2019-2022年石河子某医院监测病例伤害发生情况调查与影响因素分析  

Investigation and Analysis of Intentional Injury Incidence and Influencing Factors in Monitored Cases at a Hospital in Shihezi City from 2019 to 2022

作　　者：高春龙 孔庆丽 王思涵 GAO Chun-long;KONG Qing-li;WANG Si-han(Public Health Department,the First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi,832008;Hepatobiliary surgeryt,the First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi,832008;Shihezi Univerisity of Medicine,Xinjiang Shihezi,832000)

机构地区：[1]石河子大学第一附属医院公共卫生科,新疆石河子832008 [2]石河子大学第一附属医院肝胆外科,新疆石河子832008 [3]石河子大学医学院,新疆石河子832002

出　　处：《农垦医学》2024年第3期221-229,共9页Journal of Nongken Medicine

基　　金：石河子大学第一附属医院2023年院级科技计划项目(GL2023048)。

摘　　要：目的:了解石河子某医院伤害发生情况及故意伤害在不同特征人群中的分布,探讨影响故意伤害发生的影响因素,为进一步预防和改善石河子地区伤害发生提供科学依据。方法:收集石河子某伤害监测哨点医院2019-2022年发生的伤害病例13 496人,采用卡方检验与二元Logistic回归对石河子某医院故意伤害发生情况及影响因素进行分析。结果:石河子某医院的故意伤害占比率为3.90%,其中,发生自残/自杀伤害占0.55%,暴力/攻击伤害占3.36%。男性发生故意伤害率(4.26%)高于女性(3.34%),15~29岁群体故意伤害发生率高达7.00%,30~44岁群体故意伤害发生率高达5.52%。Logistic回归模型分析显示,男性(相对于女性,OR=1.426,95%CI:1.133~1.795)、年龄范围在15~29岁(相对于5~14岁,OR=2.245,95%CI:1.349~3.735)、大专以下学历的所有人群(相对于大学及以上人群)、待业人群(相对于在校学生,OR=1.884,95%CI:1.121~3.165)是发生故意伤害的危险因素。结论:故意伤害问题是近年来石河子市发生伤害的重要问题,关于故意伤害,应对不同特征人群给予重视和干预,提高自我安全防范意识和进行预防受到伤害的知识宣教,并加强关注该人群的心理状态,提高生活满意度,提高抗压和受挫能力。Objective:To understand the incidence of injuries in a hospital in Shihezi and the distribution of intentional injuries in people with different characteristics,and to explore the influencing factors of intentional injuries,so as to provide scientific basis for further prevention and improvement of injuries in Shihezi area.Methods:Collecting injury cases from a certain injury surveillance sentinel hospital in Shihezi,with a total of 13496 cases from 2019 to 2022.Chi-square test and binary logistic regression were used to analyze the incidence and influencing factors of intentional injuries in a hospital in Shihezi.Results:The proportion of intentional injuries in a hospital in Shihezi was 3.90%,among which self-harm/suicide injuries accounted for 0.55%,and violence/assault injuries accounted for 3.36%.The incidence of intentional injury was higher in males(4.26%)than in females(3.34%).The incidence of intentional injury was 7.00%in people aged 15~29 years and 5.52%in people aged 30~44 years.The logistic regression analysis model shows that being male(compared to females,OR=1.426,95%CI:1.133-1.795),age range between 15 and 29 years(compared to 5~14 years,OR=2.245,95%CI:1.349-3.735),individuals with education below college level(compared to those with a college degree or higher),and unemployed individuals(compared to students,OR=1.884,95%CI:1.121-3.165)are risk factors for intentional injuries.Conclusion:Intentional injury is a significant issue in recent years in Shihezi City.Regarding intentional injuries,different population groups with specific characteristics should receive attention and intervention.It is important to enhance self-awareness of safety precautions,provide education on injury prevention,and focus on the psychological well-being of these individuals.Efforts should be made to improve their quality of life,enhance resilience,and increase their ability to cope with stress and setbacks.

关 键 词：伤害 故意伤害 影响因素 流行特征 

分 类 号：R181.3[医药卫生—流行病学]