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目的应用结构方程模型中高阶因子模型对临床医生亚健康状态进行评价。方法采用多阶段分层整群抽样方法,抽取福建省5个城市市级医院临床医生810人,运用亚健康状态自评量表进行调查与测评,应用一阶因子相关模型分析因子间相关性,应用二阶因子模型分析不同性别与年龄临床医生的亚健康综合指数得分。结果亚健康状态可以归因于情绪情感问题、躯体活力不足、生理功能减退及社会适应困难等4个因子间具有很强的相关性,相关系数为0.78~0.92(均P<0.001);在二阶因子模型中,4个因子对高阶因子—亚健康综合指数的载荷分别为0.95、0.97、0.87、0.88;女性临床医生的亚健康综合指数得分高于男性,30~45岁临床医生亚健康综合指数得分高于其他年龄的临床医生。结论高阶因子模型可以很好地对医生的亚健康状况进行评价。
Objective To evaluate the sub-health status of clinicians by using the high order factor model of structural equation model. Methods A multistage stratified cluster sampling method was used to collect 810 clinicians from municipal hospitals in five cities in Fujian Province. The sub-health status self-rating scale was used for investigation and evaluation. The first-order factor correlation model was used to analyze the correlation among factors, The second-order factor model was used to analyze sub-health composite index score of different sex and age clinicians. Results The subhealth status could be attributed to the four factors of emotion and emotional problems, somatic vitality insufficiency, physiological dysfunction and social adjustment difficulties. The correlation coefficient was 0.78 ~ 0.92 (all P <0.001) In the factorial model, the loadings of 4 factors on the high-order factor-sub-health composite index were 0.95, 0.97, 0.87, 0.88 respectively. The score of sub-health composite index of female clinicians was higher than that of male, Clinicians whose composite index score is higher than other age groups. Conclusion The high-order factor model can be a good evaluation of the doctor’s sub-health status.