助产士亚健康常模建立及影响因素分析
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女,硕士,护士

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福建省社会发展引导性项目(2019Y0059)


Establishment of the norms of Sub-Health Measurement Scale for midwives and the influencing factors
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    目的 了解助产士亚健康状况及其影响因素,并确定亚健康判断常模,为制定干预策略、提高助产士健康水平提供参考。方法 通过分层整群随机抽样法,选取福建省46家助产医疗机构共842名助产士,采用亚健康评定量表、社会支持评定量表、匹兹堡睡眠质量指数量表及疲劳量表-14进行调查,构建助产士亚健康评定量表的划界常模,通过单因素分析与Logistic回归分析筛选亚健康的影响因素。结果 助产士亚健康状态判定的划界分值为65分,亚健康发生率为68.88%,其中生理、心理及社会亚健康发生率分别为66.51%、69.36%、67.81%。每周用餐不规律的频率、每次锻炼持续时间、不良生活事件种类、医院性质、工作满意度、社会支持水平、睡眠质量是助产士亚健康的影响因素(均P<0.01)。结论 助产士亚健康状态较显著,且受到多方面因素的影响。管理者与助产士均应提高健康保健意识,及时采取措施改善亚健康状况,提高助产士健康水平。

    Abstract:

    Objective To investigate the sub-health status of midwives and its influencing factors, to establishment of the norms of Sub-Health Measurement Scale for midwives, and to provide basis for formulation of intervention strategies aiming to improve midwives′ health level. Methods Totally, 842 midwives were selected from 46 midwifery medical institutions in Fujian province by stratified cluster random sampling method. Data were collected using the Sub-Health Measurement Scale Version 1.0, the Social Support Rating Scale, the Pittsburgh Sleep Quality Index and the Fatigue Scale-14. The cut-off norm of the Sub-Health Measurement Scale was established among midwives. Univariate analysis and the logistic regression were used to analyze the influencing factors of sub-health. Results The cut-off norm of sub-health status was 65; the prevalence rate of sub-health in midwives was 68.88%; the prevalence rate for physical, psychological and social sub-health was 66.51%, 69.36% and 67.81% respectively; binary logistic regression analysis showed that the frequency of irregular meals per week, the duration of each exercise, the types of adverse life events, hospital types, job satisfaction, social support and sleep quality were the influencing factors of the midwives′ sub-health status(P<0.01 for all). Conclusion The sub-health status of midwives is a significant problem and affected by many factors. Managers and midwives themselves should improve awareness of health care and take measures to reverse midwives′ sub-health state, so as to improve the health level of midwives.

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陈晓倩,江秀敏,黄欣欣,郑静,刘桂华,潘雨晴.助产士亚健康常模建立及影响因素分析[J].护理学杂志,2020,35(24):67-70

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  • 收稿日期:2020-07-16
  • 最后修改日期:2020-09-05
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  • 在线发布日期: 2022-09-06