摘　　要：目的 了解社区医护人员的健康状况,分析科学健身素养水平与健康状态之间的关系。方法 于2022-11-19-2022-12-21采用多阶段分层整群随机抽样方法抽取新疆石河子市7所社区医疗机构的661名社区医护人员进行问卷调查。调查医护人员一般资料,并采用成年人科学健身素养量表调查医护人员科学健身素养水平,采用亚健康状态量化测试表及自报形式调查医护人员健康状态。采用无序多分类logistic回归分析科学健身素养对健康状态的影响。结果 社区医护人员健康、亚健康、疾病的比例分别为29.50%、44.90%和25.60%。不同性别(χ^(2)=15.544,P<0.001)、年龄(χ^(2)=63.066,P<0.001)、身体质量指数(BMI)分组(χ^(2)=23.395,P=0.001)、婚姻状态(χ^(2)=13.712,P=0.008)、执业类别(χ^(2)=10.451,P=0.005)、职称(χ^(2)=13.915,P=0.008)、岗位编制(χ^(2)=16.422,P<0.001)、工作时间(χ^(2)=39.972,P<0.001)、月收入(χ^(2)=10.891,P=0.028)、每天闲暇时间(χ^(2)=10.134,P=0.038)、健身情况(χ^(2)=18.327,P<0.001)的社区医护人员健康状态差异有统计学意义。高水平科学健身素养率为25.42%,高水平科学健身知识、科学健身态度、科学健身行为和技能占比分别为26.78%、27.84%和43.72%。不同水平科学健身素养(χ^(2)=26.806,P<0.001)、科学健身知识(χ^(2)=17.668,P<0.001)、科学健身态度(χ^(2)=20.195,P<0.001)、科学健身行为和技能(χ^(2)=30.001,P<0.001)的社区医护人员健康状态差异有统计学意义。多因素分析结果显示,与健康状态的社区医护人员相比,亚健康状态的社区医护人员具有不健身(OR=1.696, 95%CI为1.080~2.664)、低科学健身知识水平(OR=1.880, 95%CI为1.139~3.103)、低科学健身态度水平(OR=1.666,95%CI为1.006~2.759)、低科学健身行为和技能水平(OR=1.705,95%CI为1.132~2.569)的特征;疾病状态的社区医护人员具有>40岁(>40~50岁:OR=21.089,95%CI为3.825~116.286;>50岁:OR=18.811,95%CI为3.162~111.913)、低�Objective To understand the health status of community medical staff and analyze the relationship between scientific fitness literacy levels and health status.Methods From January 1to December 21,2022,661 community medical staff from 7community medical institutions in Shihezi City were randomly sampled by multi-stage stratified group random sampling.The general information of medical staff was investigated,and the level of scientific fitness literacy of medical staff was investigated with the adult scientific fitness literacy scale,and the health status of medical staff was investigated with the sub-health status quantitative test form and self-report form.The effect of scientific fitness literacy on health status was analyzed by random multi-classification logistic regression.Results The proportions of healthy,subhealthy and sick community medical staff were 29.50%,44.90%and 25.60%,respectively.Different gender(χ^(2)=15.544,P<0.001),age(χ^(2)=63.066,P<0.000),BMI grouping(χ^(2)=23.395,P=0.001),marital status(χ^(2)=13.712,P=0.008),type of practice(χ^(2)=10.451,P=0.005),title(χ^(2)=13.915,P=0.008),establishment(χ^(2)=16.422,P<0.001),years of experience(χ^(2)=39.972,P<0.001),monthly income(χ^(2)=10.891,P=0.028),leisure time(χ^(2)=10.134,P=0.038),and fitness(χ^(2)=18.327,P<0.001)were statistically significant differences in the health status of community medical staff.The high level scientific fitness literacy rate was 25.42%,and the percentages of high level scientific fitness knowledge,scientific fitness attitude,scientific fitness behaviour and skills were 26.78%,27.84%and 43.72%,respectively.There were statistically significant differences in the health status of community medical staff with different levels of scientific fitness literacy(χ^(2)=26.806,P<0.001),scientific fitness knowledge(χ^(2)=17.668,P<0.001),scientific fitness attitude(χ^(2)=20.195,P<0.001)and scientific fitness behaviour and skill(χ^(2)=30.001,P<0.001).The results of the multifactorial analysis showed that community healthcare w

关 键 词：科学健身 健康素养 健康状态 亚健康 社区医护人员 

分 类 号：R193[医药卫生—卫生事业管理]