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默西塞德郡老年海员的健康行为与福祉——通过简短干预显示出的变化

The health behaviour and wellbeing of older seafarers on Merseyside - indicated changes through brief interventions.

作者信息

Fisk Malcolm John

机构信息

De Montfort University, Leicester, United Kingdom.

出版信息

Int Marit Health. 2017;68(3):133-139. doi: 10.5603/IMH.2017.0024.

Abstract

BACKGROUND

There is significant evidence of the poor health of seafarers that arises both from the rigours of their trade and, for many, the associated lifestyles. Such poor health can continue in later life. The objective of the research is to report on a specific project that provided brief interventions to assist older (ex-) seafarers and to establish the effect of those interventions on their knowledge, behaviours, health and wellbeing.

MATERIALS AND METHODS

Older seafarers were recruited to the project. Brief interventions were provided by which the knowledge of a number of older seafarers with health needs was raised about the options available to them; and the implications for their lifestyles and behaviours were addressed. Initial and final interviews were undertaken to determine any changes in self-reported health and wellbeing using both EQ5D and the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) measures. Post project interviews took place with a sample of the older seafarers.

RESULTS

A good level of understanding was found among the older seafarers regarding their own health. This meant that a precondition was in place, for many, by which changes in behaviours and lifestyles could take place. An important outcome was the indicated benefits of the brief interventions for self-reported wellbeing, though not statistically significant at the 95% level of confidence.

CONCLUSIONS

Endeavours within the project to reach some of those who could benefit from the brief interventions were successful. Just over half changed their behaviours or were thinking of so doing. Wellbeing gains arising were indicated.

摘要

背景

有大量证据表明,海员的健康状况不佳,这既源于他们工作的艰苦,也源于许多人相关的生活方式。这种健康不佳的状况可能会持续到晚年。本研究的目的是报告一个特定项目,该项目提供简短干预措施以帮助年长的(前)海员,并确定这些干预措施对他们的知识、行为、健康和幸福感的影响。

材料与方法

招募年长的海员参与该项目。提供简短干预措施,借此提高一些有健康需求的年长海员对他们可选择的方案的了解;并探讨这些方案对他们生活方式和行为的影响。通过使用EQ5D和沃里克-爱丁堡心理健康量表(WEMWBS)进行初始和最终访谈,以确定自我报告的健康和幸福感的任何变化。项目结束后对一部分年长海员进行了访谈。

结果

年长海员对自身健康有较高的认知水平。这意味着对许多人来说,行为和生活方式发生改变的前提条件已经具备。一个重要的结果是,简短干预措施对自我报告的幸福感有明显益处,尽管在95%的置信水平上没有统计学意义。

结论

项目中努力接触到一些可能从简短干预措施中受益的人,这一努力是成功的。略多于一半的人改变了他们的行为,或者正在考虑这样做。表明幸福感有所提升。

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