齐齐哈尔市某三甲医院职工代谢综合征及其相关因素研究
发布时间：2018-07-20 20:49
【摘要】：目的通过对齐齐哈尔市某三甲医院体检中心体检的医院职工体检信息进行分析及问卷调查,研究该院职工健康状况及代谢综合征患病情况,同时根据问卷调查结果分析代谢综合征的发生发展因素,并为医院职工制定代谢综合征的预防及管理措施提供依据。方法对2013年齐齐哈尔市某三甲医院体检中心参加体检并且参检项目齐全的1200例医院职工作为本组调查研究对象。首先调查1200例医院职工的体检相关报告结果,分析职工各项体检指标包括血压、身高、腰围、体重、体质指数、血脂、血糖等,根据代谢综合征的诊断标准判断出1200例医院职工中的患病人数。按医院职工不同年龄段进行分组,探讨代谢综合征的发生与医院职工年龄的关系;根据职工性别进行分组,研究代谢综合征与职工性别是否存在关系;根据医生、护士、医技人员及行政人员等工作性质进行分组,研究代谢综合征发生与职工工作性质是否存在关系。采用目的性自制调查问卷,由培训合格的专业人员对研究对象进行问卷调查,主要包括职工的婚姻状态、饮食习惯、运动情况、吸烟饮酒史、家族病史、既往病史、服药情况及体检具体血生化检测结果。统计调查问卷结果分析医院职工代谢综合征发生发展的影响因素,并根据体检结果、调查问卷结果总结医院职工代谢综合征的防治管理策略。结果本研究调查中,1200例医院职工代谢综合征患病率为13.17%。比较不同年龄组代谢综合征患病率,差异有统计学意义(χ~2=11.051,P=0.011)。随着年龄段增长,代谢综合征患病率有升高的趋势。男性代谢综合征患病率明显高于女性,差异具有统计学意义(χ~2=2.982P=0.031)。不同工作性质的医院职工代谢综合征患病情况有统计学差异(χ~2=48.384,P0.001)。医生代谢综合征患病率最高,与其他组比较均存在显著差异(χ~2护士组=27.173,P0.001;χ~2医技组=16.474,P0.001;χ~2行政组=17.003,P0.001);各科系医生代谢综合征患病率差异有统计学意义(χ~2=32.563,P0.001)。外科系医生代谢综合征患病率最高,与其它组比较差异具有统计学意义(χ_(妇产科系)~2=8.669,P=0.003;χ_(内科系)~2=21.298,P0.001;χ_(中儿科系)~2=17.625,P0.001);手术组医生代谢综合征患病率明显高于非手术组医生,差异具有统计学意义(χ~2=4.129,P=0.029);手术室护士代谢综合征患病率明显高于门诊护士与住院护士,且差异具有统计学意义(χ_(门诊)~2=9.620,P=0.002;χ_(住院)~2=12.956,P0.001)。不同生活习惯的职工代谢综合征患病情况有统计学差异,饮酒(χ~2=33.956,P0.001)、吸烟(χ~2=62.504,P0.001)、每日坐位时间(χ~2=40.158,P0.001)、睡眠时间(χ~2=68.861,P0.001)、锻炼时间(χ~2=14.263,P0.001)、上网时间(χ~2=83.142,P0.001)。不同饮食习惯的职工代谢综合征患病情况有统计学差异,规律饮食(χ~2=81.954,P0.001)、主副食比例(χ~2=96.367,P0.001)肉类摄入量(χ~2=65.016,P0.001)、食盐摄入量(χ~2=39.681,P0.001)、油炸食品摄入量(χ~2=123.506,P0.001)。结论1.医院职工男性代谢综合征患病率明显高于女性;不同年龄组的代谢综合征患病率有差异,且随着年龄增加,患病率有逐渐升高的趋势。2.医生代谢综合征患病率高于护士、行政人员及医技人员;手术组医生患病率明显高于非手术组医生;手术室护士患病率明显高于门诊护士及住院护士。3.较大工作压力、吸烟、饮酒、不良生活习惯及饮食习惯等是影响医务工作者代谢综合征的主要因素。
[Abstract]:Objective to study the health status of the staff and the prevalence of metabolic syndrome in the hospital of a medical check-up center in a three a hospital in Qigihar, and to analyze the factors of the metabolic syndrome according to the results of the questionnaire survey, and to prepare the metabolic syndrome for the staff of the hospital. Methods to provide the basis for the prevention and management measures. Methods 1200 hospital staff and workers who participated in the physical examination center of a three a hospital in Qigihar in 2013 were selected as the subjects of this study. First, the results of the medical examination related reports of 1200 hospital staff were investigated, and the physical examination indexes of the workers including the blood pressure, height, waist circumference, and body were analyzed. Weight, body mass index, blood lipid, blood sugar and so on, according to the diagnostic criteria of metabolic syndrome, determine the number of 1200 cases of hospital workers. According to the different age groups of the hospital staff, the relationship between the occurrence of metabolic syndrome and the age of the hospital workers is discussed. In relation to the relationship, according to the working nature of doctors, nurses, medical technicians and administrative staff, the relationship between the occurrence of metabolic syndrome and the nature of workers' work is studied. Exercise, smoking and drinking history, family history, past medical history, medication and physical examination specific blood biochemical test results. Statistical questionnaire results were used to analyze the factors affecting the development of metabolic syndrome in hospital staff and workers. According to the results of the physical examination, the results of the questionnaire were summarized to summarize the management strategies of the hospital staff and workers' metabolic syndrome. In the survey, the prevalence rate of metabolic syndrome in 1200 hospital workers was 13.17%. compared with the different age groups, the difference was statistically significant (x ~2=11.051, P=0.011). With the increase of age, the prevalence rate of metabolic syndrome was higher. The prevalence rate of male metabolic syndrome was significantly higher than that of women, and the difference was statistically significant. ~2=2.982P=0.031). The prevalence of metabolic syndrome in hospital workers with different work properties was statistically different (x ~2=48.384, P0.001). The prevalence rate of doctor metabolic syndrome was the highest, and there were significant differences compared with other groups (=27.173, P0.001; X ~2 medical technique group = 16.474, P0.001; =17.003, P0.001) of X ~2 administrative group; the metabolism of doctors in each department The prevalence rate of the syndrome was statistically significant (x ~2=32.563, P0.001). The prevalence rate of metabolic syndrome in the surgical department was the highest, and the difference was statistically significant (~2=8.669, P=0.003, chi square) (Department of Department of gynaecology), ~2=21.298, P0.001, and ~2=17.625, P0.001 in the Department of Pediatrics; the morbidity of metabolic syndrome in the operation group was clear. The difference was statistically significant (x ~2=4.129, P=0.029), and the prevalence rate of metabolic syndrome in operation room nurses was significantly higher than that of out-patient nurses and inpatient nurses, and the difference was statistically significant (~2=9.620, P=0.002, ~2= 12.956, P0.001). There were statistically significant differences in drinking (x ~2=33.956, P0.001), smoking (x ~2=62.504, P0.001), daily sitting time (chi ~2=40.158, P0.001), sleep time (chi ~2=68.861, P0.001), exercise time (chi ~2=14.263, P0.001), Internet time (chi ~2=83.142, P0.001). The prevalence of metabolic syndrome in workers with different dietary habits was statistically different, regular diet (chi square) ~2=81.954, P0.001), the proportion of principal and non-staple food (chi ~2=96.367, P0.001) meat intake (x ~2=65.016, P0.001), the intake of salt (chi ~2=39.681, P0.001), and the intake of fried food (x ~2=123.506, P0.001). Conclusion the prevalence rate of male metabolic syndrome in 1. hospital workers was significantly higher than that of women; the prevalence rates of metabolic syndrome in different age groups were different, and along with the difference in the prevalence rate of metabolic syndrome in different age groups Age increased and the prevalence rate increased gradually. The prevalence rate of.2.'s metabolic syndrome was higher than that of nurses, administrative staff and medical technicians; the morbidity rate of the surgeon in the operation group was significantly higher than that of the non operation group; the prevalence rate of operation room nurses was significantly higher than that of the outpatient nurses and the hospitalized nurses, and the smoking, drinking, bad habits and drinking were higher than those of the outpatient nurses and the inpatient nurses. Eating habits are the main factors that affect the metabolic syndrome of medical workers.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R589
本文编号：2134734
[Abstract]:Objective to study the health status of the staff and the prevalence of metabolic syndrome in the hospital of a medical check-up center in a three a hospital in Qigihar, and to analyze the factors of the metabolic syndrome according to the results of the questionnaire survey, and to prepare the metabolic syndrome for the staff of the hospital. Methods to provide the basis for the prevention and management measures. Methods 1200 hospital staff and workers who participated in the physical examination center of a three a hospital in Qigihar in 2013 were selected as the subjects of this study. First, the results of the medical examination related reports of 1200 hospital staff were investigated, and the physical examination indexes of the workers including the blood pressure, height, waist circumference, and body were analyzed. Weight, body mass index, blood lipid, blood sugar and so on, according to the diagnostic criteria of metabolic syndrome, determine the number of 1200 cases of hospital workers. According to the different age groups of the hospital staff, the relationship between the occurrence of metabolic syndrome and the age of the hospital workers is discussed. In relation to the relationship, according to the working nature of doctors, nurses, medical technicians and administrative staff, the relationship between the occurrence of metabolic syndrome and the nature of workers' work is studied. Exercise, smoking and drinking history, family history, past medical history, medication and physical examination specific blood biochemical test results. Statistical questionnaire results were used to analyze the factors affecting the development of metabolic syndrome in hospital staff and workers. According to the results of the physical examination, the results of the questionnaire were summarized to summarize the management strategies of the hospital staff and workers' metabolic syndrome. In the survey, the prevalence rate of metabolic syndrome in 1200 hospital workers was 13.17%. compared with the different age groups, the difference was statistically significant (x ~2=11.051, P=0.011). With the increase of age, the prevalence rate of metabolic syndrome was higher. The prevalence rate of male metabolic syndrome was significantly higher than that of women, and the difference was statistically significant. ~2=2.982P=0.031). The prevalence of metabolic syndrome in hospital workers with different work properties was statistically different (x ~2=48.384, P0.001). The prevalence rate of doctor metabolic syndrome was the highest, and there were significant differences compared with other groups (=27.173, P0.001; X ~2 medical technique group = 16.474, P0.001; =17.003, P0.001) of X ~2 administrative group; the metabolism of doctors in each department The prevalence rate of the syndrome was statistically significant (x ~2=32.563, P0.001). The prevalence rate of metabolic syndrome in the surgical department was the highest, and the difference was statistically significant (~2=8.669, P=0.003, chi square) (Department of Department of gynaecology), ~2=21.298, P0.001, and ~2=17.625, P0.001 in the Department of Pediatrics; the morbidity of metabolic syndrome in the operation group was clear. The difference was statistically significant (x ~2=4.129, P=0.029), and the prevalence rate of metabolic syndrome in operation room nurses was significantly higher than that of out-patient nurses and inpatient nurses, and the difference was statistically significant (~2=9.620, P=0.002, ~2= 12.956, P0.001). There were statistically significant differences in drinking (x ~2=33.956, P0.001), smoking (x ~2=62.504, P0.001), daily sitting time (chi ~2=40.158, P0.001), sleep time (chi ~2=68.861, P0.001), exercise time (chi ~2=14.263, P0.001), Internet time (chi ~2=83.142, P0.001). The prevalence of metabolic syndrome in workers with different dietary habits was statistically different, regular diet (chi square) ~2=81.954, P0.001), the proportion of principal and non-staple food (chi ~2=96.367, P0.001) meat intake (x ~2=65.016, P0.001), the intake of salt (chi ~2=39.681, P0.001), and the intake of fried food (x ~2=123.506, P0.001). Conclusion the prevalence rate of male metabolic syndrome in 1. hospital workers was significantly higher than that of women; the prevalence rates of metabolic syndrome in different age groups were different, and along with the difference in the prevalence rate of metabolic syndrome in different age groups Age increased and the prevalence rate increased gradually. The prevalence rate of.2.'s metabolic syndrome was higher than that of nurses, administrative staff and medical technicians; the morbidity rate of the surgeon in the operation group was significantly higher than that of the non operation group; the prevalence rate of operation room nurses was significantly higher than that of the outpatient nurses and the hospitalized nurses, and the smoking, drinking, bad habits and drinking were higher than those of the outpatient nurses and the inpatient nurses. Eating habits are the main factors that affect the metabolic syndrome of medical workers.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R589
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