工作环境对中年护士围绝经期综合征的影响

The relationship of menopausal symptoms and work environment in mid-age nurses:A multicenter study of 37 Beijing hospitals

目的:探讨工作环境对中年护士围绝经期综合征的影响。方法:采用多中心整群抽样的方法,于2014年9—12月共纳入包括37家医院的2 194名护士。采用自行设计的调查问卷测评护士的社会人口学资料,工作环境等;采用改良版Kupperman指数(KMI)评分表评价护士围绝经期综合征的发生情况。结果:中年护士绝经期年龄是47.64岁,63.91%(1 328/2 078)的护士未发生围绝经期综合征;采取Logistic回归结果表明,工作中经常接触患者体液( P=0.037),工作中曾受到恐吓( P<0.01),工作中经常或偶尔面对死亡( P=0.013、0.002)均是中年护士发生围绝经期综合征的危险因素。 结论:工作环境越复杂,护士围绝经期综合征发生风险越高。需要管理者给予重视,帮助护士顺利度过这一特殊时期。

Objective The aim of this study was to explore the relationship between nurses′work environment and menopausal symptoms.Methods A multicenter,cross-sectional study was performed in Beijing,China,distributed to 2194 registered nurses at 37 hospitals.Using a self-designed questionnaire included individual personal details,and the hospital working environment.Menopausal symptoms were evaluated using a modified Kupperman index(KMI)scoring system.Results The average natural age at menopause stag was 47.64 years with 63.91%(1328/2078)nurses without menopausal symptoms.Logistic analysis showed that menopausal symptoms were co-dependently influenced by the following:to frequently contact with patient bodily fluids during your work(P=0.037);be intimidated in your work(P<0.01);to often or occasionally face death at work(P=0.013 and P=0.002).Nurses suffered more stressful environment with high prevalence of menopausal symptoms.Conclusions The mid-age nurses with menopausal symptoms were related with work environment.Managers should pay more attention to this problem.