| BACKGROUNDRapid development of social economy n science and technology level and the raise the standard of living, came along with accelerate pace of life、 increasingly intensified of adolescent population pressure of competition, increased psychological stress significantly, caused the emergence of adolescent with poor living way and the behavior custom, low health literacy, leading to decreased immunity and induce a variety of diseases. In recent years, more and more higher trend of reduction of blood cell diseases in adolescents such as acute leukemia> aplastic anemia and renal failure and etal, brought great pain to the patients and his family.Pancy topenia (PCP), Whole blood cell reduction a group of common clinical Syndrome cause with high degree of heterogeneity, is refers to low level of blood leukocyte、 red blood cell and platelet. In addition to the hematopoietic system disease, there are some non hematopoietic system diseases. Mainly divided into the following four categories:hematopoietic system benign diseases:such as iron deficiency anemia (IDA), megaloblastic anemia (MA) and immune thrombocytopenic purpura (ITP) et.al; refractory hematopoietic system diseases, such as aplastic anemia (AA), myelodysplastic syndromes (MDS), etal; the hematopoietic system of the heterogeneity of disease, such as acute leukemia (AL), multiple myeloma (MM), bone marrow fibrosis (MF), etal; (4) non hematopoietic system diseases, such as liver and kidney disease, malignant solid tumor and systemic infection disease, et.al. Patients in addition to the primary disease, clinical symptoms manifestation of different degrees of fatigue, dizziness, fever, anemia, hemorrhage, liver, spleen and lymph node swelling and tenderness of sternum and bone and joint pain etc.The etiology of the disease is the result of the interaction of genetic and environmental factors. The unhealthy life style and behavior habits are Internet addiction, staying up late, poor eating habits, smoking addiction, lack of exercise, abnormal sexual behaviors, drug abuse, lack of health controlling and awareness of medical treatment, exposure to toxic substances or the environment without self-protection and to pressure to take negative mood,health risk factors and promote each other, combined action of many factors, from quantitative change to qualitative change become disease susceptible factors induced, serious impact on young people and even the family’s physical and mental health and quality of life. Healthy literacy-related investigation in adolescent patients with pancytopenia, analysis and correlation of lifestyle and bad habits and disease research, guide young people to establish a good and healthy lifestyle habits, reduce the incidence of disease. Currently there are studies related to population health literacy for analysis, but specifically for young people pancytopenia less health literacy. This study attempts to do something related to the investigation and analysis in this area, aimed at adolescents disease pathogenic incentives aspect of discovery, which made early targeted preventive interventions, provide a theoretical basis for improving the quality of life and health of the adolescent population level.Objective:LAnalysis the health literacy of the pancytopenia patients of adolescence;2.Investigation the lifestyles and behavior of pancytopenia patients of adolescence;3.Investigation the incidence of sub-health status of pancytopenia patients of adolescence;4.Analysistheralationship between health risk factors and pancytopenia in adolescent.5.Lead a right way for the healthy growth for young people to prevent the occurrence of pancytopenia in adolescence.Patients and Methods:1. Chose pancytopenia patients aged 15-30 years in Shandong University Qilu Hospital of Hematologyand Urology clinical from 2014 to 2015 as the case group (a total of 200 cases,117 cases of male,83 female); while chose healthy normal subjects in Shandong University Qilu hospital health Center examination aged 15-30 years of age (98 males, female 102 cases) as case-control.2. Administered questionnaire "2009 Chinese citizens’health literacy questionnaire", "lifestyle and behavior homemade Scale", "sub from health literacy level meter". Applicated the "case-control methods" to discussion the relationship between o pancytopenia and healthy controls health literacy; Applicated the multivariate logistic regression to Investigate the risk factors and protective factors pancytopenia of adolescence.Result:1.General situation:420 questionnaires were issued in the process of this study, and 400 questionnaires were effective (95.2% efficiency). Depending on whether pancytopenia, the questionnaires were divided into two groups, the case group and the control group, each group for 200 cases. In the case group, more men than women, mostly concentrated in the age 20 to 30 years old. Junior middle school education level and below have a higher proportion of occupation, students and farmers (including migrant workers) have higher rates. According to the analysis of the family residence, the rural area is more than the city.2.The level of health literacy:the 4 dimensions of health literacy in the case group were lower than those in the control group. The overall rate of health literacy and healthy lifestyle and behavioral literacy rate was lower than the control group, the difference was statistically significant. At the same time, the rate of healthy lifestyle and behavioral accomplishment of the case group was the lowest (1.07%).3.Health Literacy factors:In case group, there are unhealthy lifestyles and behavior, mainly including excessive drinking, smoking addiction, addiction, bad habits, staying up late, lack of exercise, work pressure, sexual excess, lack of self health behavior, negative coping behaviors, higher than the control group, and the difference was statistically significant.4.Impact of health literacy on health:study subjects diagnosed six months ago to review the status of the health survey, the incidence of sub-health in the case group was higher than that in the control group, the difference was statistically significant.5.Multivariate Analysis:lead to disease-induced factors into Logistic regression analysis, according to the OR value judgment, adequate exercise, self-care behaviors, and positive coping behaviors are protective factors to avoid pancytopenia, other argument was shown to be risk factors of pancytopenia predisposing.Conclusion:1. In recent years, more and more higher trend of reduction of blood cell diseases in adolescents, this is worth to cause the concern and attention of the society, especially the male and the low cultural level. The total health literacy of Teen pancytopenia was lower, and the healthy lifestyle and behavioral habits were significantly lower.2.Pancytopenia patients have a variety of bad lifestyle and behavior. Pancytopenia patients have a high incidence of sub-health before diagnosis. Unhealthy lifestyle and behavior factor affect the adolescent population health literacy, which is a risk factor of adolescent population health.3.To improve the health literacy of young people, to develop a healthy lifestyle and behavior, to prevent the occurrence of disease, have far-reaching social significance and value.4.Pancytopenia patients have a high incidence of sub-health before diagnosis.5.Unhealthy lifestyle and behavior factor affect the adolescent population health literacy, which is a risk factor of adolescent population health.6.To improve the health literacy of young people, to develop a healthy lifestyle and behavior, to prevent the occurrence of disease, have far-reaching social significance and value. |
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