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5.1. Interrelation of a state of health of students of medical college with their mediko-social characteristics taking into account a residence

For an estimation of reliability of difference of the allocated characteristics at stuyodentov the first year of training and graduates on each indicator the selective average with 95 percentage confidential inyotervalami for a general totality has been calculated.

Results of calculations are resulted in tab. 5.1. On each indicator comparison of selective averages was made for the basic (х2) and control groups (xj). Apparently from the table, authentic difference, at 95 % a significance value (рX2 > 97,99 Great volume of tasks for the house 2,8363^0,1394 2,2440±0,1275 0,5923 6,15011 x,> x2 > 99,99 Duration of a dream 7,2543±0,1214 7,7388±0,1293 -0,4845 -5,23271 Xi99,99 Smoking 0,2321±0,0341 0,3088±0,0344 -0,0768 -3,05512 Xi99,77 The alcohol use 0,2441±0,0198 0,2916±0,0185 -0,0474 -3,40333 Xi99,93

*

- Confidential intervals are resulted at 95 %-s' significance value;

The name

Indicator

Confidential interval * Difference

Indicator

t Put forward

Hypothesis

Probability

Hypotheses, %

Students of the first

Year of training

Y

Students -

Graduates

fa)

Improvement of a state of health during training 0,1799±0,0350 0,2654±0,0333 -0,0855 -3,40801 Xl99,93
Confidence in own znayonijah 0,0468±0,0271 0,0960±0,0322 -0,0492 -2,17892 H, 97,02
Dissatisfaction meditsinyoskoj the help 0,2426±0,0549 0,5263±0,0545 -0,2838 -7,01656 H, 99,99
Duration of employment 5,7043±0,1444 5,4845±0,1229 0,2199 2,27001 Xi> X2 > 97,64
Great volume of tasks for the house 2,7620±0,1805 2,2317±0,1591 0,5303 4,32638 Xi> X2 > 99,99
Duration of a dream 7,1851±0,1540 7,6780±0,1595 -0,4929 -4,22750 x, 99,99
Smoking 0,2384±0,0454 0,3364±0,0442 -0,0981 -2,97419 X, 99,69
The alcohol use 0,2561±0,0281 0,2897±0,0233 -0,0337 -1,81829 x, 93,04

The name

Indicator

Confidential interval * Difference

Indicator

t Put forward

Hypothesis

Probability

Hypotheses, %

Students of the first

Year of training

(■ */)

Students -

Graduates

fe)

Improvement of a state of health during training 0,2137±0,0408 0,2497±0,0414 -0,0360 -1,20720 h, 77,18
Confidence in own znayonijah 0,0424±0,0308 0,0684±0,0360 -0,0260 ' -1,05822 H, 70,93 ■
Dissatisfaction meditsinyoskoj the help 0,1939±0,0605 0,4579±0,0710 -0,2640 -5,45618 Xi99,99
Duration of employment 5,5890±0,1340 5,4709±0,1959.: 0,1181 0,94453 H,> Х2 > 65,45
Great volume of tasks for the house 2,9534±0,2189 ' 2,2644±0,2131 ’ 0,6890 4,41841 Xi> X2 > 99,99
Duration of a dream 7,3488yo0,1969 - 7,8421±0,2197 -0,4933 -3,23383 Xt99,87
Smoking 0,2245±0,0519 0,2619±0,0544 -0,0374 -0,96728 Xi66,59
The alcohol use 0,2270±0,0266 0,2947±0,0307 -0,0677 -3,21421 x.99,86

100

Medical aid »(t =-5,46),« great volume of tasks for the house »(t = 4,42),« duration of a dream »(t = - 3,23) and« the alcohol use »(t =-3,21).

The presented data in tables 5. Specify, in our opinion, on adaptation development to «duration of employment» and «to volume of tasks for the house» (xj> Х2), and such characteristics as «confidence of own knowledge», «a dissatisfaction with medical aid», «duration of a dream», "smoking" and «the alcohol use» render larger influence on students To a final year (xi < Х2), причем у городских студентов это влияние более выражено.

the Analysis of interrelation of a state of health of students medical kolyoledzha with medicobiological characteristics (5) has shown the Appendix, that the state of health of students has direct authentic communication with meroyoprijatijami on health conservation (g = +0,13) (fig. 5.1) and return dostoyovernuju communication with the factors worsening a condition health of students (g =-0,31), with weariness occurrence to the extremity of day (g = - 0,18) and the admission zanjayoty students through illness (g = - 0,18). The health aggravation of symptoms stuyodentov has direct authentic communication with occurrence of weariness at stuyodentov to the extremity of educational day (g = +0,22), with the admission of employment by students through illness (g = +0,16) and return authentic communication with an estimation students svoyoego health (g =-0,31), with actions for health conservation (g =-0,12). Improvement of a state of health of students of medical college has direct authentic communication with actions for health conservation uchayoshchihsja (g = +0,11) and return authentic communication with admissions students of employment through illness (g =-0,10).

Occurrence of weariness at students in the end of educational day has prjayomuju authentic communication with the factors worsening health (g = +0,22) and return authentic communication with the general state of health of students (g = - 0,18) (fig. 5.2).

- G-T 1 1 --- ! - - - --- 1 - 1 - 1 --- 1------1 1 -
-
- Y = 0,5433 39 + 0,312747
-
- 1—1> - , 1 і »1 t — 1 ' 1 1 1 -

0 0,2 0,4 0,6 0,8 1

Actions for health conservation

Fig. 5.1. Dependence of a state of health of students of medical college on performance of actions for health conservation

Fig. 5.2. Dependence of occurrence of weariness at students in the end of educational day from a condition of their health

Admissions of employment by students through illness have direct authentic communication with the factors worsening a state of health of pupils (g = + 0,16) and return authentic communication with the factors improving a condition zdoroyovja of pupils (g =-0,10), with actions for health conservation (g =-0,11).

Actions for conservation of health of students medical kolyoledzha have direct authentic communication with a positive estimation studenyotami the health (g = +0,13), with the factors improving a condition zdoyorovja of pupils (g = +0,11), with preference of the use in nutrition of vegetables, fruit (g = +0,14) and return authentic communication with factors, uhudshajuyoshchimi a state of health of pupils (g =-0,12), with admissions of employment studenyotami through illness (g =-0,11) and with health as vital value, according to students (g =-0,11).

The analysis of interrelation of a state of health of students medical kolyoledzha with their socially-hygienic characteristics has shown, that soyostojanie health of students has an authentic direct communication with living conditions (g = +0,17), with a financial position of students (g = +0,26) (fig. 5.3), with a regularity of observation over a state of health of students (g = +0,10), with an estimation students of the food (g = +0,33), with full value of a food (g = +0,19), with frequency of the use in nutrition of fruit (g = +0,10), with playing sports (g = +0,14) and return authentic communication with dispanseriyozatsiej students (g =-0,25), in due course, spent on house zadayonie (g =-0,10).

The aggravation of symptoms of health of students of medical college has an authentic direct communication with prophylactic medical examination of students (g = +0,18) and return authentic communication with a financial position of students (g = - 0,16), with not regular carrying out of physical examinations (g =-0,12), with an estimation pitayonija (g =-0,19), with full value of a food (g =-0,14), with frequency of a food (g =-0,15), with frequency of the use in meat nutrition (g =-0,10), fruit (g =-0,12), with duration of a dream (g =-0,13).

- ----------- 1 ' 1-------------------1---------- ----------- G 1----------1---------- ----------- 1 “1 1--------------------------- 1 1 1------------------------------1----------1 -
і

o

g.4

' 2616 + 0,1701 585*Х) 2 -
- 1 I 1 t »1 1 t 1 —... 1 1 1 I 1 1 ____

0 0,2 0,4 0,6 0,8 1

Financial position

Fig. 5.3. Dependence of a state of health of students of medical college on their financial position

Improvement of a state of health of students of medical college has direct authentic communication with a curriculum of students (g = +0,11), with full value of a food (g = +0,11).

As a whole, occurrence of weariness at students to the extremity of educational day has direct authentic communication with unwillingness of students to address for meyoditsinskoj the help because of fear to pass employment (g = +0,10), with zayotratoj time for a homework (g = +0,14), and return authentic communication with family mutual relations at students (g =-0,22), with zhilishchnyyomi conditions (g =-0,12), with a financial position of students (g =-0,12), with a food estimation (g =-0,11), with frequency of a food (g =-0,12), with prodolzhitelyonostju a dream (g =-0,24), with playing sports (g =-0,11).

By results of the analysis of admissions students of employment through illness, vyyojavilis following interrelations: direct authentic communication with family poyolozheniem students (g = +0,11), with prophylactic medical examination of students (g = +0,20), with
Duration of employment (g = +0,10) and return authentic communication with prodolzhiyotelnostju a dream (g =-0,11), with playing sports (g =-0,10).

Actions for conservation of health of students have direct dostoyovernuju communication with the years children who are available for students (g = +0,38), with zhiyolishchnymi conditions of students (g = +0,13), in due course, spent for a homework (g = +0,11), with a food estimation (g = +0,11), with polnotsennoyostju deliveries (g = +0,14), with frequency of a food (g = +0,11), with the nutrition use before employment (g = +0,16), with the nutrition use in breaks between employment (g = +0,11), with playing sports (g — +0,27) and return dostoveryonuju communication with smoking (g =-0,14), with the smoking experience (g =-0,11), with upotrebleyoniem alcohol (g =-0,13).

For an estimation of degree of influence of mediko-social characteristics stuyodentov medical college on a condition of their health, depending on a place of residing before entering in medical college, ranging of risk factors on value of factors of a steam room korreyoljatsii (the Appendix 4) was made. Results of calculations are presented to tab. 5.4, 5.5 in which risk factors with authentic communication and an estimation korreljayotsii not less than 0,1 are resulted. It is necessary to notice, that degree interrelations (rank) medikoyosotsialnyh characteristics for the students living in a city, differs from similar characteristics of the students living in small cities a little.

From the mediko-social characteristics having interrelation with samoyootsenkoj by students of health, for the persons living in a city (tab. 5.4), leaders are «a food estimation», «health deterioration in time obuyochenija», "financial position", «full value of a food», «a finding on the dispensary account», «family mutual relations», «housing usloyovija». For natives of small cities (tab. 5.5), from above listed characteristics coincides only a part, and in addition authentically influence

Table 5.4

The characteristic name Self-rating

Health

Deterioration of health during training Improvement of health during training The admission of employment through illness Groups

Health

g Rank g Rank g Rank g Rank g Rank
1 2 3 4 5 6 7 8 9 10 11 12
1 Course -0,0189 23 0,0067 28; 0,1432 2 -0,0929 11 -0,0886 6
2. Age -0,0124 25 -0,0122* 26 -0,0080 26 -0,0362 16 0,0331 19
3 The marital status -0,0018 28 -0,0179 ' 25 -0,0020 28 ODES 093 9 -0,0112 25
4 Family mutual relations - 0,2061 6 -0,0416 19 -0,0792 5 0,0127 26 -0,2368 2
5 Living conditions ^ 0,2026 7 -0,0826 ^ 16 -0,0094 25 0,0142 25 -0,0500 13
6 Financial position 0,2867 3 -0,1619; 6 0,0294 17 0,0220 21 ' -0,0596 10
7 Estimation of the health 1,0000 -0,35641 . 1 0,0811 4 -0,1807 4 -0,1205 3
8 Finding on the dispensary account - -0,2524 5 0,2164 ’ 3 -0,0290 18 0,1897 2 0,2956 1
-9 Deterioration of health during training -0,3564 2 1,0000; -0,0379 16 0,1905 1 0,1043 4
10 Improvement of health during training 0,0811 14 -0,0379 21 1,0000 -0,1838 3 0,0526 11
11 Fear to pass employment -0,0636 .16 0,0901 14 0,0231 21 0,0150 24 0,0159 24
12 The negligent relation to the health -0,0274 22 -0,0105 27 0,0170 23 0,0707 13 0,0297 21
13 Confidence of knowledge on individuyoalnoj to preventive maintenance of diseases 0,0677 15 -0,1284 8 0,0714 6 -0,0276 20 0,0466 14

Estimation of degree of influence of mediko-social characteristics of students of the medical college living in a city, on a condition of their health

1 2 3 4 5 6 7 8 9 10 11 12
14 Are engaged in selftreatment 0,0959 12 -0,1003 10 0,0614 9 -0,1064 10 -0,0622 9
15 Dissatisfaction

Health service

-0,0598 17 0,0952 11 -0,0264 19 0,0003 30 -0,0057 28
16 Weariness to the extremity of educational day -0,1854 8 0,2185 2 -0,0231 20 0,0327 18 -0,0101 26
17 Food estimation 0,3952 1 -0,2092 • 4 0,0685 7 -0,0306 19 -0,0525 12
18 Full value of a food ’ 0,2600 4 -0,1724 5 0,1145? 3 -0,0756 12 -0,0717 8
19 Priem'Pishchi before employment. 0,0496 19 -0,0237 - 24 -0,0416 14 -0,0176 22 0,0307 20
20 Food intake in breaks 0,0536 18 -0,0678 - 18 0,0203. 22 -0,0452 14 -0,0775 7
21 Meat dishes 0,0022 26 -0,0885 15 0,0484. 13 0,0006 29 -0,0962 5
22 Groats -0,0019 27 0,0375 -22: 0,0139 24 -0,0354 17 -0,0201 23
23 Vegetables;-fruit 0,0473 20 -0,0414. ■ 20 0,0506 12. -0,0040 28 -0,0396 17
24 Sweets About; oooz 29 JU, 0009 " 29 ' , 0,0025ч 27 -0,0156 23 -0,0402 16
25 Sufficiency of time for a dream 0,0320 21 -0,0935 . ІЗ " -0,0001 29 -0,1320 6 0,0094 27
26 Smoking 0,0188 24 -0,0244 23 і 0,0396 15 0,0412 15 0,0333 18
27 The alcohol - use -0,0841 13 , 0,0754 ' 17 ’ -0,0623 8 -0,0067 27 -0,0227 22
28 Conservation of the health (performance of actions) 0,1615 9 -0,1362 7 0,1445 1 -0,1154 7 -0,0426 15
29 Playing sports 0,1526 10 -0,0937 12 0,0526 11 -0,1108 8 -0,0027 29
30 Health groups -0,1205 11 0,1043 9 0,0526 10 0,1419 5 1,0000

Table 5.5

The characteristic name Self-rating

Health

Deterioration of health during training Improvement of health during training The admission of employment through illness Groups

Health

g Rank g Rank g Rank g Rank g Rank
1 . 2 3 4 5 6 7 8 9 10 11 12
1 Course - -0,0400 24 0,0609, 16 0,0643 9 -0,0111 28 0,0259 19
2 Age ' -0,0219 27 -0,0271 23 0,0593 10 0,0924 8 -0,0283 18
3 The marital status -0,0216 28 ' -0,0358 • 20 ,> 0,0041 25 0,0706 12 -0,0481 14
4 Family mutual relations -0,0633 16 0,2468. 1 Д0017 28 -0,2001 2 0,1618 2
5 ' Living conditions 0,1027 10 -0,0823 13 ^ ; 0,0308 18 0,0238 22 0,0100 24.
6 Financial position 0,2180 -, 4 -0,1442. 6 *0; 0288 19 -0,0252* 21 0,0088 25 ^
7 Estimation of the health 1,0000 -0,2371 2 -0,0592 11 -0,1787 3 -0,1579 3
8 Finding on the account -0,2758 1 0,1212 ’ 8 ' 0,0175 22 0,2113 ’ 1 0,2219 1
9 Deterioration of health during training -0,2371 2 1,0000? -0,0674 8 0,0904 9 0,0644 10
10 Improvement of health during training -0,0592 17 -0,0674 ' 14 ' 1; 0000 0,0885 10 -0,0244 20
11 Fear to pass employment. 0,0022 29 0,0880 11 0,0035 26 0,0460 14 •0,0722 8
12 The negligent relation to the health -0,1092 9 0,0461 19 -0,0132 23 0,0275 20 0,0347 16
13 Confidence of knowledge on individuyoalnoj to preventive maintenance of diseases 0,0498 20 0,0283 21 0,1329 2 -0,0438 15 -0,0606 12

Estimation of degree of influence of mediko-social characteristics of students of the medical college living in small cities, on a condition of their health

1 2 3 4 5 6 7 8 9 10 11 12
14 Are engaged in selftreatment -0,0511 19 0,0118 27 -0,0014 29 0,0349 18 -0,0121 23
15 Dissatisfaction

Health service

-0,0432 22 -0,0167 25 0,1424 1 0,0401 17 0,1308 4
16 Weariness to the extremity of educational day -0,1772 5 0,2178 3 0,0399 16 0,0708 11 0,0553 13
17 Food estimation 0,2182 3 -0,1572 5 -0,0017 27 0,0135 26 -0,0383 15
18 Full value питания* 0,0756 ; 14 -0,0908. - 10 0,09831 5 -0,0204 24 -0,0234 22.
19 Food intake before employment 0,0561 18 -0,1385 7 7 0,1120 3 -0,1294 4 -0,0034 28
20 Food intake in breaks - 0,1492 7. -0,0845: 12 0,0387 17 -0,0405 16 -0,0819 7
21 Meat dishes; .0,0795: 13 -0,0025 29 ’ 0,0716 7 0,0001 30 -0,0824 6
22 Groats -0,0708 -15 0,0582 18:, 0,0419: 15. 0,0297 19 -0,0668 9
23, Vegetables, fruit 0,0247 26 -0,0137 •26 0,0059* 24 -0,0218 23 -0,0843 5
24 Sweets ^ 0,0412 23; 0,0599 17 ’ 0,0447 14 -0,0052 29 0,0003 29
25 Sufficiency; time for a dream 0,0840 -11 -0,1783: 4 ' 0,0820 6 -0,0645 13 0,0085 26
26 Smoking ' .0,0446 21 -0,0273 22 -0,0265 20 0,0138 25 0,0242 21
27 The alcohol use 0,0343 25, 0,0196 •24 0,0525 .12 0,0119 27 0,0631 11
28 Conservation of the health (performance of actions) 0,0827 12 -0,1002 9 0,0503 13 -0,1149 6 -0,0306 17
29 Playing sports 0,1099 8 0,0066 28 0,1100 ' 4 -0,1023 7; -0D077 27
30 Health groups -0,1579 6 ; 0,0644 15 -0,0244 21 0,1287 5 1,0000

«Weariness to the extremity of the working day», «health groups» on dispensary nayobljudeniju and «food intake in breaks» between employment, which rasshiyorjajut the list of the risk factors influencing a self-rating of health studenyotov.

On an aggravation of symptoms of health of students from a city the greatest influence render: «an estimation of the health», «weariness to the extremity of educational day», «a finding on the dispensary account», «a food estimation», «polnotsenyonost deliveries», "financial position", «performance of actions for conservation of the health» etc. At natives of small cities on uhudyoshenie states of health influence: «family mutual relations», «an estimation of the health», «weariness to the extremity of educational day», «sufficiency of time for a dream», «a food estimation», "financial position" and «food intake peyored employment».

On improvement of a state of health of students from a city the greatest influence render: «performance of actions for conservation of the zdoroyovja», "curriculum", «full value of a food», «an estimation of the health», «family mutual relations», «confidence of knowledge on individual preventive maintenance of diseases», «a food estimation» etc. On improvement sostojayonija health of students from small cities the greatest influence render other characteristics: «a dissatisfaction medical obsluzhivaniyoem», «confidence of knowledge on individual preventive maintenance zabolevayony», «food intake before employment», "playing sports", «full value of a food», «sufficiency of time for a dream», the use in nutrition of "meat dishes» etc.

On the admission of employment through illness students from a city the greatest vlijayonie render: «deterioration of health during training», «a finding on the dispensary account», «improvement of health during training», «an estimation of the health», «health group», «sufficiency of time for a dream», «vyyopolnenie actions for conservation of the health» etc. At students from
Small cities on the admission of employment through illness, except listed veduyoshchih characteristics, influence also «family vzaimootnosheyonija», «food intake before employment» and "playing sports".

Groups of health of students of a city have close interrelation with tayokimi characteristics, how «a finding on the dispensary account», «semejyonye mutual relations», «an estimation of the health», «deterioration of health during training», «the use of meat dishes», "curriculum", «food intake in breaks» sh etc. health Groups? Students from small cities ' have similar interrelation, and in addition - on them render vlijayonie such characteristics, as «a dissatisfaction medical obsluzhiyovaniem» and «the use of vegetables, fruit».

In ’ last years have appeared the publications characterising ranzhiroyovanie zhiznennovazhnyh of values which achievement is made the corner-stone all orientation of vital activity ^ youth [ZG, 58, ' 76, 84]. From these positions we have carried out the analysis of basic socially significant values of students of medical college with condition characteristics? Them zdoroyovja which are presented to tab. 5.

The factors of correlation characterising interrelation of basic socially significant values of students meditsinyoskogo of college with the basic characteristics of a condition of their health without a place of their residing before entering in medical college are presented to tab. 5.6, from kotoyoroj strengthening zdoroyovja »is visible, that such criterion of social value as«, takes basically last place from eight offered, except the characteristic «the admission of employment through illness» where this criterion takes the sixth place.

At the analysis of degree of interrelation of social values of students meyoditsinskogo college with the basic characteristics of a condition of their health, depending on a place of residing before entering in college, has shown, that such zhiznennovazhnaja value, as «health strengthening» for students,

Table 5.6

The characteristic name Self-rating

Health

Deterioration of health during training Improvement of health during training The admission of employment through illness Groups

Health

g Rank} Rank g Rank g Rank g Rank
1 Financial position - as value 0,5738 4 0,5608 3 0,5932 7 0,0500 3 0,6439 7
2 Living conditions - as value 0,5910 3 0,5520 4 0,6138 5 0,0620 2 0,6532 5
3 The car - as value 0,6130 2 0,5842 1 0,6597 1 0,0229 5 0,7137 1
4 Family - as value 0,5601 6 0,5260 7 0,6182 3 -0,0176 7 0,6682 3
5 Education of children - as value 0,5587 7 0,5283 6 0,6064 6 -0,0083 8 0,6676 4
6 Travel - as value 0,6232 1 0,5706 2 0,6565 2 0,0394 4 0,7073 2
7 Health strengthening - as value 0,5488 8 0,4797 8 0,5434 8 0,0219 6 0,6022 8
8 Formation - as value 0,5652 5 0,5504 5 0,6159 4 0,0641 1 0,6529 6

Interrelation of social values of students of medical college with the basic characteristics of a condition of their health

Living in a city; has the authentic; direct interrelation with "samoyootsenkoj^zdorovja" and return with «deterioration of health during training», also (tab. 5.7) wins first place among the surveyed values. VlijaYOnie other values on the given characteristics of health; not authentically: it is necessary to notice, that «formation reception» - as value, has dostoyovernuju a feedback with «health groups» where wins first place.

For natives из* the small; cities? Is available; direct authentic communication with такими1 zhiznennovazhnymi; values as; "living conditions" and ' «vospiyotanie children», which • in mediko-social characteristics «a self-rating; health» and «health groups» occupy the first rangovye places (tab. 5.8). Other interrelations? The social; values of students.meditsinskogo kolyoledzha with the basic characteristics of their state of health are not authentic. Such? Difference, in our opinion; it is bound to level of the general training and development of students.

5.2.

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A source: KUPRIJANOVA ELEONORA VIKTOROVNA. SOCIALLY-HYGIENIC ASPECTS of the STATE OF HEALTH of STUDENTS of MEDICAL COLLEGE And the WAY of PREVENTIVE MAINTENANCE of THEIR CASE RATE. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences. Voronezh - 2008. 2008

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  16. ARASLANOVA SVETLANA AHATOVNA. MEDIKO-SOCIAL ASPECTS of SOCIALLY SIGNIFICANT DISEASES In the COUNTRYSIDE. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences. Ufa -, 2006 2006