摘要
目的探讨护士职业紧张与月经异常的关系。方法应用职业紧张量表(OSI-R)、生殖健康调查表等对福州市某三级甲等医院519名女护士的职业紧张、月经情况及其它影响因素进行调查;采用SPSS 18.0统计软件,单因素及多因素非条件logistic回归分析等统计方法分析。结果519名护士中,月经周期异常率为25.6%,痛经发生率为48.4%,经量异常率为13.1%,月经总异常率为63.0%。低职称及非正式在编组的月经异常率较高;未婚和已婚护士的月经异常组职业紧张程度(264.99±25.66,267.72±28.59)均高于月经正常组(248.14±26.58,258.49±26.48),未婚和已婚护士高职业紧张组月经异常率分别为82.1%、55.3%,均高于低职业紧张组(43.9%,32.5%)。多因素非条件logistic回归分析显示,职业紧张进入回归方程,高职业紧张与低职业紧张组比较,OR值为2.440(95%CI:1.457～4.085),任务模糊和躯体紧张进入回归方程。结论职业紧张是影响护士月经异常的主要危险因素之一,任务模糊和躯体紧张反应是导致护士月经异常的主要职业紧张因素。
Objective To explore the relationship between menstrual status and occupational stress of nurses. Methods A total of 519 nurses of a 3rd grade Class-A hospital in Fuzhou were investigated with occupational stress inventory revised edition （OSI-R）, reproductive health questionnaire and other factors. The risk factors of menstruate disorder were analyzed by single and multiple variables logistic regression with SPSS 18.0. Results The prevalence of menstrual disorders was 63.0%, and the prevalence of menstrual cycle disorders, dysmenorrheal and menstrual blood volume disorders were 25.6%, 48.4%, 13.1%, respectively. The prevalence of menstrual disorders of nurses with lower professional titles or informal nursing staffs was higher. The levels of occupational stress in both of the unmarried and married nurses in the menstrual disorder group （264. 99± 25.66,267. 72 ± 28. 59） were higher than those in the menstrual normal group （248.14±26.58,258.49±26.48）. In addition, a higher prevalence of menstrual disorders was associated with a higher occupational stress （married 82.1 % and unmarried 55.3 %, respectively）, which were higher than those in the low levels of occupational stress （married 43.9% and unmarried 32.5%, respectively）. The method of multiple variables of logistic regression was used to analyze the data. Theoccupational stress entered the regression equation. Compared with the low levels of occupational stress, the OR of high levels of occupational stress was 2. 440 （95 % CI： 1. 457,4. 085）. The role ambiguity and physical strain entered the regression equation. Conclusions Occupational stress was one of the high risk factors. The role ambiguity and physical strain were the main factors of occupational stress.
出处
《工业卫生与职业病》
CAS
CSCD
北大核心
2013年第4期203-208,共6页
Industrial Health and Occupational Diseases
基金
福建省医学创新课题(NO.2007-CX-8)
关键词
职业紧张
月经异常
护士
Occupational stress
Menstrual disorders
Nurses
