江苏省基层医疗机构医护人员亚健康情况及影响因素分析

摘要/Abstract

摘要： 目的了解江苏省基层医疗机构医护人员亚健康状况及影响因素,并进行对比,为人员健康管理方案的精细化制定提供一定依据。方法于2021年7—9月对江苏省13个地级市内的基层医疗机构医护人员进行分层抽样调查,共获得118家基层医疗机构的388份合格问卷（医师195人,护士193人）。利用自制的基本情况与影响因素调查问卷及亚健康评定量表进行数据收集,采用多因素logistic回归分析医师与护士亚健康的影响因素。结果样本中医师患病率为28.21%,护士患病率为20.21%。在无疾病的140名医师与154名护士中,亚健康评定量表均分分别为（73.66±10.51）和（74.77±10.55）分,亚健康检出率为67.14%和66.88%。回归分析显示,影响医师亚健康的因素有7个,影响护士亚健康的因素有8个,共同影响因素有长工作时间（OR<1）和与同事关系紧张（OR>1）。结论江苏省基层医疗机构医护人员健康状况并不乐观,建议通过加强人员体育锻炼、创造和谐工作环境、优化完善人力资源配置等措施以改善医护人员亚健康情况。

关键词: 江苏省, 医护人员, 亚健康状态, 调查, 影响因素

Abstract: Objective To survey the sub-health status（SHS） and influencing factors of the physicians and nurses of the primary medical institutions in Jiangsu Province and try to compare,which provide some evidence for the elaboration of personnel health management plan. Methods From July to September 2021,a stratified sample survey was conducted among the physicians and nurses of primary medical institutions in 13 cities of Jiangsu Province. A total of 388 questionnaires from 118 primary medical institutions were collected,which contained 195 physicians and 193 nurses. The data were collected by using a self-made questionnaire of basic information and influencing factors and the Sub-health measurement scale V1.0（SHMS V1.0）,and multivariate logistic regression was used to analyze the influencing factors of physicians and nurses. Results Among the samples,the prevalence of physicians and nurses was 28.21% and 20.21% respectively. Among 140 physicians and 154 nurses without disease,the average scores of SHMS V1.0 were （73.66±10.51） and （74.77±10.55）points respectively and the detection rates of SHS was 67.14% and 66.88% respectively. The regression analyses showed that there were seven and eight factors significantly affecting the SHS of physicians and nurses respectively,and the common influencing factors were long work time（OR<1）,and tension with colleagues（OR>1）. Conclusion The health status of physicians and nurses in primary medical institutions in Jiangsu Province is not optimistic,and it suggested that the SHS of physicians and nurses may be improved by strengthening physical exercise,creating a harmonious working environment and optimizing the allocation of human resources.

Key words: Jiangsu Province, Physicians and nurses, Sub-health status, Survey, Influencing factors

中图分类号:

R181.3⁺1

黄其翔, 徐怀伏. 江苏省基层医疗机构医护人员亚健康情况及影响因素分析. [J]职业与健康, 2023, 39(4): 497-501.

HUANG Qi-xiang, XU Huai-fu. Analysis on sub-health status and influencing factors of physicians and nurses in primary medical institutions in Jiangsu Province. [J]OCCUPATION AND HEALTH, 2023, 39(4): 497-501.

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