Nishimoto Daisaku, Kodama Shimpei, Nishimoto Chiemi, Kubota Keiko, Kurono Asutsugu, Nishio Ikuko
Department of Nursing, School of Health Sciences, Faculty of Medicine, Kagoshima University, Japan.
Jiaikai Izuro Imamura Hospital Medical Health Care Center, Japan.
J Rural Med. 2025 Jan;20(1):39-45. doi: 10.2185/jrm.2024-027. Epub 2025 Jan 1.
Repeated guidance through specific health guidance (SHG), a service that provides health advice to high-risk individuals for specific health examinations, may be affected by examinees' mental health status. However, the association between repeated SHG sessions and mental health remains unclear.
Data were collected from 123 men and women who underwent specific health checkups at Jiaikai Izuro Imamura Hospital between April 13, 2021 and April 13, 2022 after receiving SHG in the previous year. A questionnaire survey was conducted to assess burnout, resilience, and lifestyle-related factors such as weight change and the amount of alcohol consumed. Odds ratios (OR) and 95% confidence intervals (CI) for repeated SHG were estimated using stepwise multiple logistic and mediation analyses.
The results showed that repeated SHG was significantly associated with weight gain ≥10 kg from the age of 20 years (OR=4.41, 95% CI 1.74-11.20) and burnout subscale of cynicism (OR=4.18, 95% CI 1.31-13.33).
Weight loss guidance could be an effective component of SHG. Additionally, individuals who are repeatedly provided with SHG experience a mental health burden. Furthermore, interventions to reduce cynicism may be necessary to prevent the need for repeated SHG.
通过特定健康指导（SHG）进行反复指导，即一项为高风险个体提供特定健康检查健康建议的服务，可能会受到受检者心理健康状况的影响。然而，反复进行SHG疗程与心理健康之间的关联仍不明确。
收集了2021年4月13日至2022年4月13日期间在加凯伊津郎今村医院接受特定健康检查的123名男性和女性的数据，这些人在上一年接受了SHG。进行了问卷调查，以评估倦怠、恢复力以及体重变化和饮酒量等与生活方式相关的因素。使用逐步多元逻辑回归和中介分析估计反复进行SHG的优势比（OR）和95%置信区间（CI）。
结果显示，反复进行SHG与20岁起体重增加≥10千克（OR=4.41，95%CI 1.74-11.20）以及玩世不恭的倦怠分量表（OR=4.18，95%CI 1.31-13.33）显著相关。
体重减轻指导可能是SHG的一个有效组成部分。此外，反复接受SHG的个体承受着心理健康负担。此外，可能需要采取干预措施来减少玩世不恭的情绪，以避免需要反复进行SHG。
