摘要
目的评价群体干预策略对人群中分布广泛、具有可干预性的健康危险因素进行干预的效果。方法以济南市某医院339名员工为研究对象，通过对生物学（血压高、血糖高、血脂高、超重或肥胖），心理（自我感觉健康差、压力大、工作满意度差、生活满意度差）和生活方式（身体活动少、睡眠质量差、饮酒、吸烟、不合理膳食、使用放松药物）14个健康危险因素进行评估，确认研究对象中分布最广泛、且具有可干预性的身体活动少作干预项目，采取群体干预策略进行干预，比较干预前后各健康危险因素在人群中的分布比例。结果干预6个月后，有3个健康危险因素在员工中的分布比例出现了具有统计学意义的降低（P〈0．05），身体活动少从57．8％下降到38．6％，血脂高从9．4％下降到5．3％，不合理膳食从28．9％下降到14．8％。员工的健康危险因素个数从基线的平均3．10个减少到末期的平均2．71个，并具有统计学意义（P〈0．01）。结论基于解决主要矛盾、循证医学及健康促进三大原则，采取群体干预策略的健康干预可以有效改善健康危险因素状态。
Objective To evaluate the effectiveness of intervention for health risk factor in hospital employees. Methods This study was carried out among 339 employees of a hospital in Jinan, Shandong Province. Based on the results of Health Risk Appraisal for 14 health risk factors, we designed a 6-months intervention program for the most widely distributed and intervenable health risk factors; and then evaluated the changes of health risk factors after 6 months. Results After 6-month intervention the prevalence of 3 health risk factors decreased （P 〈 0. 05 ）： physical inactivity decreased from 57. 8% to 38.6%, hyperlipidemia from 9.4% to 5.3%, and unhealthy dietary from 28.9% to 14. 8%. Compared with the baseline data, the average number of health risk factors were reduced from 3. 10 to 2. 71 （ P 〈 0. 01 ）. Conclusion The intervention can reduce health risk factors effectively.
出处
《中华全科医师杂志》
2010年第11期756-759,共4页
Chinese Journal of General Practitioners
关键词
健康状况指标
危险因素
群体干预策略
Health status indicators
Risk factors
Population intervention strategy
作者简介
通信作者：黄建始，Email：pumcjesse@yahoo.com.cn
