杭州市某三级甲等医院在职护理人员体检结果分析与健康管理对策

Analysis and countermeasures of physical examination data for nursing staff in Hangzhou grade A first-class hospital

目的：分析杭州市某三级甲等医院在职护理人员的健康状况,为开展护理人员的医疗保健工作提供依据。方法对2013年杭州市某三级甲等医院610名临床在职护士的健康体检资料进行统计,对体检的阳性体征或检出疾病进行分析。结果该院在职护理人员参检率为90.57%,完善各项检查者占44.88%；体检的阳性体征或疾病检出率为98.54%。检出率最高的前3位疾病分别是高脂血症、乳腺增生、甲状腺结节,分别为37.54%,37.21%,30.16%。其中,甲状腺结节、乳房结节、超重或肥胖、高脂血症、高血糖、脂肪肝、胆囊异常、肾脏异常的阳性率在不同年龄段护士中的分布差异有统计学意义（P〈0.05）。结论在职护理人员对健康体检的重视程度欠佳,身体健康状况不容乐观,其健康观念有待于进一步提高,管理者对在职护理人员的健康管理应进一步加强。

Objective To investigate the health status of the nursing staff, and provide the basis for carrying out medical and healthcare of nursing staff. Methods The health examination data of 610 nursing staff were collected in 2013. Results The check rate of on-the-job staff was 90. 57%, and 44. 88% of them took all the tests. The rate of positive symptoms or disease was 98. 5%. The top 3 positive symptoms were hyperlipidemia, hyperplasia of mammary gland and thyroid nodules, accounted for 37. 54%, 37. 21% and 30. 16%, respectively. There were significant differences in the thyroid nodules, hyperplasia of mammary gland, overweight or obesity, hyperlipidemia, hyperglycemia, abnormality of gall bladder and kidney in nurses with different age （P〈0. 05）. Conclusions The nursing staff′s attitude towards physical examination is not serious enough. The health condition of the staff is not optimistic. The healthy concept needs to be further improved, so the nursing mangers should strengthen the health management of nursing staff.