The Evaluation Of Sub-health State And Job Burnout And The Effects On Cardiovascular Disease Warning In Seafarers

Objective To evaluate the sub-health and burnout condition ofSeafarers,and combined with existing cardiovascular disease early warning model toexplore the role of sub-health and burnout state to risk of cardiovascular disease.Methods Seafarers were selected from January to June in2013.The sub-healthcondition was measured by the questionnaire which was made by ourselves,andcombined with physiological index,blood biochemical parameters,physical indicatorsand laboratory testing.Job burnout was investigated by the questionnaire of MaslachBurnout Inventory-General Survey in seafarers.By a10-year risk prediction modelsfor ischemic cardiovascular disease (man)estimating the risk of ischemiccardiovascular disease in the10years and explore the role of sub-health and jobburnout to heart risk of vascular disease on seafarers.Result (1)1045seafarers wereselected and the valid questionnaires were1007,the effective rate was96.36%.The allseafarers were male and the average age were35.58±8.74years old.(2)The scores ofphysiological sub-health state were significantly highest in the30～45age group orthose married seafarers (P<0.05).while the scores of Psychology sub-health weresignificantly highest in seafarers who had a Associate’s degree and above,or in thosewith high family income（10000yuan/month）(P<0.05).the scores of Socialsub-health were significantly highest who had a Associate’s degree andabove(P<0.05).As shown in the result of multiple-factor analysis,a long Sailingtime,poor sleep quality,overtime working，and occupational stress were the main riskfactors for sub-health. However,physical exercise was a protective factor.(3)Thescores of emotional exhaustion and cynicism were significantly highest in theyoungest age group(<30years old)the divorced or widowed group,or those withmonthly family income of10000yuan/month (P<0.05).while the scores of reducedpersonal accomplishment were significantly highest in seafarers who had aAssociate’s degree and above,or in those with median family income(3000～6000yuan/month)(P<0.05).As shown in the result of multiple factor analysis,poorsleep quality and occupational stress were the main risk factors for burnout.However，physical exercise was a protective factor.(4)A total of392seafarers is estimatedCVD risk，the average risk of1.78±1.41%.A positive correlation between thephysiological sub-health status and CVD risk； regression risk show that thephysiological sub-health is a risk factors to CVD risk. Conclusion(1)Burnout andsub-health among seafarers was affected by many factors. Therefore measures shouldbe taken by relevant administrative departments and seafarers themselves to reducethe incidence of burnout and sub-health.(2)Cardiovascular disease may be animportant warning indicator of sub-health state.