| 刘冰,刘庆敏,任艳军,吕筠.杭州市社区医疗机构职工开展生活方式健康促进的效果评价[J].Chinese journal of Epidemiology,2013,34(8):774-777 |
| 杭州市社区医疗机构职工开展生活方式健康促进的效果评价 |
| Evaluation on the effect of intervention strategies regarding lifestyle-health promotion among community medical staff in Hangzhou city |
| Received:January 23, 2013 |
| DOI： |
| KeyWord: 健康促进|社区医疗机构|社区医务人员 |
| English Key Word: Health promotion|Community medical institutions|Community medical staff |
| FundProject:牛津健康联盟·中国·杭州社区健康干预(CIH)项目 |
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| Abstract: |
| 目的 了解杭州市社区医疗机构医务人员健康促进生活方式的干预现况,评估干预措施效果.方法 采用问卷方式调查杭州市3个代表性城区(下城区、拱墅区和西湖区)社区医务人员,内容包括职工日常饮食习惯、生活方式,工作场所开展吸烟、饮食和体力活动干预措施及同事间健康促进影响情况.采用x2检验及logistic回归法评估工作场所健康促进活动的干预效果.结果 工作场所吸烟干预措施中,讲座、戒烟规定及个体戒烟咨询均无显著效果；在饮食干预中参加平衡膳食、合理营养讲座课程与经常吃蔬菜、水果间存在关联,其经常吃蔬菜、水果的频率是未参与者的1.74倍(OR=1.74,95％CI:1.22～2.47)；体力活动干预措施中,同伴效应效果显著,和同事-起参与体力活动的职工进行有规律的高、中度体力活动频率是非干预措施组的1.62倍(OR=1.62,95％CI:1.15～2.29).干预措施的联合效应分析表明,无论是饮食干预还是体力活动干预,多干预措施联合作用可显著提高职工健康饮食和规律运动的行为习惯.结论 在工作场所开展饮食和体力活动干预,可显著改进职工的健康促进行为. |
| English Abstract: |
| Objective To investigate the effect of workplace intervention programs related with health-promoting lifestyles among community medical staff members in the communities of Hangzhou city.Methods Three representative districts including Xiacheng,Gongshu and Westlake were chosen and all the community medical staff was involved in the study.Questionnaire survey was applied to collect the information from all the community medical staff.Three aspects including 1,environmental support and policies on healthy lifestyles 2,lectures and activities related to healthpromoting programs provided,and 3,peer effect on health promotion,were studied.Chi square test and logistic stepwise regression analysis were applied.Results Intervention strategies on smoking,diet and physical exercises were analyzed respectively.It was indicated that none of the lectures,regulations or individual counseling regarding smoking cessation was associated with the decrease of smoking behavior.Medical staff that taking part in the lectures on balanced diet showed higher frequencies of vegetable/fruit intake,with the frequencies of vegetables/fruits consumption on 4 or more days/per week appeared 1.74 times more than that in the control group.As for the physical exercise intervention was concerned,the peer effect was found to be obvious.Medical staff that taking exercise with colleagues tended to do more exercises with frequency in taking moderate or high intensity exercises 5 or more days/per week as 1.62 times than that of the control group.Data also indicated that regardless of intervention programs on diet or on physical activities,the combination effect could statistically improve the healthy behavior on diet or physical exercise.Conclusion Intervention programs on both balanced diet and physical exercises were preliminarily found to be associated with enhanced health promotion behavior for workplace health promotion strategies but need to be verified through further intervention studies of the same sort. |
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