某医院倒班女性医务人员生殖系统健康现状及其影响因素

Reproductive health status and its influencing factors of female medical staff on shift in a hospital

目的了解倒班女性医务人员的生殖系统健康状况并分析其影响因素,为促进该群体职业健康提供参考依据。方法采用整群抽样的方法,以某医院倒班女性医务人员356人为调查对象,结合妇科健康检查情况和问卷调查结果,分析其生殖健康现状及影响因素。结果倒班女性医务人员生殖系统患病率为34.3%;单因素及多因素logistic回归分析结果显示,职业紧张(OR=2.103,95%CI:1.442~2.413)、工龄≥20a(OR=1.745,95%CI:1.326-2.762)、久站或负重(OR=1.952,95%CI:1.395~2.651)、每周夜班≥2次(OR=1.756,95%CI:1.406~2.956),是引发倒班女性医务人员患有生殖系统疾病的危险因素(P<0.01)。结论倒班女性医务人员工作压力大,生活节奏不规律,生殖健康问题不容乐观,需要单位和家庭共同努力创造和谐的工作和生活氛围,关注该群体的身体健康。

Objective To understand the reproductive health status of female medical staff with shifts and analyze its influencing factors,so as to provide scientific evidence for promoting occupational health of the population. Methods The method of cluster sampling was employed to select356 female staff with shift-work in a hospital. Based on the data from questionnaire investigation and health examination of gynaecology,the reproductive health status and influencing factors were analyzed. Results The prevalence of reproductive system in shift female medical workers was 34.3%. Single factor and multiple factors logistic regression analysis results showed that occupational stress(OR=2.103,95%CI:1.442~2.413),working age≥20 a(OR=1.745,95%CI:1.326-2.762),standing with long time or weighting(OR=1.952,95%CI:1.395~2.651),night shift of a week≥2 times(OR=1.756,95%CI:1.406~2.956),were the risk factors for the reproductive system disease of shift female medical personnel(P<0.01). Conclusions Female staff with shift-work has higher working pressure,irregular life rhythm. It is necessary that their reproductive health should be concerned,so their working units and families need to work together to create a harmonious working and living environment,with focusing on the female population’s health.