医护人员慢性疲劳综合征心理社会危险因素对照研究

A case-control study on the risk factors of chronic fatigue syndrome in doctors and nurses

目的调查医护人员慢性疲劳综合征(CFS)情况,分析其与生活事件、个性和应付方式等心理社会因素关系。方法对615名医护人员进行CFS和心理社会因素调查,将符合诊断标准的117人作为病例组,其他498人作为对照组,进行非条件Logistic回归病例对照研究。对39个变量进行单因素,对有显著性关联的14个因素进行变量调整,将有显著意义的10个变量拟合主效应模型。结果经常感到疲劳的医护人员232人,伴头痛219人、肌肉酸痛207人和睡眠障碍180人。危险因素包括急诊重症科(or=4.50)、内科(or=2.44)、护士(or=1.86)和年龄(or=1.40);聪慧(or=4.61)、怀疑(or=3.44)和有恒(or=1.75);正性社交其他类生活事件(or=1.58)和正性工作类学习生活事件(or=1.30);退避(or=1.52)和自责(or=1.43)。结论医护人员是CFS的高危人群;心理社会因素是CFS的危险因素。

Objective To investigate the risk factors of chronic fatigue syndrome （CFS） in doctors and nurses, and studying the relationship between CFS and psycho-sociological factors. Methods By applying the case-control study method in epidemiology, CFS are rated and their psycho-sociological factors are surveyed according to Symptom Checklist 90, Cattell 16 Personality Factors Questionnaire, Life Event Scale and Coping Strategy. Results 14 of 39 factors under the study significantly associated with CFS, in which, and 11 factors were risk the other 3 were protective factors. The risk factors included emergency（ or = 4.50）, medicine（ or = 2.44）, nurse （ or = 1.86）, age （ or = 1.40）, Personality B （ or = 4.61 ）, L （ or = 3. d4）, G （ or = 1.75 ）, positive life event（or= 1.58） ,retreat（or=1.52） and self-abuse（or=1.43）. Conclusion CFS of doctors and nurses should take more attention, and its risking factors highly related to psycho-sociological status.