干休所院前急救相关因素分析

Analysis of related factors on first aid for cadre sanatoria

目的探讨军队干休所院前急救(FA)的影响因素,为科学干预、降低发生风险提供依据。方法整群抽样军队干休所1435例离退休干部为对象,连续观察3年,采用Logistic回归和chi-square危险度分层分析的方法,分别分析自身特征、自然条件、医疗条件与FA呼救率的相关性。结果高龄、健康状况不良、男性、丧偶、职务级别低是FA的危险因素(OR>1);夏季和冬季FA风险高于春、秋季(RR>1),冬季最高(RR=2.05),寒冷、炎热极端天气条件下FA风险进一步增高;交通不便、距保障医院道路距离远也是FA危险因素(RR>1);健康管理水平越高,FA呼救率越低(RR<1),增强干休所医疗人员力量有助于降低FA风险(RR<1)。结论针对FA影响因素,采取措施,积极干预,强化健康管理,是降低干休所FA风险的有效途径。

Objective To study influencing factors on First Aid（FA）for cadre sanatoria of army,and provide evidence for intervening scientifically so as to reduce risks of FA.Methods One thousand four hundred and thirty-five retired cadres from cadre sanatoria in our network are sampled as studied targets by cluster sampling,observed for 3 consecutive years.With Logistic regression analysis and risk stratified analysis of chi-square,the correlationships between the three aspects of factors-personal characteristics,natural conditions,medical conditions and the occurrence of calling for FA is explored respectively.Results Age,poor health,male,widowed,and low ranks are risk factors of FA（OR1）.Risk of FA in summer and winter is higher than in spring and autumn（RR1）,highest in winter（RR=2.05）;in extreme climate such as very cold,special hot,the risk increases further.Inconvenient traffic,long distance are also risk factors for FA（RR1）.Higher the health-management level is,lower the occurrence of calling for FA（RR1）;Enhancing medical staff of cadre sanatoria helps to lower the risk of FA（RR1）.Conclusions It is effective way to reduce the risk of FA that intervening measunes are thaken actively and health administration is strengthened according to its influencing factors.