| Objectives By investigating the Metabolic Syndrome related knowledge, attitude and behavior of steel workers, the research set up a comprehensive intervention model based on network platform, and then evaluated its effect so as to provide a theoretical basis for exploring new intervention model which was suitable to steel workers.Methods The research objects that participated the occupational health examination in March 2015 to May 2015 came from two subsidiary Plant and 260 workers from ten teams were selected by cluster sampling. A baseline survey was conducted by self-design questionnaire which included the basic characteristics, workers’ MS related knowledge,attitude and practice. The physiological and biochemical indicators of MS were measured.According to the baseline diagnosis results and the characteristics of the workers, a sixmonth comprehensive intervention based on network platform was conducted. After the expiration of the intervention, 254 workers were selected by cluster sampling and were investigated in the same post-intervention questionnaire. The database was established with Epidata3.1 and the SPSS20.0 software was used for statistical analysis. The MS related KAP score comparison before and after the intervention were tested by t-test or Kruskal-Wallis test. Rate and constituent ratio were tested by chi-square test.Comprehensive evaluation method was used to evaluate the efficacy of the comprehensive intervention.Results 1 260 workers were investigated in the baseline survey that the valid questionnaires were252. Workers’ average age was 40.2±7.2 years, the average length of service was 19.5±8.6 years. After the intervention, 254 workers were investigated that the valid questionnaires were 240. Workers’ average age was 40.9±7.5 years, the average length of service was 20.7±8.6 years. Workers in age, gender, education, marital status and length of service had no statistical significance before and after the intervention(P>0.05). 2 After the intervention, workers’ MS knowledge rates in terms of definition,composition, risk factors, harm, prevention and treatments as same as the blood pressure,blood sugar, blood fat diagnostic criteria had varying degrees of increase, the differences were statistically significant(P<0.05). After the intervention, the number of workers that willing to accept MS propaganda education, willing to learn MS propaganda material, taking the initiative to change lifestyle had all increased to more than 90.0%, the differences were statistically significant(P<0.05). The number of workers in light diet and participating exercise, reasonable diet increased from 62.7%, 47.2% to 86.7%, 68.8%,and the differences were statistically significant(P<0.05). But the changes were not significant with quit smoking and drinking(P>0.05). After the intervention, the workers that often eat vegetables, fruits, meat, eggs, dairy products, bean products and whole grains increased by 7.8%, 24.1%, 20.6%, 14.0%, 29.9%, 22.2%, 29.9% respectively, and the differences were statistically significant(P<0.05). 3 The score of MS related knowledge, attitude, behavior and the total score were 8.63±8.17, 2.80±1.25, 6.05±2.15, 17.48±9.03 respectively, which came to 15.47±6.36, 3.52±0.74, 8.03±1.97,27.02±6.69 respectively, and the differences were statistically significant(P<0.05). 4Before the intervention, the worker’s BMI, systolic blood pressure, diastolic blood pressure were 25.57±3.94, 126.31±16.19, 86.03±11.36 respectively, which came to24.86 ± 3.15, 123.57 ± 12.91, 83.04 ± 7.33 respectively, and the differences were statistically significant(P<0.05). There were no significant differences in waist circumference, fasting blood glucose, triglyceride and total cholesterol before and after the interventions(P>0.05). 5 Television, the Internet, brochures and other materials were the main channels of workers for the metabolic syndrome related knowledge. Television and the Internet were the main routes for the workers who hope to obtain MS related knowledge. 6 The composite score of GI index was 21.03 after the intervention, which was higher than 14.36 before the intervention.Conclusions The comprehensive intervention model which was based on network platform improved the awareness of MS related knowledge, good attitudes and correct behaviors formation rate in iron workers. To a certain extent, it also improved workers’ physiological and biochemical indexes related to MS. In consequence, this health intervention model was effective. |
PDF Full Text Request