论文部分内容阅读
目的探讨南海群礁作业人员在礁期间身心健康状况的动态变化规律,为制定合理的医疗卫生保障方案提供依据。方法制定统一表格,由经过统一培训的医务人员对某批作业人员连续90天每日逐人逐项当面询问、测量、记录。其中的“指数”指标,采用视觉模糊评分法。结果随着在礁时间的延长,作业人员的体重逐渐增加,至第11周时达最高水平,平均增加0.82kg(P<0.01);作业人员的身体健康状况如体能指数、健康指数、食欲指数、睡眠指数、睡眠时间、性唤起总人数及强烈性唤起的人数比例,心理健康状况如工作质量指数、工作积极性指数、注意力指数、记忆力指数、情绪指数等均随着在礁时间的延长而逐渐降低,降幅约10%左右,较基础值(第1周)相比,第5、9、13周时其差异均有非常明显的统计学意义(P<0.001)。人际关系融洽的比例逐渐减少,至第9周时达到非常显著性差异(P<0.001),关系较紧张以第6~9周较高,关系紧张则以第10周以后明显增多(P<0.001)。结论3个月的在礁作业期间,作业人员身心健康状况呈渐进性降低,但尚在可耐受的范围。后期的人际关系较紧张应引起重视。
Objective To explore the dynamic changes of physical and mental health status of reef workers during the reef in the South China Sea, and provide a basis for formulating a reasonable health care scheme. Methods To formulate a unified form, the medical personnel who have undergone uniform training shall make inquiries, measurement and recording on a case-by-case basis for a group of operators for 90 consecutive days. One of the “index” indicators, the use of visual fuzzy score method. Results With the extension of reefing time, the weight of workers increased gradually and reached the highest level by week 11 with an average increase of 0.82 kg (P <0.01). The health status of workers such as physical fitness, health index, appetite index, sleep Index, sleep time, the total number of sexual arousal and the proportion of strongly evoked, mental health such as quality of work index, work enthusiasm index, attention index, memory index, emotional index and so on with the extension of time in the reef gradually decreased , A decrease of about 10%. Compared with the baseline value (the first week), the differences were statistically significant at the 5th, 9th and 13th weeks (P <0.001). The proportion of interpersonal harmony gradually decreased, and reached a very significant difference (P <0.001) by the 9th week. The relationship was more intense with the period from the 6th to the 9th week and the tension was significantly increased after the 10th week (P <0.001) ). Conclusion During the three months of reef operations, the physical and mental health status of workers was gradually decreased, but still within the tolerable range. Late interpersonal tension should be taken seriously.