手术室护士膀胱过度活动症现状及影响因素

发布时间：2018-05-03 04:24

本文选题：膀胱过度活动症 + 手术室护士　；参考：《山东大学》2017年硕士论文

【摘要】：研究目的:1.调查手术室护士膀胱过度活动症(OAB)的患病现状并探讨其影响因素,分析一般因素、行为因素及手术室职业压力因素等对OAB的影响程度。2.提高手术室护士对OAB的认知率,增强其对膀胱健康的重视,促进生活质量与工作效率。研究方法:本研究为横断面研究,采取整群抽样的方法,抽取济南市5所综合性三级甲等医院的381名手术室护士,使用中文版OAB症状评分量表(OABSS)、中文版排尿行为量表(Toileting Behavior Scale,TBS)、中国护士工作压力源量表调查研究对象OAB的患病率及影响因素。数据收集录入后,使用SPSS17.0软件进行统计学数据分析。结果:1.本研究对象381例手术室护士中OAB的患病率为31.23%,高于国内以往的研究。其中,湿性 OAB35 例(9.19%),干性 OAB84 例(22.04%);轻度 OAB84 例(70.58%),中度 OAB34例(28.57%),重度OAB1例(0.85%)。OAB的四个症状(尿频、尿急、夜尿、急迫性尿失禁)中,发生频率较高的是尿急和夜尿。2.手术室护士 OAB患病率的单因素分析中,筛选出有意义的变量为:年龄、工作年限、BMI、工作时间、婚姻状况、学历、家庭人均月收入、工作岗位、是否患有尿路感染、饮酒、是否分娩、排尿行为各维度得分与总分、工作压力源各维度得分与总分。3.手术室护士 OAB患病率的多因素分析中,显著的影响因素为:年龄、工作时间、工作岗位、排尿行为及工作压力源。结论:1.手术室护士 OAB的患病率比国内一般人群的患病率高,干性OAB居多,干、湿性OAB之比为2.4:1。轻度OAB居多,中度与重度OAB占少数。2.多因素分析中,年龄、工作时间、工作岗位、排尿行为及工作压力源是手术室护士患OAB的危险因素。手术室护士年龄越大,加班时间越长、排尿行为越消极、工作压力源越大,手术室护士越容易患OAB;洗手护士岗位较巡回护士岗位等其他护理岗位而言,手术室护士患OAB的风险更高。
[Abstract]:Objective: 1. To investigate the prevalence of bladder hyperactivity in operating room nurses and its influencing factors, to analyze the influence degree of general factors, behavioral factors and occupational stress factors on OAB. To improve the cognition rate of operating room nurses to OAB, to enhance their attention to bladder health, and to promote the quality of life and work efficiency. Methods: a cross-sectional study was conducted. 381 operating room nurses from 5 general Grade 3A hospitals in Jinan were selected by cluster sampling. The Chinese version of OAB symptom scale and the Chinese version of urination behavior scale were used to evaluate the prevalence and influencing factors of OAB. After data collection and input, the use of SPSS17.0 software for statistical data analysis. The result is 1: 1. The prevalence rate of OAB in 381 operating room nurses was 31.23, higher than that in China. Among them, wet OAB35 (9.19%), dry OAB84 (22.04g), mild OAB84 (70.58), moderate OAB34 (28.57), severe OAB1 (0.85%) had four symptoms (frequency of urination, urinal urgency, nocturnal urine, urgent urinary incontinence). The higher frequency of occurrence was urination and nocturnal urinary incontinence. In the univariate analysis of the prevalence of OAB among operating room nurses, significant variables were selected: age, working years, working hours, marital status, educational background, monthly income per family, work position, urinary tract infection, drinking, etc. Whether labor, urination behavior each dimension score and total score, work stressor each dimension score and total score. 3. In the multivariate analysis of OAB prevalence among operating room nurses, the significant factors were age, working time, working position, urination behavior and work stressors. Conclusion 1. The prevalence of OAB in operating room nurses was higher than that of the general population in China. Dry OAB was the most common disease, and the ratio of wet OAB was 2.4: 1. Mild OAB was the majority, moderate and severe OAB accounted for a small number of. 2. In multivariate analysis, age, working hours, work position, urination behavior and work stressors were risk factors for OAB in operating room nurses. The older the operating room nurse, the longer the overtime, the more negative urination behavior and the greater the source of work stress, the more likely the operating room nurse is to suffer from OAB. Operating room nurses are more at risk for OAB.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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