心血管内科医护人员心血管健康行为流行趋势及相关因素分析

Epidemiological trend and related factors of cardiovascular health among medical and nursing staff of cardiovascular internal medicine

目的研究心血管内科医护人员心血管健康(cardiovascular health,CVH)行为和因素流行趋势及其相关因素。方法随机选择河北省唐山市三甲医院心血管内科医护人员,根据美国心脏协会定义的CVH标准设计调查问卷,采用面对面调查完成相关信息采集,采用SPSS 17.0软件进行logistic回归分析。结果纳入研究1324人,其中医生628人,CVH评分为(10.13±2.29),行为评分为(3.50±3.17),因素评分为(5.37±1.16);护士696人,CVH评分为(11.10±1.53),行为评分为(2.91±2.90),因素评分为(5.90±0.50)。校正职业、性别、年龄、文化程度、夜班、饮酒、健康教育、日工作时间,经多因素logistic回归分析,护士、女性、文化程度、健康教育是医护人员CVH评分的独立保护因素,其对应OR值(95%CI)分别为1.76(1.22~2.53)、1.97(1.41~2.76)、1.49(1.20~1.73)、1.28(1.06~1.56)(P<0.05);年龄、夜班、饮酒、日工作时间是医护人员CVH评分的独立危险因素,其对应值(95%CI)分别为0.97(0.95~0.99)、0.62(0.45~0.86)、0.38(0.30~0.48)、0.81(0.74~0.89)(P<0.05)。结论唐山市心血管内科医护人员CVH流行趋势处于较高水平,但CVH行为流行趋势处于较低水平。文化程度、健康教育是医护人员CVH的独立保护因素。夜班、日工作时间是医护人员CVH的独立危险因素。

Objective To study the prevalence trend and related factors of cardiovascular health(CVH)behavior and risk factors among medical staff in cardiovascular medicine department of third-grade class-A hospital in Tangshan.Methods Cardiovascular physicians and nurses were randomly selected from third-grade class-A hospital in Tangshan,Hebei Province.Questionnaires were designed according to CVH standard defined by American Heart Association.Face-to-face interview was used to collect relevant information.Logistic regression analysis was performed by SPSS 17.0software.Results There were 1324participants in the study,628were doctors,with CVH score of(10.13±2.29),behavioral score(3.50±3.17),factor score(5.37±1.16);696nurses,CVH score(11.10±1.53),behavioral score(2.91±2.90),factor score(5.90±0.50).After adjusting occupations,gender,age,educational level,night shift,drinking,health education and working hours,multivariate logistic regression analysis showed that nurses,women,educational level and health education were independent protective factors of CVH score(P<0.05),and their corresponding ORs(95%CI)were 1.76(1.22-2.53),1.97(1.41-2.76),1.49(1.20-1.73),1.28(1.06-1.56),respectively.Age,night shift,drinking and working hours were independent risk factors for CVH score of medical staff.The corresponding ORs(95%CI)were 0.97(0.95-0.99),0.62(0.45-0.86),0.38(0.30-0.48),0.81(0.74-0.89),respectively(P<0.05).Conclusions The prevalence trend of CVH is at a high level among medical and nursing staff of cardiovascular medicine in Tangshan,but the prevalence trend of CVH behavior is at a low level.Educational level and health education are independent protective factors of CVH among medical staff.Night shift and day working hours were independent risk factors for CVH among medical staff.