The Study Of The Analysis For The Health Status Of Teachers And Countermeasure From A Military Medical University

Being a special group,the teachers of a military medical university,not only belong to the medical university teachers,but also have the special status of military or non-military personnel.They not only shoulder the task of training medical and health industry personnel,but also shoulder the mission of training and delivering high-quality health care personnel for the army.Therefore,the health status of this group not only affects the development of medical education level,but also affects the improvement of military health care.Purpose:The study explores the health status,major disease spectrum,prevalence and trends of teachers in a military medical university by analyzing the health examination data.Through the statistical analysis of physical examination data,the main disease spectrum and epidemic trend of the teachers are described,and the differences in the prevalence of major diseases among different years,different genders,different departments,different ages groups and different marital conditions are compared.Describe the epidemiological characteristics of major gynecological diseases and male specialist diseases.Combined with the results of lifestyle questionnaire and interview,the teacher group and the school health department are proposed to provide reasonable and effective health intervention strategies.Methodology:The subjects were the straight-through teachers who participated in the physical examination at the health check-up center of a certain hospital in the school in 2015-2017.The physical examination data came from the database of the medical examination center of the hospital.The number of subjects included in the study was 2,718,including 1,657 males and 1,060 females;1029 in 2015,965 in 2016,and 723 in 2017.The medical examination data is exported to the Microsoft Excel 2016 software to establish a database,and data cleaning and verification are performed.Descriptive statistics are used to analyze the general demographic characteristics of medical examination data.The number of counts and percentage(n(%))are used for enumeration data,and the measurement data is described by means of mean and standard deviation((?) ±S).The chi-square test was used to analyze the detection rate of diseases or abnormal indicators of teachers in different years,different genders,different departments,different age groups and different marital conditions.The questionnaire was designed.The questionnaire consisted of 41 questions including basic information,smoking and drinking,diet,sleep,exercise,and stress.Using the method of convenient sampling,a total of 490 people(409 valid questionnaires)were selected from College of Basic Medical Sciences(180 teachers),Department of pharmacy(100 teachers),Faculty of Naval Medicine(60 teachers),School of Nursing(50 teachers),Faculty of traditional Chinese medicine(100 teachers),and Health service departments(50 teachers).The effective questionnaire recovery rate was 83.5%.Descriptive statistics are used to analyze the general demographic characteristics of medical examination data.The number of counts and percentage(n(%))are used for enumeration data,and the measurement data is described by means of mean and standard deviation((?)±S).T test,analysis of variance,chi-square test or rank sum test were used to compare the differences in the unhealthy lifestyles and related indicators among teachers with different demographic characteristics in each part of the questionnaire.Using non-structural interviews,9 people including teaching and reserch staff,health care management personnel and health management research experts were invited to conduct interviews.As a supplement to the questionnaire,this part aims to understand the perceptions of health,health management and health influencing factors from different professional perspectives,discuss the unhealthy lifestyle of teachers in this university and how to mobilize the enthusiasm for military training,and put forward suggestions for the teachers health intervention.Results:Physical examination result:The main diseases detected were mainly noninfectious chronic disease such as dyslipidemia,overweight/obesity,fatty liver,thyroid nodules and hyperuricemia.The detection rates of overweight/obesity,fatty liver,thyroid nodules and hyperuricemia increased year by year.Dyslipidemia,overweight /obesity,fatty liver,thyroid nodules,hepatic cysts,C13 breath test positive and hypertension detection rate increase with age;among them,the detection rate of fatty liver and hypertension increased significantly after 30 years old,while the thyroid nodules,C13 breath test positive and hepatic cysts detected significantly increased after the age of 50.Male teachers have a higher rate of disease detection than femal teachers.The detection rates of dyslipidemia,overweight /obesity,fatty liver,hyperuricemia,hypertension and ALT were significantly higher in men than in women.The main diseases detected in gynecology are breast hyperplasia and cervicitis.There was no difference in the detection rate of breast hyperplasia between different years,different departments,different age groups and different marital conditions.The detection rate of cervicitis in married groups was higher in three years.The main detection of diseases in male specialists is benign prostatic hyperplasia.The detection rate of benign prostatic hyperplasia increases with age,and the detection rate after 30 years old shows a significant upward trend.The detection rate of benign prostatic hyperplasia in married groups was higher in three years.Health and lifestyle questionnaire results:The proportion of male teachers drink more than the female.The proportion of >50 years old teachers drink more than other age groups.The proportion of associate professor and above teachers drink more than the other titles.Teachers have a long working time and frequent overtime work;the proportion of overtime work for associate professors and above is higher than that of other professional titles.The lack of physical exercise for teachers is widespread.The proportion of female teachers lacking exercise is higher than that of male teachers.The proportion of teachers aged 31-50 who lack of exercise is higher than that of other age groups;the lack of training for lecturers is higher than for other titles.Teachers generally believe that their own life pressure is high.Male teachers believe the proportion of stress is higher than female teachers.The proportion of teachers aged 31-50 is higher than other age groups.Doctoral teachers believe that the pressure is higher than other other academic teachers.The teachers title of lecturer believe that the proportion of stress is higher than that of other titles.Interview result:The interviewees have a higher level of acquaintance of health and wellness management.The interviewees recognize the risk factors clear that affect the health of teachers in military medical university.Constructive conmments have been put forward on how to moblize the enthusiasm of training.The all interviewees agreed that the different ways and focused health interventions should be adopted to promote the health of teachers actively in military medical university.Conclusion:The health status of teachers in military medical university is not optimistic,and the diseases are mainly noninfectious chronic disease.Teachers of military medical university have unhealthy lifestyle,and the key population is outstanding.Based on health management,it is necessary to build a multi-party management model of teachers,schools,the state,the military and industry authorities,and actively promote the improvement of the teachers' health.