Towards Lessening Learners’Aversive Emotions and Promoting Their Mental Health:Developing and Validating a Measurement of English Speaking Demotivation in the Chinese EFL Context

While a plethora of studies has been conducted to explore demotivation and its impact on mental health in second language(L2)education,scanty research focuses on demotivation in L2 speaking learning.Particularly,little research explores the measures to quantify L2 speaking demotivation.The present two-phase study attempts to develop and validate an English Speaking Demotivation Scale(ESDS).To this end,an independent sample of 207 Chinese tertiary learners of English as a Foreign Language(EFL)participated in the development phase,and another group of 188 Chinese EFL learners was recruited for the validation of the scale.Exploratory Factor Analysis(EFA)and Confirmatory Factor Analysis(CFA)were employed to determine the factor structure of the scale.The EFA results revealed a six-factor solution with Teacher-related Factors in Learning Spoken English(TFLSE),Interest and Valence in Learning Spoken English(IVLSE),Self-efficacy in Learning Spoken English(SELSE),Negative Peer Influence in Learning Spoken English(NPILSE),Undesirable Environment for Learning Spoken English(UELSE),and Negative Influence of Assessment and Learning Materials in speaking class(NIALM).In the validation phase,Confirmatory Factor Analysis(CFA)was performed to validate the internal structure of the scale.The CFA results showed that the model fits the data well.Overall,the ESDS is a robust and trustworthy psychometric tool that could be utilized to examine L2 speaking demotivation.Implications for diminishing EFL learners’demotivation,lessening their aversive emotions and promoting their mental health are also discussed.

Translation and psychometric evaluation of the Chinese version of the Heart Failure-Specific Health Literacy Scale

Objective:Health literacy is closely associated with self-care behaviors in heart-failure patient.A reliable,valid,and practical measuring tool would evaluated the level of health literacy in Chinese patients with heart failure,and provide evidence for individualized education.Aim of this study was to translate Heart Failure-Specific Health Literacy Scale(HF-Specific HL Scale)into Chinese and test the reliability and validity of the Chinese version.Methods:The original HF-specific HL scale was translated into Chinese and modified for cultural adaption.Totally 164 HF inpatients were investigated with the Chinese version of HF-specific HL scale.To test the reliability and validity of the scale,item analysis,exploratory factor analysis(EFA),confirmatory factor analysis(CFA),and correlation analysis were conducted.Result:Cronbach's a value for the scale is 0.87;the correlation coefficients between each item and the total score ranged from 0.61 to 0.91.Three factors was extracted by EFA,which could explain 64.62%of the total variance.The result of CFA also showed that the scale demonstrated an acceptable model fit.The scale was significantly correlated with the Chinese version of the Heart Failure Knowledge Test(C-HFKT).Conclusion:The Chinese version of HF-specific HL scale is reliable and valid,and is suitable for assessment of HL in Chinese HF patients.

Constructing Large Scale Cohort for Clinical Study on Heart Failure with Electronic Health Record in Regional Healthcare Platform:Challenges and Strategies in Data Reuse

Regional healthcare platforms collect clinical data from hospitals in specific areas for the purpose of healthcare management.It is a common requirement to reuse the data for clinical research.However,we have to face challenges like the inconsistence of terminology in electronic health records (EHR) and the complexities in data quality and data formats in regional healthcare platform.In this paper,we propose methodology and process on constructing large scale cohorts which forms the basis of causality and comparative effectiveness relationship in epidemiology.We firstly constructed a Chinese terminology knowledge graph to deal with the diversity of vocabularies on regional platform.Secondly,we built special disease case repositories (i.e.,heart failure repository) that utilize the graph to search the related patients and to normalize the data.Based on the requirements of the clinical research which aimed to explore the effectiveness of taking statin on 180-days readmission in patients with heart failure,we built a large-scale retrospective cohort with 29647 cases of heart failure patients from the heart failure repository.After the propensity score matching,the study group (n=6346) and the control group (n=6346) with parallel clinical characteristics were acquired.Logistic regression analysis showed that taking statins had a negative correlation with 180-days readmission in heart failure patients.This paper presents the workflow and application example of big data mining based on regional EHR data.

Development and evaluation of the health belief model scale for exercise

Objectives:This study was aimed to develop a health belief model scale for exercise among Chinese residents to describe the relationships between health beliefs and exercise for promoting residents to adopt or maintain exercise programs.Methods:Participants were from two projects,Project 1 with 3833 participants and Project 2 with 7319 participants.A pool of 21 items was developed based on a small-scale qualitative study about health beliefs of exercise and literature.Internal consistency and construct validity of the scale were evaluated with Cronbach'sαcoefficient,exploratory factor analysis(EFA),confirmatory factor analysis(CFA)and second-order confirmatory factor analysis.Results:A final version of 18 items loaded on six factors which could explain 60.30-%of variance was observed after EFA.The internal consistency of the final version with 18 items performed in Project 1 was acceptable(0.609).The reliability of the six subscales was good with Cronbach'sαcoefficient of 0.628,0.713,0.628,0.801,0.676 and 0.838 for perceived benefits,perceived objective barriers,perceived subjective barriers,self-efficacy,perceived severity and cues to action,respectively.CFA and second-order CFA indicated a good fit to data.Conclusions:The Health Belief Model Scale for Exercise(HBMS-E)is a valid and reliable instrument to assess health beliefs of exercise among residents in China.Understanding the health beliefs of exercise will help health professionals to develop effective interventions for health and evaluate the effectiveness.

The Brunel Mood Scale Rating in Mental Health for Physically Active and Apparently Healthy Populations

There is a positive relationship between mood states and mental health. The aim of the present study was to investigate the construct validity and internal consistency of the Brunel Mood Scale (BRUMS) for use with different populations, which are physically active and apparently healthy. Measures were obtained from 1295 male (N = 709, 34 ± 20 years, mean ± SD) and female (N = 576, 43 ± 24 years, mean ± SD) volunteers. Factor analysis was used, verifying that six factors (components) accounted for 62.65% of the total variance of the scale. The Varimax method with Kaiser Normalization for the rotation of the factors for the main components, and it was observed that the 24 scale items loaded on six mood factors (anger, depression, tension, vigor, fatigue, and confusion). Internal consistency was good for all the factors identified. We suggest that the results provide some support for validity of the BRUMS for use with different populations, which are physically active and apparently healthy.

Designing a Scale to Assess Family Nursing Practice among Public Health Nurses in Japan

Background: The promotion of family nursing by public health nurses (PHN) presupposes an accurate assessment of the family nursing support they already provide. However, as there is no assessment tool for this purpose, this study aimed to develop a scale to assess family nursing currently provided by PHN. Methods: We developed the Family Nursing Practice Scale (FNPS) for PHN based on the results of a previous study. The content validity of the FNPS was established through discussion with three other researchers. A pilot study was conducted to confirm face validity. To confirm reliability and validity, an anonymous, self-reported questionnaire was sent to PHN working in municipal offices. The statistical analyses included the Kaiser-Meyer-Olkin (KMO), Barlett’s Test of Sphericity, exploratory factor analysis (EFA), Cronbach’s alpha, correlation coefficient and t-test. Results: Seven hundred fifty-four PHN participated in this study. Cronbach’s alpha of FNPS was 0.94. The KMO measure was 0.948, and Bartlett’s Test of Sphericity was p < 0.01. Two factors together accounted for 63.2% of the variance in EFA. No items were excluded because of low loadings. Construct validity was confirmed through comparison with categories from a previous study. The correlation coefficient of FNPS and selected items of the Practice of Breastfeeding Support Scale was r = 0.56 (p < 0.01). The result of the t-test showed that the FNPS score of PNH who had received training in family nursing was significantly higher than that of PHN who had not (t = -2.0;p < 0.05). Conclusion: The reliability and validity of the FNPS were confirmed. The FNPS comprised 15 items and two factors. The score for “Active support for the family” was lower than “Support given with awareness of the family’s situation.” The findings of this study strongly suggested that the FNPS would be effective in clarifying the current state of family nursing provided by PHN and factors related to this activity and thus greatly assist the efforts of PHN to promote family nursing.

Designing a Scale to Assess Breastfeeding Support among Public Health Nurses in Japan

Background: Promoting breastfeeding support by public health nurses (PHN) requires first that the support which they currently provide to be assessed. However, there is no assessment tool for this purpose. The aim of this study was therefore to develop a scale to assess breastfeeding support currently provided by PHN. Methods: We developed the Practice of Breastfeeding Support Scale (PBSS) for PHN based on the results of a previous study. The content validity of the PBSS was established through discussion with three other researchers. A pilot study was conducted to confirm face validity. To confirm reliability and validity, an anonymous, self-reported questionnaire was sent to PHN working in municipal offices. The statistical analyses included the Kaiser-Meyer-Olkin (KMO), Barlett’s Test of Sphericity, exploratory factor analysis (EFA), Cronbach’s alpha and correlation coefficient. Results: 768 PHN participated in this study. Cronbach’s alpha of PBSS was 0.85. The KMO measure was 0.892, and Bartlett’s Test of Sphericity was p Conclusion: The reliability and validity of PBSS were confirmed. These findings suggested that the PBSS has the potential to help promote breastfeeding support by PHN by clarifying their current breastfeeding support practices and related factors.

Italian Psychometric Validation of the Multidimensional Students’ Health-Promoting Lifestyle Profile Scale

The present study examines the factorial structure and assesses the psychometric properties of the adapted multidimensional Health-Promoting Lifestyle Profile II Scale, considering a sample of Italian university students who participated to an online survey. The original 52-items Scale showed a high overall internal consistency. Four of the six subscales were associated with good values of the Cronbach’s α coefficient, whereas two subscales had lower values. Hence corrected item-total correlation was calculated and 26 items that decreased the scale’s reliability were deleted. The remaining 26 items were first subjected to Principal Component Analysis that suggested a conceptually meaningful five-factor model. This result was further supported by the first-order confirmatory factor analysis, in which all the factor loadings were statistically significant. The internal consistency and the composite reliability for the reduced version of the Scale and its subscales have shown a good reliability for the measurement models. The multidimensionality of the scale was also confirmed by a second-order factor model.

Development of a career-orientation scale for public health nurses

Objective: The purpose of this study was to develop a career-orientation scale for public health nurses (PHNs) and to validate the scale. Methods: Self-administered questionnaires were sent to 7170 PHNs in 10 prefectures. A retest survey was sent to 252 participants. Results: The valid responses from 2003 PHNs in the first survey were analyzed for major factors by varimax rotation. The analysis resulted in five orientation factors and 19 items being selected. The cumulative contribution ratio was 46.9%, and Cronbach’s coefficient alpha was 0.863. The exact match ratio of test-retest was 59.7% (from 47.7% to 72.1% for each item and from 12.0% to 92.0% for each participant). Conclusions: The reliability and validity of this survey were confirmed;however, further research is required to confirm the reproducibility. This scale can be used as a self-assessment tool when managers need to advise their staff on career development.

Impact of COVID-19 pandemic on health-promoting lifestyle behaviors:A cross-sectional study

Objective:To explore health-improving behaviors during COVID-19 pandemic and to reveal the impact of the risk perception of COVID-19 on these behaviors.Methods:We recruited a total of 510 participants for this cross-sectional study.The data were collected online using a questionnaire booklet covering a form inquiring about the participants’demographic,physical,and mental characteristics,the Generalized Anxiety Disorder-7 Scale,and the COVID-19 Perceived Risk Scale.Results:The mean age of the participants was(28.7±10.1)years,and 76.1%were females.Of the participants,31.8%were overweight and obese.While 35.1%experienced negative alterations in their dietary patterns,23.9%reported positive changes to their diet during the pandemic.Besides,47.8%reported their sleep to be negatively affected during the pandemic.While the rate of those with extended screen time was 72.5%,it was 44.3%for the participants engaging in regular exercise.More than one-third of the participants(35.9%)had high and severe anxiety.We also found increased risk perception of COVID-19 among females,obese,those with disturbed eating and sleep quality,healthcare workers,and those with severe anxiety.Conclusions:Overall,the pandemic has appeared to have brought both positive and negative impacts on maintaining and improving eating,sleep,physical activity,and mental health.

Evaluation of Attitudes of Family Physicians toward Occupational Health and Occupational Diseases in Türkiye

Background/Aim: This study evaluated family physicians’ attitudes toward occupational health and disease in Türkiye. Materials and Methods: The study is cross-sectional and descriptive in a quantitative research design. The “Attitude Scale for Physicians toward Occupational Health and Occupational Diseases” developed by Kolcu et al. was used in the study (Cronbach’s α 0.94). Our study aimed to sample the entire country using the stratified sample selection based on geographical region. 349 family physicians were included in the study according to sample size (n: 349). Results: The mean age of the participants in the study was 37.77 ± 8.96 (min: 27, max: 65 years). Of the participants, 65.2% were male. Of the physicians, 33.8% were family medicine specialists, and 38.8% had occupational physician certificates. It was determined that the level of attitude of family physicians toward occupational diseases was insufficient. It was also found that awareness increased as age increased, and awareness and attitude levels did not change according to gender. No significant difference was found in the scale total scores and subdimensions of family physicians’ occupational health and occupational disease attitudes according to the regions they worked in Türkiye. Conclusion: It has been concluded that there is no difference in awareness among family physicians in regions where it is much more important to diagnose an occupational disease, especially in industrial regions. The number of family physicians with occupational physician certificates was very insufficient, and a significant number of those who had occupational physician certificates did not practice occupational medicine.

Workplace Health Interventions and Physical Fitness Status among Managers of Small-Scale Enterprises in Norway and Sweden

Background: The ability of managers of small-scale enterprises (SSEs) to prioritize health, working conditions, and their own physical fitness is an important issue for workplace health promotion in Norway and Sweden, where most owner-manager positions are in SSEs. Aim: To assess the physical fitness status of SSE managers compared to a norm population and to study changes in physical fitness status, self-reported physical activity, and sickness outcomes after workplace health interventions. Methods: The study allocated SSE managers to either an intervention or a reference group. The intervention, over twelve months, consisted of motivational input related to lifestyle and physical activity through tests and feedback, individual support, and courses on health and psychosocial working conditions. The participants (N = 28) completed health screening checks, questionnaires and testing before and after the intervention. Results: SSE managers in the study had positive outcomes for BMI levels and strength compared to the norm population, while percentage of fat for both men and women indicated poor results. There were no further improvements in the intervention group after comparison with the reference group. Separately, both groups seemed to improve strength and body composition. Conclusion: Workplace health interventions with essentially motivational components may increase SSE managers’ attention to physical fitness, but appear to have limited effects on objective and subjective physical fitness outcomes.

Japanese Version of the Parent Health Locus of Control Scales: Validity and Reliability

The Parent Health Locus of Control (PHLOC) Scales measure parents’ beliefs about the factors that affect their children’s health. The aim of our study was to develop a Japanese version of the Parent Health Locus of Control (JPHLOC) Scales and to verify its validity and reliability. The JPHLOC scales consist of six scales: Professional Influence, Parental Influence, Child Influence, Media Influence, Fate Influence, and God, Buddha, and the Spirits Influence. Our questionnaire was administered to 231 principal caregivers from Japan whose children were under 6 years of age. The items, related to the “God, Buddha, and the Spirits Influence” scale, showed a floor effect. The exploratory factor analysis indicated that JPHLOC’ six factors functioned similarly to the PHLOC’ factors. The Fate Influence and Child Influence factor structures in JPHLOC scales were different from the corresponding factor structures in the original PHLOC scales in the functioning of only one item. There were statistically significant correlations between JPHLOC scales and Japanese version of the Parenting Stress Index-Short Form (PSI-SF), which add evidence to the criterion-related validity of JPHLOC scales. Furthermore, applying the known-groups method, our study showed that there was a significant difference across the JPHLOC scale scores, owning to differences in the children’s and caregivers’ demographics, which provides an evidence for construct validity. The Cronbach’s alpha coefficients for the six scales were estimated between 0.73 and 0.93. In a test-retest study, the interclass correlation coefficients for the six scales were ranged between 0.80 and 0.90. The results suggested that the JPHLOC scales have sufficient reliability and validity. The JPHLOC scales are applicable to the caregivers of healthy children. We confirm that the PHLOC scales are also applicable to Japanese caregivers.

Analysis of mental health status and related factors in patients with acute cerebral infarction

BACKGROUND Acute cerebral infarction(ACI)is characterized by a high incidence of morbidity,disability,recurrence,death and heavy economic burden,and has become a disease of concern in global researchers.As ACI has serious effects on patients’physical status,life and economy,often causing anxiety,depression and other psychological problems,these problems can lead to the aggravation of physical symptoms;thus,it is very important to understand the factors affecting the mental health of these patients.AIM To understand the elements that affect the mental health of patients who have suffered an ACI.METHODS A questionnaire survey was conducted among patients with ACI admitted to three tertiary hospitals(Quanzhou First Hospital,Fuqing City Hospital Affiliated to Fujian Medical University,and the 900 Hospital of the Joint Service Support Force of the People’s Liberation Army of China)in Fujian Province from January 2022 to December 2022 using the convenience sampling method.ACI inpatients who met the inclusion criteria were selected.Informed consent was obtained from the patients before the investigation,and a face-to-face questionnaire survey was conducted using a unified scale.The questionnaire included a general situation questionnaire,Zung’s self-rating depression scale and Zung’s self-rating anxiety scale.All questionnaires were checked by two researchers and then the data were input and sorted using Excel software.The general situation of patients with ACI was analyzed by descriptive statistics,the influence of variables on mental health by the independent sample t test and variance analysis,and the influencing factors on psychological distress were analyzed by multiple stepwise regression.RESULTS The average age of the 220 patients with ACI was 68.64±10.74 years,including 142 males and 78 females.Most of the patients were between 60 and 74 years old,the majority had high school or technical secondary school education,most lived with their spouse,and most lived in cities.The majority of patients had a personal income of 3001 to 5000 RMB yuan per month.The new rural cooperative medical insurance system had the largest number of participants.Most stroke patients were cared for by their spouses and of these patients,52.3%had previously smoked.Univariate analysis showed that gender,age,residence,course of disease,number of previous chronic diseases and smoking history were the main factors affecting the anxiety scores of patients with ACI.Age,living conditions,monthly income,course of disease and knowledge of disease were the primary variables influencing the depression score in patients with ACI.The findings of multivariate analysis revealed that the course of disease and gender were the most important factors influencing patients’anxiety scores,and the course of disease was also the most important factor influencing patients’depression scores.CONCLUSION Long disease course and female patients with ACI were more likely to have psychological problems such as a high incidence of emotional disorders.These groups require more attention and counseling.

In-service Structural Health Monitoring of a Full-scale Composite Horizontal Tail

In-service structural health monitoring（SHM） technologies are critical for the utilization of composite aircraft structures. We developed a Lamb wave-based in-service SHM technology using built-in piezoelectric actuator/sensor networks to monitor delamination extension in a full-scale composite horizontal tail. The in-service SHM technology combine of damage rapid monitoring（DRM） stage and damage imaging diagnosis（DID） stage allows for real-time monitoring and long term tracking of the structural integrity of composite aircraft structures. DRM stage using spearman rank correlation coeffi cient was introduced to generate a damage index which can be used to monitor the trend of damage extension. The DID stage based on canonical correlation analysis aimed at intuitively highlighting structural damage regions in two-dimensional images. The DRM and DID stages were trialed by an in-service SHM experiment of CFRP T-joint. Finally, the detection capability of the in-service SHM technology was verified in the SHM experiment of a full-scale composite horizontal tail. Experimental results show that the rapid monitoring method effectively monitors the damage occurrence and extension tendency in real time; damage imaging diagnosis results are consistent with those from the failure model of the composite horizontal tail structure.

我国公立医院医生的价值医疗服务动机探究——概念建构与量表测度

健康中国建设行动彰显了以患者为中心的价值医疗理念,对医生医疗服务行为的价值诉求也日益提高。本研究试图将一般公共组织中公共服务动机概念引入公立医院之中,提出“价值医疗服务动机”概念,作为公立医院医生的一种公共服务动机表达。本文通过质性分析和量化测度,建构出“公立医院医生价值医疗服务动机”的概念,包含责任承诺、专业坚守、声誉维护、规范遵从四个概念维度,据此形成价值医疗服务动机量表。研究发现我国公立医院医生具有多维价值特征的医疗服务动机,呈现不同动机表达或行为倾向,在实现以患者为中心的价值医疗目标实践中,不断处理与平衡其中的公共价值冲突。该量表能够为测度医生价值医疗服务动机提供有效工具,为进一步发现医生价值医疗服务动机的影响因素,提升公立医院医疗服务能力、改善医疗行为、促进医患信任等提供理论与实践支持。

高参数大型游乐设施服役健康管控技术体系设计

高参数大型游乐设施结构型式多样,运动型式复杂,失效模式众多。其服役健康管控涉及风险评价、检测/监测、故障诊断、寿命评估、健康评价、使用管理等多方面。只有建立全面系统的健康管控技术体系,才能从根本上保障设施的运行安全。以高参数大型游乐设施为研究对象,以设备失效、故障和事故为问题导向,设计了系统科学的健康管控技术体系,分别从健康管控指标体系、检测/监测关键技术、健康评价关键技术、健康恢复与保持等四方面分析了有待解决的技术问题和服役健康研究方向。研究结果为全行业开展相关技术研究提供了思路和指导。

类风湿性关节炎患者健康相关生命质量评价及其影响因素

目的探讨类风湿性关节炎(RA)住院患者健康相关生命质量(HRQoL)评分及其影响因素。方法采用欧洲五维度五水平健康量表(EQ-5D-5L)及自编问卷对2023年4~9月安徽中医药大学第一附属医院风湿免疫科收治的200例RA住院患者进行HRQoL调查,EQ-5D-5L量表中健康描述系统及视觉模拟标尺(EQ-VAS)分别用于测量RA患者健康效用值及整体健康状态,采用单因素分析、Tobit多因素回归分析影响RA患者HRQoL的因素。结果共收集190份有效问卷,有效回收率95%。RA患者健康效用值为(0.77±0.25),EQ-VAS评分为(76.44±43.65)分,其健康问题多集中于“行动能力”和“疼痛或不适”两个维度。Tobit多因素回归分析显示,文化程度低(P=0.042,95%CI:0.032~0.143)与吸烟(P=0.013,95%CI:-0.154~-0.019)是RA患者HRQoL的危险因素。结论RA患者HRQoL与EQ-VAS较一般人群相比情况尚可,但仍存在健康效用值较低的问题,其中文化程度低与吸烟的患者HRQoL较差。

缺血性脑卒中患者院内合并肺部感染的影响因素分析

目的分析缺血性脑卒中患者院内合并肺部感染的影响因素。方法回顾性分析2020年3月至2022年2月期间在南通市第三人民医院治疗的214例缺血性脑卒中患者病历资料。根据《中国成人医院获得性肺炎与呼吸机相关性肺炎诊断和治疗指南》分组,未合并肺部感染患者作为对照组(n=104),合并肺部感染患者作为观察组(n=110)。对患者性别、年龄、发病至入院时间、合并基础疾病、鼻饲饮食、美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分、格拉斯哥昏迷量表(Glasgow Coma Scale,GCS)评分、气管插管、呼吸机辅助通气等临床资料进行调查,分析缺血性脑卒中患者合并肺部感染的危险因素。结果观察组男56例,女54例,年龄(73.59±8.21)岁;对照组男45例,女59例,年龄(65.32±5.62)岁。单因素分析结果显示,观察组患者年龄、鼻饲饮食、NIHSS评分、GCS评分、是否气管插管、是否呼吸机辅助通气与对照组比较差异有统计学意义(t=8.511、χ^(2)=11.622、t=5.721、t=4.282、χ^(2)=6.868、χ^(2)=6.145,P均<0.05)。多因素Logistic回归分析结果显示,鼻饲饮食(OR=5.447,95%CI:2.477~11.976)、NIHSS评分(OR=8.339,95%CI:2.598~26.768)、GCS评分(OR=7.660,95%CI:3.369~17.413)、气管插管(OR=6.184,95%CI:2.447~15.628)、呼吸机辅助通气(OR=4.302,95%CI:1.830~10.110)是缺血性脑卒中患者合并肺部感染的独立危险因素。结论鼻饲饮食、病情严重程度、意识障碍、气管插管及呼吸机辅助通气是导致缺血性脑卒中患者发生肺部感染的独立危险因素,因此在患者入院时应及时评估,有针对性地实施预防措施。

小区域尺度视角下的丽江市玉河健康特征研究

随着社会发展,工业化、城镇化进程不断加快,河湖生态问题日益突出且呈现更复杂的发展态势,进行河湖健康评价,开展河湖健康问题诊断,针对性地提出河湖生态系统精准治理、生态修复与保护等对策显的尤为迫切.结合丽江市典型河流玉河,以水域岸线状况、水量水质状况、生物状况、社会服务功能等4个准则层为重要抓手,构建11个指标层的河流健康评价体系,将玉河划分为农村段、城镇段、复合段3个小区域尺度进行综合评价,探讨了小区域尺度河流健康评价差异性特征,研究表明:玉河全河段、各分段均处于亚健康状态,玉河农村段、复合段、各城镇段岸线部分指标层、准则层间健康状况差异性显著,主要存在水资源禀赋差,生态流量小,底栖动物少,局部岸线状况较差的问题.