Objective To determine the factors influencing insomnia and construct early insomnia warning tools for rescuers to informbest practices for early screening and intervention.Methods Cluster sampling was used to conduct...Objective To determine the factors influencing insomnia and construct early insomnia warning tools for rescuers to informbest practices for early screening and intervention.Methods Cluster sampling was used to conduct a cross-sectional survey of 1,133 rescuers from one unit in Beijing,China.Logistic regression modeling and R software were used to analyze insomniarelated factors and construct a PRISM model,respectively.Results The positive rate of insomnia among rescuers was 2.74%.Accounting for participants’age,education,systolic pressure,smoking,per capita family monthly income,psychological resilience,and cognitive emotion regulation,logistic regression analysis revealed that,compared with families with an average monthly income less than 3,000 yuan,the odds ratio(OR)values and the[95%confidence interval(CI)]for participants of the following categories were as follows:average monthly family income greater than 5,000 yuan:2.998(1.307–6.879),smoking:4.124(1.954–8.706),and psychological resilience:0.960(0.933–0.988).The ROC curve area of the PRISM model(AUC)=0.7650,specificity=0.7169,and sensitivity=0.7419.Conclusion Insomnia was related to the participants’per capita family monthly income,smoking habits,and psychological resilience on rescue workers.The PRISM model’s good diagnostic value advises its use to screen rescuer early sleep quality.Further,advisable interventions to optimize sleep quality and battle effectiveness include psychological resilience training and smoking cessation.展开更多
目的：了解2013—2015年某院医院感染（HAI）现患情况，为提高 HAI 管理水平提供参考依据。方法采用横断面调查方法，对2013—2015年郑州大学第一附属医院住院患者进行 HAI 现患率调查，分析不同性别、不同年龄组的 HAI 现患率，以及 H...目的：了解2013—2015年某院医院感染（HAI）现患情况，为提高 HAI 管理水平提供参考依据。方法采用横断面调查方法，对2013—2015年郑州大学第一附属医院住院患者进行 HAI 现患率调查，分析不同性别、不同年龄组的 HAI 现患率，以及 HAI 部位构成情况。结果2013—2015年应查29605例，实查29581例，实查率99．92％。2013—2015年 HAI 现患率分别为2．83％、2．14％、1．73％，三年间 HAI 现患率比较，差异有统计学意义（χ2＝27．521，P ＜0．01），呈逐年下降趋势。不同性别住院患者 HAI 现患率比较，男性 HAI 现患率为2．47％，高于女性 HAI 现患率1．98％，差异有统计学意义（χ2＝7．954，P ＜0．01）。2013—2015年不同年龄组住院患者 HAI 现患率在年龄维度上大致呈“U”型分布，HAI 现患率较高的为70～组（4．15％），0～30岁年龄组 HAI 现患率随年龄的增加而降低，30岁年龄组之后 HAI 现患率随年龄的增加而升高。HAI 部位构成居前3位的为下呼吸道（45．67％）、上呼吸道（9．92％）和泌尿道（8．52％）。结论该院现患率调查结果显示 HAI 现患率逐年降低，说明 HAI 防控措施落实有效。展开更多
基金Beijing Science and Technology"Capital Characteristics"Project[Z181100001718007]Translational Medicine Project of PLA General Hospital[2017TM-023]+1 种基金Expansion of Military Medical and Health Achievements[17WKS25]National Science and Technology Support Program[No.2013BAI08B01]。
文摘Objective To determine the factors influencing insomnia and construct early insomnia warning tools for rescuers to informbest practices for early screening and intervention.Methods Cluster sampling was used to conduct a cross-sectional survey of 1,133 rescuers from one unit in Beijing,China.Logistic regression modeling and R software were used to analyze insomniarelated factors and construct a PRISM model,respectively.Results The positive rate of insomnia among rescuers was 2.74%.Accounting for participants’age,education,systolic pressure,smoking,per capita family monthly income,psychological resilience,and cognitive emotion regulation,logistic regression analysis revealed that,compared with families with an average monthly income less than 3,000 yuan,the odds ratio(OR)values and the[95%confidence interval(CI)]for participants of the following categories were as follows:average monthly family income greater than 5,000 yuan:2.998(1.307–6.879),smoking:4.124(1.954–8.706),and psychological resilience:0.960(0.933–0.988).The ROC curve area of the PRISM model(AUC)=0.7650,specificity=0.7169,and sensitivity=0.7419.Conclusion Insomnia was related to the participants’per capita family monthly income,smoking habits,and psychological resilience on rescue workers.The PRISM model’s good diagnostic value advises its use to screen rescuer early sleep quality.Further,advisable interventions to optimize sleep quality and battle effectiveness include psychological resilience training and smoking cessation.
文摘目的：了解2013—2015年某院医院感染（HAI）现患情况，为提高 HAI 管理水平提供参考依据。方法采用横断面调查方法，对2013—2015年郑州大学第一附属医院住院患者进行 HAI 现患率调查，分析不同性别、不同年龄组的 HAI 现患率，以及 HAI 部位构成情况。结果2013—2015年应查29605例，实查29581例，实查率99．92％。2013—2015年 HAI 现患率分别为2．83％、2．14％、1．73％，三年间 HAI 现患率比较，差异有统计学意义（χ2＝27．521，P ＜0．01），呈逐年下降趋势。不同性别住院患者 HAI 现患率比较，男性 HAI 现患率为2．47％，高于女性 HAI 现患率1．98％，差异有统计学意义（χ2＝7．954，P ＜0．01）。2013—2015年不同年龄组住院患者 HAI 现患率在年龄维度上大致呈“U”型分布，HAI 现患率较高的为70～组（4．15％），0～30岁年龄组 HAI 现患率随年龄的增加而降低，30岁年龄组之后 HAI 现患率随年龄的增加而升高。HAI 部位构成居前3位的为下呼吸道（45．67％）、上呼吸道（9．92％）和泌尿道（8．52％）。结论该院现患率调查结果显示 HAI 现患率逐年降低，说明 HAI 防控措施落实有效。
