生活方式干预对长航人员功能性胃肠疾病的效果研究

Effects of life style intervention on incidence of functional gastrointestinal disorder forcrew in long-distance navigation

目的探讨生活方式干预对长航人员长航中功能性胃肠病的影响及干预效果。方法采用整群抽样法使用罗马Ⅲ诊断标准制定的调查表对355名男性参加长航的海军官兵进行问卷调查。长航开始第一周采用问卷调查方式对研究对象进行生活方式评估，第二周制定个体化的生活方式干预方案，进行健康教育；第三周评价研究对象对方案的理解和实施情况，帮助研究对象建立良好的生活方式；第四周至第4个月底，对研究对象进行强化管理与督导。长航结束前一周，调查长航人员FGID的发病率和原有症状消失及缓解情况。结果干预后FGIDs总发病率由25．07％降至14．99％，任务结束后原发病人员症状消失、症状缓解率达49．44％。结论长期航海人员FGID发病比例较高。生活方式干预可减少FGID发病率，减轻症状，提高长航人员生活质量。

Objective To investigate the effects of life style intervention on incidence of functional gastrointestinal disorder for those in long-distance navigation. Methods 355 male naval officers and soldiers in long distance navigation were selected by cluster sampling to undergo a systematic survey of functional gastrointestinal disorder （FGID）. In the first week of the long-distance navigation, an one-on-one assessment of life style was conducted and followed by offering an individualized plan of life style intervention in the second week; an evaluation on implementation was performed in order to build up a better life style in the third week; an enhanced supervision was conducted from the fourth week to the end of the fourth month. A review was performed on FGID incidence in the week before arriving home. Results It reflected an incidence of 14.99% after the intervention, significantly lower than 25.07% before the intervention was offered, and the symptoms of those original with FGID reduced 49.44%. Conclusion The life style intervention is considered being effective in helping reduce the prevalence rate of FGID, as well as the symptoms of FGID, and improve the life quality of the personnel in a long-distance navigation.