长远航舰艇人员功能性便秘发病情况及危险因素研究

Incidence and risk factors of functional constipation among naval shipboard personnel during the distant and prolonged escort mission

目的 调查海军某部护航官兵长远航前后功能性便秘（functional constipation,FC）的发病情况并分析相关危险因素.方法 整群调查海军某部长远航舰艇人员285名,采用罗马Ⅲ标准流行病学调查问卷（Rome Ⅲ-MQ）及焦虑自评量表进行面访式问卷调查,了解护航前后FC的患病率变化,采用多因素Logistic回归分析探究长远航FC发病的危险因素.结果 共收回277份有效问卷.护航官兵航海前FC患病率为9.03％,长远航后FC患病率为22.1％,较航海前显著增加,差异有统计学意义（P＜0.01）.Logistic回归分析表明,焦虑、航观部门、文化程度高、夜间值更次数频繁及服役时间长是长远航舰艇人员罹患FC的危险因素.结论 长远航后官兵FC患病率显著增加,重叠多种危险因素的舰艇人员,功能性便秘的发病率显著增加.

Objective To investigate the incidence and risk factors of functional constipation （FC）among naval shipboard personnel during the distant and prolonged escort mission.Methods A cluster survey was made on the 285 escort personnel of a certain naval unit by using the Rome Ⅲ-MQ standard epidemiologic survey questionnaire and the Anxiety Self-Assessment Scale.Changes in the incidence of FC before and after the escort mission by using personal interview questionnaire and risk factors associated with FC incidence during prolonged deployment were explored by using multiple Logistic regression analysis.Results Two hundred seventy-seven copies of questionnaire were enrolled for the study.The prevalence rates of FC in the shipboard personnel before and during the escort mission were respectively 9.03％ and 22.1％,with the latter being significantly higher than that before the escort mission （P ＜ 0.01）.Logistic regression analysis indicated that anxiety,navigation and communication posts,high education background,frequent night watch and long years of sea service might be risk factors of FC for those shipboard personnel with prolonged deployment at sea.Smoking might be a protective factor of FC.Conclusions The incidence of FC among the shipboard personnel was significantly increased after prolonged sea deployment.The shipboard personnel affected by multiple risk factors were more susceptible to functional constipation.