十家政府机关工作场所健康促进综合性干预效果研究

A comprehensive evaluation of intervention effects on workplace health promotion in 10 government agencies

目的 评估10家政府机关在实施工作场所健康促进综合性干预活动后的效果.方法 于2012年8月,选取上海市10家规模相近（约100人）的政府机关的全部员工作为研究对象.于2014年9月,针对10家被调查单位开展终末调查.采用前瞻性的自身配对设计,并采用问卷调查的方法分别在干预前后开展基线评估和终末评估.结果 共719名调查对象同时完成了基线和终末调查,干预后员工的被动吸烟率、身体活动不足率分别从干预前的70.3％、38.7％降低到44.1％、30.5％;工作自主性和工作社会支持情况有所改善,分别增加了0.30、0.05分;自评健康好和心理健康好的比例分别从干预前的68.3％、68.8％提高到75.6％、85.3％;但职业紧张问题却更加明显,工作要求得分增加了0.44分,职业紧张阳性率从干预前的45.8％升高到65.5％.结论 工作场所健康促进综合性干预策略对于改善员工的身心健康有一定效果,但政府机关工作人员的职业紧张状况亟待改善.

Objective To evaluate the comprehensive workplace health promotion intervention effects on workplace health promotion in 10 government agencies.Methods A prospective self-controlled design was employed.Baseline evaluation and effectiveness evaluation were both conducted by questionnaire investigation.Results The intervention results showed that most effectiveness indicators were significantly improved including health behaviors,psychosocial work environment,and health status.After the intervention,the prevalence of passive smoking and physical inactivity decreased from 70.3% and 38.7% to 44.1% and 30.5%,respectively.The scores of job control and social support at work increased by 0.30 and 0.05,respectively.The prevalence of good self-rated health and good mental health raised from 68.3% and 68.8% to 75.6% and 85.6%,respectively.However,the scores of job demand increased by 0.4.Furthermore,the prevalence of occupational stress increased significantly from 45.8% to 65.5%.Conclusion After implementing workplace health promotion,the physical and mental health of the staff have been promoted.However,the occupational stress of government officials still need to be improved.