某院退休职工健康影响因素的分析

Analysis of Factors Influencing the Health of Retired Ex-Employees in a Hospital

目的通过对退休职工体检、住院和死亡原因进行分析,了解中老年人的身体健康状况,探讨疾病的预防措施,提出有针对性的健康管理方案和健康促进策略。方法收集2011年-2017年北京市某院退休职工每年健康体检档案,住院病案首页信息和死亡病例原因等资料,分析影响医务人员身体健康的主要原因,采用卡方检验比较不同性别之间参检率和影响健康的原因是否存在差异。P<0.05为差异具有统计学意义。进行多次比较时对P值进行校正。结果分析体检信息5850份,其中男性1138人(占19.45%),女性4712人(占80.55%),医务人员前五位的疾病顺位是血脂异常、高血压、肥胖或超重、脂肪肝、血糖高。高血压、肥胖或超重和血糖高阳性率男性高于女性(P<0.001);分析同期退休职工住院病案首页共计1224份,主要诊断前五位分别是:循环系统疾病、泌尿生殖系统疾病、消化系统疾病、眼和附器疾病、影响健康状态和与保健机构接触的因素;其中死亡病例资料共100份,死亡原因前五位分别是:循环系统疾病、肿瘤、呼吸系统疾病、消化系统疾病、血液及造血器官疾病和涉及免疫机制的某些疾患。结论为中老年医务人员制定个性化的健康管理方案,加强健康宣教,进行健康干预,有效的指导老干部处的健康教育工作。

Objective By analyzing the causes of health examination, hospitalization and death of retired workers, this paper discusses the health status of middle-aged and old people, probes into the preventive measures of diseases, and puts forward some targeted health management schemes and health promotion strategies. Methods Collect the annual health examination files, the first page information of the medical records and the cause of death of retired workers in a hospital from 2011 to 2017, and analyze the main causes that affect the health of medical workers. It was statistically significant to use chi-square test to compare the difference of the rate of reference examination and the cause of affecting health among different genders（P〈0.05）, and to correct the value of P when repeated comparisons were made. Results5850 copies of physical examination information were analyzed, including 1138 males（19.45%）, 4712 females（80.55%）. The first five diseases of the medical staff are dyslipidemia, hypertension, obesity or overweight, fatty liver, and high blood sugar. High blood pressure, obesity or overweight and high blood glucose were higher in men than in women（P〈0.001）. Analysis of 1224 hospital records of retired workers in the same period. The top five causes of death were circulatory diseases, tumors, respiratory diseases, digestive system diseases, blood and hematopoietic organs diseases, and certain diseases involving immune mechanisms.Among them, 100 death cases were recorded. The top five causes of death were circulatory diseases, tumors, respiratory diseases,digestive system diseases, blood and hematopoietic organs diseases, and certain diseases involving immune mechanisms.Conclusion To establish individualized health management program for medical staff, strengthen health education, carry out health intervention, and effectively guide the health education work of the old cadres.