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Longitudinal Studies Of PLA Medical Staff Health Status Of A Tertiary Referral Hospital

Posted on:2017-08-09Degree:MasterType:Thesis
Country:ChinaCandidate:H XieFull Text:PDF
GTID:2334330485473764Subject:Social Medicine and Health Management
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Objective: In order to better understand the physical health status of military medical staff, we were looking for a good way to improve the health status of military medical staff by scientific comparisons. The risk factors which affect the health conditions were identified and the relevant countermeasures and data support were provided through the scientific demonstration and contrast.Methods: A longitudinal investigation and retrospective study were used to analysis the medical examination results of 998-1354 medical staff in 2011-2014. The examination result items included hyperglyceridemia, abnormal hepatic functions, gynecological diseases, fatty degeneration of the liver, abnormal ECG, the gall bladder diseases, gypertension, hyperglucose, breast diseases, hypercholesterolemia and the other diseases. It started with the highest checked rates of diseases/symptoms on 2011. The ages, genders, work departments, occupations, workload and life habits of medical staff were also investigated. The data were analyzed by SPSS19.0 and the positive results were longitudinally and horizontally compared with different years, ages, gender, work departments and occupations. We had analysised the distribution characteristics of the positive detection rate of the disease, the dynamic change trend and the relationship between the research objects.Results:1 The study showed the total rate of diseases was 85.6%(4066/4748) in 4 years. The case detections while suffering from symptoms of the disease as followeds: one disease / symptom for 27.3%(1296/4748); two disease/symptoms for 14.1%(126/4748); three disease/symptoms for 7.4%(350/4748); four disease/symptoms for 2.7%(126/4748); five to seven disease/symptoms for 0.8%(39/4748).2 The average of relevance ratios of disease/symptoms were: 17.9%(852 /4748) for high triglycerides, 13.5%(639/4748) for high cholesterol, 12.19%(579/4748) for abnormal liver function, 9.65%(458/4748) for fatty liver, 37.69%(365/4748) for abnormal electrocardiogram, 6.15%(292/4748) for gallbladder disease, 6.02%(286/4748) for other diseases, 5.64%(185/3282) for gynecological diseases, 3.73%(177/4748) for hypertension, 3.12%(148/4748) for hyperglycemia and 2.59%(85/3282) for breast disease. Among the specifications, the development speed with fixed basis showed a trend from fast to slow, but the link relative growth rate showed a gradually slowdown trend.3 The total relevance ratios of disease/symptom were 74.5%(744/998) in 2011, 86.7%(1010/1165) in 2012, 93.0%(1145/1231) in 2013, 86.2%(1167/1354) in 2014; the top three of the examination rates during the four consecutive years were hypertriglyceridemia, hypercholesterolemia and abnormal liver function with rate of hypertriglyceridemia was 15.2%(152/998), high cholesterol was 13.1%(131/998) and abnormal liver function was 11.4%(114/998) in 2011, whil hypertriglyceridemia was 18.2%(212/1165), high cholesterol was 13.4%(156/1165) and abnormal liver function was 11.4%(134/1165) in 2012, then hypertriglyceridemia was 18.8%(231/1231), high cholesterol was 14.3%(176/1231) and abnormal liver function was 13.3%(164/1231), and in the end hypertriglyceridemia was 19.0%(257/1354), high cholesterol was 13.0%(176/1354), abnormal liver function was 12.3%(167/1354) in 2014; Most diseases showed increasing trends.4 Comparations of different ages, genders, occupations and departments:4.1 Different ages: Young group(20-45 years old), middle-age group(46-60 years old), old-age group(61-90 years old). The detection rates in the three age groups of hypertension, hypertriglyceridemia, high cholesterol, fatty liver, abnormal ECG for four consecutive annual was statistically significant(P < 0.05), and the overall detection rates of the diseases or symptoms increased as the age increased. Rates of diseases/symptoms were statistically significantly different(P < 0.05) in four years between the three groups, except for the rates of breast disease in 2011 and of the other diseases in 2014,.4.2 Different genders: Women workers detection rates of high cholesterol was higher than men while ECG abnormalities and other disease detection rate were lower than men(P < 0.05) in 2011; Detection rates the male workers were higher than women(P < 0.05) in 2012 except for high blood sugar, high triglycerides, high cholesterol; detection rates of abnormal liver function and other disease of men was significantly higher than women in 2013, while detection rates of high triglycerides, gallbladder disease and ECG abnormalities women in women was significantly higher than men(P < 0.05); In 2014, abnormal liver function and other disease detection rates of men were lower than women, while ECG abnormalities detection rate was higher than women(P < 0.05); High blood pressure, high blood sugar, high cholesterol, fatty liver, gallbladder disease disease / symptoms positive detection rate were not statistically significant between men and women. Obviously, as time went on, different genders presented different positive detection rates of disease/symptoms showed a different trend.4.3 Different occupations: Disease detection rates of high cholesterol, fatty liver, hypertension, high blood sugar and gallbladder were significantly different in different occupations(P < 0.005). The highest proportion of detected rate was in support staff group, in which fatty liver, high cholesterol and hypertension positive rate were 1.5-3 times of medical personnel. The lowest was nurse group.4.4 Different departments: Disease detection rates of high cholesterol, fatty liver, hypertension, high blood sugar and gallbladder disease was significantly different(P < 0.005). The highest proportion of detected rate was in support staff group while the lowest was nurse groupConclusions: The average of rates of diseases was 85.6%, which reached 93.0% for a peak. The relevance ratios of hypertriglyceridemia, fatty liver, abnormal electrocardiogram, gallbladder disease, hypertension, hyperglycemia, hypercholesterolemia and other diseases were related to the age, gender, department life habits and workload of objects.
Keywords/Search Tags:PLA, Hospital, medical staff, health status, examinations
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