有意性急性农药中毒影响因素结构方程模型

樊落; 桂莉; 魏婧昀

doi:10.16462/j.cnki.zhjbkz.2019.08.024

有意性急性农药中毒影响因素结构方程模型

doi: 10.16462/j.cnki.zhjbkz.2019.08.024

樊落¹,
桂莉^2, ,,
魏婧昀¹

1.
730000 兰州, 甘肃省人民医院急诊科
2.
200433 上海, 海军军医大学护理学院急救教研室

基金项目:

2018甘肃省卫生行业科研计划 GSWSKY2018-64

详细信息

通讯作者:
桂莉. E-mail: guili2000@qq.com

中图分类号: R181
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- 文章访问数: 346
- HTML全文浏览量: 132
- PDF下载量: 30
- 被引次数: 0
出版历程
- 收稿日期: 2019-01-15
- 修回日期: 2019-04-14
- 刊出日期: 2019-08-10

Analysis of structural equation modeling on influencing factors for patients with deliberated acute pesticide poisoning

FAN Luo¹,
GUI Li^{2
, ,},
WEI Jing-yun¹

1.
Emergency Department, Gansu Provincal Hospital, Lanzhou 730000, China
2.
Nursing College, The Navy Military Medical University, Shanghai 200433, China

Funds:

Scientific Research Plan of Gansu Province Health Industry in 2018 GSWSKY2018-64

More Information

Corresponding author: GUI Li. E-mail: guili2000@qq.com

摘要

摘要: 目的探讨有意性急性农药中毒相关因素，为该病的预防和健康促进提供依据。方法应用《有意性急性农药中毒相关因素调查问卷》，对甘肃省有意性急性农药中毒患者和同期非急性农药中毒患者进行调查。采用结构方程模型分析结果。结果认知因素、社会环境因素、心理因素对中毒行为的发生有直接影响，标准化回归系数分别为-0.831、-0.752和-0.469；认知因素对心理因素和社会环境因素有直接作用；二级维度中认知偏差、绝对化、应对方式、社会支持、农药管理和负性生活事件对中毒行为的发生有间接作用，标准化系数分别为0.757、0.541、0.773、0.576、0.824和0.782。结论关注有意性急性农药中毒发病的相关因素，改善其社会学相关因素及应对方式，给予社会支持，加强农药管理，有助于降低发生率。
- 有意性 /
- 急性农药中毒 /
- 结构方程模型
Abstract: Objective To explore the influencing factors of deliberated acute pesticide poisoning (APP), so as to provide prevention and health promotion for the disease. Methods The deliberated APP patients related factors questionnaire was used to investigate deliberated APP and non-deliberated APP patients. The data was analyzed with Structural Equation Modeling. Results APP was directly affected by cognitive factors, psychological factors and social environment factors. Their standardized regression coefficients were -0.831, -0.752 and -0.469 respectively. Cognitive factors had a direct effect on psychological factors and social environment factors. APP was affected indirectly by cognitive deviation, absolutization, copying manner, social support, pesticide management and negative life events. Their standardized regression coefficients were 0.757, 0.541, 0.773, 0.576, 0.824 and 0.782, respectively. Conclusions Paying attention to the influencing factors for deliberated APP patients, improving sociological influencing factors, improving coping style and provide social support and strengthen pesticide management is benefided to reduce the incidence of APP.
- Deliberated /
- Acute pesticide poisoning /
- Structural equation modeling

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图 1 有意性急性农药中毒相关因素结构方程模型

注: e1~e12为各亚因素的直接测量条目编码

Figure 1. Deliberated APP related factors SEM model

下载: 全尺寸图片幻灯片

表 1 有意性APP和非APP人口学特征比较[n (%)]

Table 1. Demographic characteristics comparison between deliberated APP and un-APP [n (%)]

项目	有意性APP组(n=300)	非APP组(n=900)	χ²值	P值
性别			4.569	＜0.001
男	115(38.3)	481(53.4)
女	185(61.7)	419(46.6)
年龄(岁)			-9.650	＜0.001
≤25	65(21.7)	110(12.2)
26~	82(27.3)	122(13.6)
36~	126(42.0)	307(34.1)
≥56	27(9.0)	361(40.1)
居住地			6.668	＜0.001
农村	141(47.0)	613(68.1)
城市	159(53.0)	287(31.9)
职业			-15.110	＜0.001
农民	223(74.3)	234(26.0)
非农民	77(25.7)	660(73.3)
学历^a			7.326	＜0.001
高等教育	29(9.7)	277(30.8)
非高等教育	271(90.3)	623(69.2)
居住方式			-1.278	0.202
同住	220(73.3)	625(69.4)
独居	80(26.7)	275(30.6)
收入(元)			-6.684	＜0.001
＜1 000	161(53.7)	291(32.3)
1 000~	88(29.3)	336(37.3)
2 000~	43(14.3)	196(21.8)
≥3 000	8(2.7)	77(8.6)
婚姻			-0.993	0.321
已婚	239(79.7)	689(76.6)
非婚	61(20.3)	208(23.1)
子女(个)			-0.125	0.901
无子女	64(21.3)	161(17.9)
1	65(21.7)	246(27.3)
2	122(40.7)	355(39.4)
3	41(13.7)	104(11.6)
4	8(2.7)	34(3.7)
注：^a学历中非高等教育为初中以下学历，高等教育为高中以上学历

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表 2 有意性APP与非APP社会学相关因素比较(x±s)

Table 2. Sociology related factors comparison between deliberated APP and un-APP(x±s)

项目	有意性APP组(n=300)	非APP组(n=900)	t值	P值
生理因素	4.233±0.551	4.590±0.579	9.364	0.001
疾病因素	4.233±0.551	4.590±0.579	9.364	0.001
认知因素	3.701±0.488	4.496±0.505	-19.621	＜0.001
认知偏差	3.432±0.036	3.598±0.035	-3.255	0.001
认知丧失	2.545±0.050	4.435±0.036	-30.123	＜0.001
绝对化	3.763±0.044	4.011±0.043	-3.841	＜0.001
心理因素	2.774±0.601	3.017±0.606	-4.920	＜0.001
性格特征	2.450±0.086	3.060±0.092	-4.806	＜0.001
应对方式	2.882±0.033	3.002±0.033	-2.519	0.012
社会环境因素	3.295±0.341	3.511±0.335	-7.831	＜0.001
社会支持	2.654±0.037	3.535±0.039	-16.234	＜0.001
负性生活事件	4.041±0.036	3.850±0.042	3.413	＜0.001
农药管理	2.960±0.029	3.285±0.029	-7.702	＜0.001

下载: 导出CSV

表 3 结构方程模型中各潜变量的分析结果

Table 3. Results of Latent Variables in SEM Model

潜变量	系数	标准误	临界比值	P值	标准化系数
中毒←疾病因素	-0.061	0.005	-11.791	＜0.001	-0.171
中毒←认知因素	-0.214	0.012	-17.759	＜0.001	-0.831
中毒←心理因素	-0.568	0.022	-14.736	＜0.001	-0.469
中毒←社会环境	-0.285	0.009	-31.856	＜0.001	-0.752
中毒←年龄	-0.017	0.005	-3.334	＜0.001	-0.045
中毒←性别	0.311	0.010	1.028	0.018	0.020
中毒←收入	-0.020	0.006	-3.587	＜0.001	-0.066
认知丧失←认知因素	1.317	0.479	2.648	0.021	0.357
绝对化←认知因素	0.968	0.054	17.758	＜0.001	0.541
认知偏差←认知因素	1.033	0.058	17.758	＜0.001	0.757
应对方式←心理因素	0.570	0.034	20.054	＜0.001	0.773
性格特征←心理因素	0.515	0.240	2.140	0.032	-0.882
农药管理←社会环境	0.836	0.038	30.230	＜0.001	0.824
负性生活事件←社会环境	0.898	0.031	28.570	＜0.001	0.782
社会支持←社会环境	0.673	0.034	20.054	＜0.001	0.576
心理因素←认知因素	0.815	0.052	15.583	＜0.001	0.711
社会环境←认知因素	0.987	0.037	33.381	＜0.001	0.802

下载: 导出CSV

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