Study on health behavior status and influencing factors of urolithiasis patients among officers and soldiers in the plateau

  Objective  To investigate the status quo of health behavior of urolithiasis patients among officers and soldiers in the plateau, and explore its influencing factors.

  Methods  A total of 158 officers and soldiers in the plateau who suffered from urolithiasis from June 2020 to July 2021 and 158 officers and soldiers in the plateau who did not suffer from urolithiasis as the control group were selected by the convenient sampling method and surveyed with general information questionnaire, health promoting lifestyle profile (HPLP) for patients with chronic diseases, Champion's health belief model scale (CHBMS) and health literacy management scale(HeLMS). The multiple linear regression method was used to analyze the influencing factors of health behavior.

  Results  The total score of health behavior of officers and soldiers with urolithiasis was (109.84±15.49) and lower than that of the control group (127.20±14.16)(P < 0.05). The results of multiple linear regression analysis showed that: (1) the regression model was statistically significant (R²=0.468; adjusted R²=0.447; ^F=17.664; P < 0.001);(2) compared with the officers and soldiers with age lower than 25 years old, the total scores of health behaviors of officers and soldiers aged 25-35 and higher than 35 years old decreased by 11.184 and 22.378, respectively (P < 0.05); (3) compared with unmarried officers and soldiers, the total score of health behavior of married officers and soldiers increased by 8.516 (P < 0.05); (4) compared with the officers and soldiers with low training intensity, the total scores of health behaviors of officers and soldiers with medium and high training intensity decreased by 5.373 and 11.728, respectively (P < 0.05);(5) compared with the officers and soldiers with training time less than 6 months, the total scores of health behaviors of the officers and soldiers with training time of 6 -12 months and more than 12 months decreased by 5.280 and 12.591 points, respectively(P < 0.05);(6) compared with the total scores of health beliefs and health literacy increasing 1 point, the health behavior increased by 0.191 and 0.385 points, respectively(P < 0.05).

  Conclusions  The health behavior of the patients with urolithiasis among officers and soldiers in the plateau needs to be improved, which was affected by multiple factors. We should strengthen health education, optimize training methods, improve patients' health literacy and health beliefs to improve the health behavior level of patients with urolithiasis in the plateau.