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部队离退休干部健康知识掌握情况及影响因素分析
侯兵1,侯小玲2,王文静1,倪海莱1*
0
(1. 海军军医大学(第二军医大学)长海医院保健科, 上海 200433;
2. 解放军总医院第一医学中心心血管内科, 北京 100853
*通信作者)
摘要:
目的 分析部队离退休干部健康知识掌握情况和主要影响因素。方法 采用简单随机抽样法抽取以海军军医大学(第二军医大学)长海医院为体系医院的部队离退休干部350人,发放自制健康知识调查问卷,收集部队离退休干部基本资料和健康知识得分。健康知识分为健康基本知识、健康技能知识和慢性病防治相关知识,得分不低于总分的80%为及格,表示具备健康知识。采用χ2检验对健康知识掌握情况与部队离退休干部基本资料的关系进行单因素分析,采用多因素logistic回归模型分析影响部队离退休干部健康知识掌握情况的主要因素。结果 收回有效问卷349份,应答率为99.71%。部队离退休干部健康知识总得分及格率为19.20%(67/349),健康基本知识得分及格率为67.62%(236/349),健康技能知识得分及格率为20.06%(70/349),慢性病防治相关知识得分及格率为12.03%(42/349)。单因素分析结果表明,不同性别、年龄、文化程度和有无医学学习经历的部队离退休干部健康知识总得分及格率差异有统计学意义(P均<0.01);多因素logistic回归分析结果表明,文化程度和有无医学学习经历是掌握健康知识的主要影响因素(OR=5.133,95% CI 2.207~11.939,P<0.01;OR=4.359,95% CI 2.300~8.263,P<0.01)。结论 部队离退休干部健康基本知识掌握情况较好,健康技能知识和慢性病防治相关知识掌握较差,军队卫生保健机构和医护人员要针对不同人群开展适宜性的健康教育。
关键词:  军事人员  离退休干部  健康知识  影响因素
DOI:10.16781/j.0258-879x.2021.03.0334
投稿时间:2020-09-06修订日期:2021-02-05
基金项目:海军军医大学(第二军医大学)长海医院“234学科攀峰计划”(2019YBZ005).
Analysis of health knowledge and its influencing factors among retired military cadres
HOU Bing1,HOU Xiao-ling2,WANG Wen-jing1,NI Hai-lai1*
(1. Department of Health Care, Changhai Hospital, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Department of Cardiovasology, The First Medical Center of PLA General Hospital, Beijing 100853, China
*Corresponding author)
Abstract:
Objective To analyze the health knowledge of retired military cadres and the main influencing factors. Methods A total of 350 retired military cadres were selected from the record of Changhai Hospital of Naval Medical University (Second Military Medical University) by simple random sampling method, and a self-made health knowledge questionnaire was issued to collect the basic information and health knowledge scores. Health knowledge was divided into basic health knowledge, health skill knowledge, and chronic disease prevention and control related knowledge. A score of 80% or more of the total score indicated that they had appropriate health knowledge. Chi square test was used to analyze the relationship between health knowledge and basic information of retired military cadres. Multivariate logistic regression model was used to analyze the main influencing factors of health knowledge. Results A total of 349 valid questionnaires were collected, and the response rate was 99.71%. The passing rates of the total score of health knowledge, basic health knowledge, health skill knowledge and chronic disease prevention and control related knowledge were 19.20% (67/349), 67.62% (236/349), 20.06% (70/349) and 12.03% (42/349), respectively. The results of univariate analysis showed that there were significant differences in the passing rates of the total score of health knowledge among the retired military cadres of different genders, ages, educational levels and medical learning experiences (all P<0.01). Multivariate logistic regression analysis showed that education level and medical learning experiences were the main influencing factors of health knowledge (odds ratio[OR]=5.133, 95% confidence interval[CI]2.207-11.939, P<0.01; OR=4.359, 95% CI 2.300-8.263, P<0.01). Conclusion Retired military cadres have a good understanding of basic health knowledge, but poor understanding of health skills and chronic disease prevention and control related knowledge. Military health care facilities and medical personnel should carry out appropriate health education for different groups of people.
Key words:  military personnel  retired cadres  health knowledge  influencing factors