某三甲医院手术室护理人员职业应激与代谢综合征的关联性研究

Study on the relationship between occupational stress and metabolic syndrome in operating room nursing staff of a third-class A hospital

目的探讨手术室护理人员职业应激现状及其与代谢综合征(MS)的关系。方法于2019年7月,选取山东省内某三甲医院手术室全体护理人员179人作为研究对象。用自行设计的问卷进行一般情况调查,用《护士工作应激源量表》调查护理人员职业应激水平;测量护理人员的身高、体重、腰围、血压及空腹血糖、总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、缺血修饰白蛋白、脂蛋白相关磷脂酶A2水平。将护理人员分为MS组和非MS组,比较两组职业应激水平。计数资料组间比较采用χ^2检验或Fisher检验;计量资料用x±s表示,组间比较用t检验。护理人员MS的影响因素分析采用多元logistic回归分析。结果手术室护理人员总体职业应激水平为(450.58±141.77)分,明显低于常模得分(P<0.05);与非MS组护理人员比较,MS组总体职业应激水平、工作性质、工作负荷及病人相关因素得分明显较高,差异均有统计学意义(P<0.05);护理人员腹型肥胖、高甘油三酯血症、高血压及高血糖的患病率在不同职业应激水平组间差异均有统计学意义(P<0.05);调整腰围、甘油三酯、收缩压、高密度脂蛋白、缺血修饰白蛋白和脂蛋白相关磷脂酶A2后,职业应激总分是手术室护理人员MS发生的危险因素(P<0.05)。结论手术室护理人员职业应激水平与MS患病情况有关。

Objective To explore the relationship between occupational stress and metabolic syndrome(MS)in operating room nurses.Methods In July 2019,179 nurses in the operating room of a third-class A hospital in Shandong Province were selected as the research objects.The self-designed questionnaire was used to investigate the general situation,and"Nurse Job Stressor Scale"was used to investigate the occupational stress level of nursing staff.The height,weight,waist circumference,blood pressure,fasting blood glucose,total cholesterol,triglycerides,high-density lipoprotein cholesterol,low-density lipoprotein cholesterol,ischemia-modified albumin,lipoprotein associated phospholipase A2 were measured.The nursing staff were divided into MS group and non-MS group,and the occupational stress levels of the two groups were compared.Chi square test or Fisher test were used to compare the counting data between groups;the measurement data were expressed by Mean±SD,and the comparison between groups was performed with t test.Multiple logistic regression analysis was used to analyze the influencing factors of MS.Results The overall occupational stress level of nurses in operating room was(450.58±141.77)points,which was significantly lower than the norm score(P<0.05);Compared with non-MS group,the overall occupational stress level,work nature,workload and patient related factors in MS group were significantly higher,and the differences were statistically significant(P<0.05);The prevalence of abdominal obesity,hypertriglyceridemia,hyperglycemia and hypertension were significantly different among the groups with different occupational stress levels(P<0.05).After adjusting waist circumference,triglyceride,systolic blood pressure,high density lipoprotein,ischemia modified albumin and lipoprotein associated phospholipase A2,the total score of occupational stress was the risk factor of MS in operating room nurses(P<0.05).Conclusion The occupational stress level of nurses in operating room is related to the prevalence of MS.