| Objectives:To investigate the fatigue status of the full-time teachers in the secondary health school of Henan Province and to explore the multi-dimensional correlation of fatigue, workload and the coping styles, we put forward the appropriate interventions to improve the health status of the full-time teachers in the secondary health school.Object and Method:This study used stratified cluster random sampling method, selecting 370 full-time teachers from six secondary health schools in Henan Province. Qualitative and quantitative methodologies was combined to collect data. There are four parts of the questinnaires. The first is about the common status of the demography including gender, age, nation and so on,the second including seondary vocational school teachers occupational stress questionnaire,fatigue assessment instrument(FAI),WHO-5 quality of life questionnaire and trait coping style questionnaire which was adopted to measure fatigue and its facrors, the third is to sort the problems that the teachers looked forward to solving and visiting the vice-presidents for teaching affairs and the full-time teachers is the last part. 473 questionnaires was sent out by secret ballot, and the objects was informed consent. Eliminating the unqualified questionnaires during 438 regained, 370 effective questionnaires was left eventually. Effective rate of the questionnaires was 85.5%. SPSS 11.5 package was conducted to entry and analyze. The data was analyzed by t-test, signed-ranks test, chi-square test and multilpie logistic regression analysis .Results:1 The level of the total score of fatigue have significant difference in gender,age,and the classes per week ( P < 0.05.The total score of the male teachers is 135.009±28.821, that of the female is 128.022±28.482. That of male is higher than the females'. The level of fatigue of the middle-aged teachers and the teachers who had>10 classes per week is higher than others. According to the score of first factor(level of fatigue) of FAI, if the score≥4,we regard it as fatigue; If the score <4,we regard it as non-fatigue. The rate of fatigue is 40%.2 The level of burden had significant difference in gender,age, the class hours per week and educationcal degree. The males'level of student burden, ego development burden, workload burden were all significantly higher than that of females'( P<0.05). The level of burden of the teachers of 35-44 ages group was significantly different from the teachers of≤34 and≥45 ages group(P<0.05);the formor is higher than the latter two. The level of workload burden of different classes per week had significant difference(P<0.05);That of 35- ages group is higher than others. The level of self-preservation burden of different degree had significant difference(P<0.05); That's of teachers graduated from specialized secondary schools was highest and the teachers from junior college was lowest.3 There was significant difference in coping styles among different age groups(P<0.05). The level of positive coping of the teachers of≥45 ages group is higer than that's of the teachers of≤34 ages group. There was no significant difference in negative coping among different age groups(P<0.05). The total score of coping of different age groups had significant differenc(eP<0.05); That of the teachers of≥45 ages group was highest and that of the teachers of≤34 ages group was lowest.4 The quality of life was significant difference in gender(P<0.05);The females'was higher than that of the males'. The positive coping was positively correlated with it,and other factors were negatively correlated. By analysis of Logistic regression , the total score of fatigue and negative coping were risk factors ,the vaule of OR were 1.018,1.073, respectively. Positive coping was protective factor,with the value of OR being 0.904.5 The teachers consided that the most pressing issue was low wages. Secondly, government sector and School Principalship would care for their work and life. Heavy workload was not the outstanding issue.6 According to the results of Logistic regression analysis, combined logical reasoning , expertise and stress theory, we did multi-dimensional Path analysis among each variables. Results of Path analysis showed that among all factors we explored,occupational burden and fatigue play important role with effect value of 0.325 and 0.161,respectively. Positive coping and negative coping were main fators subsequently with effect value of 0.083 and 0.078,respectively. Positive coping and negative coping can affect quality of life and fatigue by direct influence and intermediate impact with effect value of -0.401and 0.371,respectively. The overall effect of occupational burden on quality of life is greater than on the fatigue.Conclusions:1. 40%of the full-time teachers in the secondary health school of Henan Province were in fatigue condition. The occurring rate of fatigue status in male teachers was significantly higher than female teachers.That of the middle aged teachers and the teachers who had>10 classes per week was higher than others. The major risk factors included negative coping,work stress and low wages .2 Positive coping strategies were used more often than negative coping when they faced the stressor; The scores of positive coping was higher than that of negative coping. The quality of life was positively correlated with positive coping and negative coping,occupational burden and fatigue were all negatively correlated with it.
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