上海市奉贤区20～59岁医务人员体质测试状况及影响因素
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摘要
目的了解上海市奉贤区20～59岁医务人员的体质达标状况及影响因素,为相关部门开展医务人员健康干预提供理论依据。方法应用分层随机抽样法选取奉贤区综合医疗机构、专科医院和各社区卫生服务中心医务人员共计1 405人参与国民体质测试和问卷调查。结果奉贤区医务人员体质测试综合评价优秀率和优良率分别为9.96%和27.76%,体质达标率91.60%。随着医疗结构等级的升高,体质测试达标率逐渐增加(χ~2=28.68,P<0.01);女性体质测试达标率(93.53%)高于男性(81.82%),差异有统计学意义(χ~2=34.39,P<0.01);不同年龄组、婚姻状况、职业类型和专业类别间医务人员体质达标率不全相同(P<0.05)。医务人员体质测试水平与总体健康状况呈正相关(Gamma系数为0.22,P<0.01)。多因素logistic回归分析结果显示,单位类型、性别、年龄及主观感觉总体健康状况是医务人员体质达标率的影响因素。结论奉贤区20～59岁医务人员体质测试达标率不高,相关部门应针对重点人群开展健康干预,提高医务人员体质水平和健
[Objective] To understand the physical fitness standards and influencing factors of medical staff aged 20-59 years old in Fengxian District of Shanghai, provide theoretical basis for relevant departments to carry out health interventions. [Methods] A total of 1 405 people from the comprehensive medical institutions, specialist hospitals and community health service centers in Fengxian District were selected to participate in the physical fitness test and questionnaire survey by stratified random sampling.[Results] The excellent rate and good rate of physical evaluation of medical staff in Fengxian District was 9.96% and 27.76%respectively, and the standard-reaching rate was 91.60%. With the increase of medical institution level, the standard-reaching rate of physical fitness test gradually increased(χ~2=28.68, P<0.01). The standard-reaching rate of females(93.53%) was higher than that of males(81.82%), and the difference was statistically significant(χ~2=34.39, P<0.01). The standard-reaching rate were different among medical staff in different groups in age marital status, occupational type and professional category(P<0.05). The physical fitness test level of the medical staff was positively correlated with the overall health status(Gamma coefficient was 0.22, P<0.01).Multivariate logistic regression analysis showed that the medical institution type, gender, age and health status were the influencing factors of the standard-reaching rate of medical staff. [Conclusion] The standard-reaching rate of physical fitness test for medical staff aged 20-59 years old in Fengxian District is not optimistic, and relevant departments should carry out health interventions for key populations to improve the physical fitness and health status of medical staff.
[Objective] To understand the physical fitness standards and influencing factors of medical staff aged 20-59 years old in Fengxian District of Shanghai, provide theoretical basis for relevant departments to carry out health interventions. [Methods] A total of 1 405 people from the comprehensive medical institutions, specialist hospitals and community health service centers in Fengxian District were selected to participate in the physical fitness test and questionnaire survey by stratified random sampling.[Results] The excellent rate and good rate of physical evaluation of medical staff in Fengxian District was 9.96% and 27.76%respectively, and the standard-reaching rate was 91.60%. With the increase of medical institution level, the standard-reaching rate of physical fitness test gradually increased(χ~2=28.68, P<0.01). The standard-reaching rate of females(93.53%) was higher than that of males(81.82%), and the difference was statistically significant(χ~2=34.39, P<0.01). The standard-reaching rate were different among medical staff in different groups in age marital status, occupational type and professional category(P<0.05). The physical fitness test level of the medical staff was positively correlated with the overall health status(Gamma coefficient was 0.22, P<0.01).Multivariate logistic regression analysis showed that the medical institution type, gender, age and health status were the influencing factors of the standard-reaching rate of medical staff. [Conclusion] The standard-reaching rate of physical fitness test for medical staff aged 20-59 years old in Fengxian District is not optimistic, and relevant departments should carry out health interventions for key populations to improve the physical fitness and health status of medical staff.
引文
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[4]张琪.北京市西城区成年人心理健康与体质及心率变异性的关系研究[C].2013年中国生理学会运动生理学专业委员会年会暨“运动与健康”学术研讨会,广州,2013:59-60.
[5]程小游.不同体质状况成年人运动伤害的发生及危险因素的筛查[D].北京:北京体育大学,2011:20.
[6]赵希伟,杜玉,周虹.沈阳市634名医务人员体质测试与分析[J].中国当代医药,2010,17(32):160.
[7]申魁,闫丽艳,吴久玲. 133名居民运动干预前后体质监测结果与分析[J].中国慢性病预防与控制,2006,14(2):123-124.
[8]沈丽琴,龚海英,宫川,等.成都市成年人经常参加体育锻炼影响因素分析[J].现代预防医学,2014,41(5):876-880.
[9]孙莉敏,吴毅,胡永善.上海地区南京东路社区居民体育锻炼现状调查[J].中国运动医学杂志,2001,20(1):57-60.
[10]蒋德勇,欧灵军,高汝琼,等.2009—2010年攀枝花市成年人国民体质测试结果分析[J].职业与健康,2012(7):773-775.
[11]何海燕,宋瑛.河北省11个地市16 254名成年人体质与体育锻炼的相关性调查[J].中国临床康复,2005,9(36):87-88.
[12]孙丽.2015年常熟市碧溪新区某企业成年人群体质监测分析[D].苏州:苏州大学,2016:18-19.
[13]郑奇光,朱美娟.北京市顺义区医务人员体质测定结果分析[J].职业与健康,2009,25(16):1727-1728.
[14]吴静.341名女医务人员体质测试分析及健康教育策略[J].现代医院,2012,12(11):155-156.
[2]国家体育总局. 2014年国民体质监测公报[EB/OL].(2015-11-25)[2018-07-11]. http://www.sport.gov.cn/n16/n1077/n1227/7328132.html.
[3]侯广斌,侯安宁,谭新.国民体质监测与受试者体质、体育行为的关系[J].中国组织工程研究与临床康复,2008,12(15):2933-2936.
[4]张琪.北京市西城区成年人心理健康与体质及心率变异性的关系研究[C].2013年中国生理学会运动生理学专业委员会年会暨“运动与健康”学术研讨会,广州,2013:59-60.
[5]程小游.不同体质状况成年人运动伤害的发生及危险因素的筛查[D].北京:北京体育大学,2011:20.
[6]赵希伟,杜玉,周虹.沈阳市634名医务人员体质测试与分析[J].中国当代医药,2010,17(32):160.
[7]申魁,闫丽艳,吴久玲. 133名居民运动干预前后体质监测结果与分析[J].中国慢性病预防与控制,2006,14(2):123-124.
[8]沈丽琴,龚海英,宫川,等.成都市成年人经常参加体育锻炼影响因素分析[J].现代预防医学,2014,41(5):876-880.
[9]孙莉敏,吴毅,胡永善.上海地区南京东路社区居民体育锻炼现状调查[J].中国运动医学杂志,2001,20(1):57-60.
[10]蒋德勇,欧灵军,高汝琼,等.2009—2010年攀枝花市成年人国民体质测试结果分析[J].职业与健康,2012(7):773-775.
[11]何海燕,宋瑛.河北省11个地市16 254名成年人体质与体育锻炼的相关性调查[J].中国临床康复,2005,9(36):87-88.
[12]孙丽.2015年常熟市碧溪新区某企业成年人群体质监测分析[D].苏州:苏州大学,2016:18-19.
[13]郑奇光,朱美娟.北京市顺义区医务人员体质测定结果分析[J].职业与健康,2009,25(16):1727-1728.
[14]吴静.341名女医务人员体质测试分析及健康教育策略[J].现代医院,2012,12(11):155-156.