齊齊哈爾市某三甲醫(yī)院職工代謝綜合征及其相關(guān)因素研究
發(fā)布時(shí)間：2018-07-20 20:49
【摘要】：目的通過對(duì)齊齊哈爾市某三甲醫(yī)院體檢中心體檢的醫(yī)院職工體檢信息進(jìn)行分析及問卷調(diào)查,研究該院職工健康狀況及代謝綜合征患病情況,同時(shí)根據(jù)問卷調(diào)查結(jié)果分析代謝綜合征的發(fā)生發(fā)展因素,并為醫(yī)院職工制定代謝綜合征的預(yù)防及管理措施提供依據(jù)。方法對(duì)2013年齊齊哈爾市某三甲醫(yī)院體檢中心參加體檢并且參檢項(xiàng)目齊全的1200例醫(yī)院職工作為本組調(diào)查研究對(duì)象。首先調(diào)查1200例醫(yī)院職工的體檢相關(guān)報(bào)告結(jié)果,分析職工各項(xiàng)體檢指標(biāo)包括血壓、身高、腰圍、體重、體質(zhì)指數(shù)、血脂、血糖等,根據(jù)代謝綜合征的診斷標(biāo)準(zhǔn)判斷出1200例醫(yī)院職工中的患病人數(shù)。按醫(yī)院職工不同年齡段進(jìn)行分組,探討代謝綜合征的發(fā)生與醫(yī)院職工年齡的關(guān)系;根據(jù)職工性別進(jìn)行分組,研究代謝綜合征與職工性別是否存在關(guān)系;根據(jù)醫(yī)生、護(hù)士、醫(yī)技人員及行政人員等工作性質(zhì)進(jìn)行分組,研究代謝綜合征發(fā)生與職工工作性質(zhì)是否存在關(guān)系。采用目的性自制調(diào)查問卷,由培訓(xùn)合格的專業(yè)人員對(duì)研究對(duì)象進(jìn)行問卷調(diào)查,主要包括職工的婚姻狀態(tài)、飲食習(xí)慣、運(yùn)動(dòng)情況、吸煙飲酒史、家族病史、既往病史、服藥情況及體檢具體血生化檢測(cè)結(jié)果。統(tǒng)計(jì)調(diào)查問卷結(jié)果分析醫(yī)院職工代謝綜合征發(fā)生發(fā)展的影響因素,并根據(jù)體檢結(jié)果、調(diào)查問卷結(jié)果總結(jié)醫(yī)院職工代謝綜合征的防治管理策略。結(jié)果本研究調(diào)查中,1200例醫(yī)院職工代謝綜合征患病率為13.17%。比較不同年齡組代謝綜合征患病率,差異有統(tǒng)計(jì)學(xué)意義(χ~2=11.051,P=0.011)。隨著年齡段增長,代謝綜合征患病率有升高的趨勢(shì)。男性代謝綜合征患病率明顯高于女性,差異具有統(tǒng)計(jì)學(xué)意義(χ~2=2.982P=0.031)。不同工作性質(zhì)的醫(yī)院職工代謝綜合征患病情況有統(tǒng)計(jì)學(xué)差異(χ~2=48.384,P0.001)。醫(yī)生代謝綜合征患病率最高,與其他組比較均存在顯著差異(χ~2護(hù)士組=27.173,P0.001;χ~2醫(yī)技組=16.474,P0.001;χ~2行政組=17.003,P0.001);各科系醫(yī)生代謝綜合征患病率差異有統(tǒng)計(jì)學(xué)意義(χ~2=32.563,P0.001)。外科系醫(yī)生代謝綜合征患病率最高,與其它組比較差異具有統(tǒng)計(jì)學(xué)意義(χ_(婦產(chǎn)科系)~2=8.669,P=0.003;χ_(內(nèi)科系)~2=21.298,P0.001;χ_(中兒科系)~2=17.625,P0.001);手術(shù)組醫(yī)生代謝綜合征患病率明顯高于非手術(shù)組醫(yī)生,差異具有統(tǒng)計(jì)學(xué)意義(χ~2=4.129,P=0.029);手術(shù)室護(hù)士代謝綜合征患病率明顯高于門診護(hù)士與住院護(hù)士,且差異具有統(tǒng)計(jì)學(xué)意義(χ_(門診)~2=9.620,P=0.002;χ_(住院)~2=12.956,P0.001)。不同生活習(xí)慣的職工代謝綜合征患病情況有統(tǒng)計(jì)學(xué)差異,飲酒(χ~2=33.956,P0.001)、吸煙(χ~2=62.504,P0.001)、每日坐位時(shí)間(χ~2=40.158,P0.001)、睡眠時(shí)間(χ~2=68.861,P0.001)、鍛煉時(shí)間(χ~2=14.263,P0.001)、上網(wǎng)時(shí)間(χ~2=83.142,P0.001)。不同飲食習(xí)慣的職工代謝綜合征患病情況有統(tǒng)計(jì)學(xué)差異,規(guī)律飲食(χ~2=81.954,P0.001)、主副食比例(χ~2=96.367,P0.001)肉類攝入量(χ~2=65.016,P0.001)、食鹽攝入量(χ~2=39.681,P0.001)、油炸食品攝入量(χ~2=123.506,P0.001)。結(jié)論1.醫(yī)院職工男性代謝綜合征患病率明顯高于女性;不同年齡組的代謝綜合征患病率有差異,且隨著年齡增加,患病率有逐漸升高的趨勢(shì)。2.醫(yī)生代謝綜合征患病率高于護(hù)士、行政人員及醫(yī)技人員;手術(shù)組醫(yī)生患病率明顯高于非手術(shù)組醫(yī)生;手術(shù)室護(hù)士患病率明顯高于門診護(hù)士及住院護(hù)士。3.較大工作壓力、吸煙、飲酒、不良生活習(xí)慣及飲食習(xí)慣等是影響醫(yī)務(wù)工作者代謝綜合征的主要因素。
[Abstract]:Objective to study the health status of the staff and the prevalence of metabolic syndrome in the hospital of a medical check-up center in a three a hospital in Qigihar, and to analyze the factors of the metabolic syndrome according to the results of the questionnaire survey, and to prepare the metabolic syndrome for the staff of the hospital. Methods to provide the basis for the prevention and management measures. Methods 1200 hospital staff and workers who participated in the physical examination center of a three a hospital in Qigihar in 2013 were selected as the subjects of this study. First, the results of the medical examination related reports of 1200 hospital staff were investigated, and the physical examination indexes of the workers including the blood pressure, height, waist circumference, and body were analyzed. Weight, body mass index, blood lipid, blood sugar and so on, according to the diagnostic criteria of metabolic syndrome, determine the number of 1200 cases of hospital workers. According to the different age groups of the hospital staff, the relationship between the occurrence of metabolic syndrome and the age of the hospital workers is discussed. In relation to the relationship, according to the working nature of doctors, nurses, medical technicians and administrative staff, the relationship between the occurrence of metabolic syndrome and the nature of workers' work is studied. Exercise, smoking and drinking history, family history, past medical history, medication and physical examination specific blood biochemical test results. Statistical questionnaire results were used to analyze the factors affecting the development of metabolic syndrome in hospital staff and workers. According to the results of the physical examination, the results of the questionnaire were summarized to summarize the management strategies of the hospital staff and workers' metabolic syndrome. In the survey, the prevalence rate of metabolic syndrome in 1200 hospital workers was 13.17%. compared with the different age groups, the difference was statistically significant (x ~2=11.051, P=0.011). With the increase of age, the prevalence rate of metabolic syndrome was higher. The prevalence rate of male metabolic syndrome was significantly higher than that of women, and the difference was statistically significant. ~2=2.982P=0.031). The prevalence of metabolic syndrome in hospital workers with different work properties was statistically different (x ~2=48.384, P0.001). The prevalence rate of doctor metabolic syndrome was the highest, and there were significant differences compared with other groups (=27.173, P0.001; X ~2 medical technique group = 16.474, P0.001; =17.003, P0.001) of X ~2 administrative group; the metabolism of doctors in each department The prevalence rate of the syndrome was statistically significant (x ~2=32.563, P0.001). The prevalence rate of metabolic syndrome in the surgical department was the highest, and the difference was statistically significant (~2=8.669, P=0.003, chi square) (Department of Department of gynaecology), ~2=21.298, P0.001, and ~2=17.625, P0.001 in the Department of Pediatrics; the morbidity of metabolic syndrome in the operation group was clear. The difference was statistically significant (x ~2=4.129, P=0.029), and the prevalence rate of metabolic syndrome in operation room nurses was significantly higher than that of out-patient nurses and inpatient nurses, and the difference was statistically significant (~2=9.620, P=0.002, ~2= 12.956, P0.001). There were statistically significant differences in drinking (x ~2=33.956, P0.001), smoking (x ~2=62.504, P0.001), daily sitting time (chi ~2=40.158, P0.001), sleep time (chi ~2=68.861, P0.001), exercise time (chi ~2=14.263, P0.001), Internet time (chi ~2=83.142, P0.001). The prevalence of metabolic syndrome in workers with different dietary habits was statistically different, regular diet (chi square) ~2=81.954, P0.001), the proportion of principal and non-staple food (chi ~2=96.367, P0.001) meat intake (x ~2=65.016, P0.001), the intake of salt (chi ~2=39.681, P0.001), and the intake of fried food (x ~2=123.506, P0.001). Conclusion the prevalence rate of male metabolic syndrome in 1. hospital workers was significantly higher than that of women; the prevalence rates of metabolic syndrome in different age groups were different, and along with the difference in the prevalence rate of metabolic syndrome in different age groups Age increased and the prevalence rate increased gradually. The prevalence rate of.2.'s metabolic syndrome was higher than that of nurses, administrative staff and medical technicians; the morbidity rate of the surgeon in the operation group was significantly higher than that of the non operation group; the prevalence rate of operation room nurses was significantly higher than that of the outpatient nurses and the hospitalized nurses, and the smoking, drinking, bad habits and drinking were higher than those of the outpatient nurses and the inpatient nurses. Eating habits are the main factors that affect the metabolic syndrome of medical workers.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R589
本文編號(hào)：2134734
[Abstract]:Objective to study the health status of the staff and the prevalence of metabolic syndrome in the hospital of a medical check-up center in a three a hospital in Qigihar, and to analyze the factors of the metabolic syndrome according to the results of the questionnaire survey, and to prepare the metabolic syndrome for the staff of the hospital. Methods to provide the basis for the prevention and management measures. Methods 1200 hospital staff and workers who participated in the physical examination center of a three a hospital in Qigihar in 2013 were selected as the subjects of this study. First, the results of the medical examination related reports of 1200 hospital staff were investigated, and the physical examination indexes of the workers including the blood pressure, height, waist circumference, and body were analyzed. Weight, body mass index, blood lipid, blood sugar and so on, according to the diagnostic criteria of metabolic syndrome, determine the number of 1200 cases of hospital workers. According to the different age groups of the hospital staff, the relationship between the occurrence of metabolic syndrome and the age of the hospital workers is discussed. In relation to the relationship, according to the working nature of doctors, nurses, medical technicians and administrative staff, the relationship between the occurrence of metabolic syndrome and the nature of workers' work is studied. Exercise, smoking and drinking history, family history, past medical history, medication and physical examination specific blood biochemical test results. Statistical questionnaire results were used to analyze the factors affecting the development of metabolic syndrome in hospital staff and workers. According to the results of the physical examination, the results of the questionnaire were summarized to summarize the management strategies of the hospital staff and workers' metabolic syndrome. In the survey, the prevalence rate of metabolic syndrome in 1200 hospital workers was 13.17%. compared with the different age groups, the difference was statistically significant (x ~2=11.051, P=0.011). With the increase of age, the prevalence rate of metabolic syndrome was higher. The prevalence rate of male metabolic syndrome was significantly higher than that of women, and the difference was statistically significant. ~2=2.982P=0.031). The prevalence of metabolic syndrome in hospital workers with different work properties was statistically different (x ~2=48.384, P0.001). The prevalence rate of doctor metabolic syndrome was the highest, and there were significant differences compared with other groups (=27.173, P0.001; X ~2 medical technique group = 16.474, P0.001; =17.003, P0.001) of X ~2 administrative group; the metabolism of doctors in each department The prevalence rate of the syndrome was statistically significant (x ~2=32.563, P0.001). The prevalence rate of metabolic syndrome in the surgical department was the highest, and the difference was statistically significant (~2=8.669, P=0.003, chi square) (Department of Department of gynaecology), ~2=21.298, P0.001, and ~2=17.625, P0.001 in the Department of Pediatrics; the morbidity of metabolic syndrome in the operation group was clear. The difference was statistically significant (x ~2=4.129, P=0.029), and the prevalence rate of metabolic syndrome in operation room nurses was significantly higher than that of out-patient nurses and inpatient nurses, and the difference was statistically significant (~2=9.620, P=0.002, ~2= 12.956, P0.001). There were statistically significant differences in drinking (x ~2=33.956, P0.001), smoking (x ~2=62.504, P0.001), daily sitting time (chi ~2=40.158, P0.001), sleep time (chi ~2=68.861, P0.001), exercise time (chi ~2=14.263, P0.001), Internet time (chi ~2=83.142, P0.001). The prevalence of metabolic syndrome in workers with different dietary habits was statistically different, regular diet (chi square) ~2=81.954, P0.001), the proportion of principal and non-staple food (chi ~2=96.367, P0.001) meat intake (x ~2=65.016, P0.001), the intake of salt (chi ~2=39.681, P0.001), and the intake of fried food (x ~2=123.506, P0.001). Conclusion the prevalence rate of male metabolic syndrome in 1. hospital workers was significantly higher than that of women; the prevalence rates of metabolic syndrome in different age groups were different, and along with the difference in the prevalence rate of metabolic syndrome in different age groups Age increased and the prevalence rate increased gradually. The prevalence rate of.2.'s metabolic syndrome was higher than that of nurses, administrative staff and medical technicians; the morbidity rate of the surgeon in the operation group was significantly higher than that of the non operation group; the prevalence rate of operation room nurses was significantly higher than that of the outpatient nurses and the hospitalized nurses, and the smoking, drinking, bad habits and drinking were higher than those of the outpatient nurses and the inpatient nurses. Eating habits are the main factors that affect the metabolic syndrome of medical workers.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R589
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