Study On The Metabolic Syndrome And Its Related Factors Of A Three A Level Hospital In Qiqihar

Objective:Through the analysis of the physical examination information of the staff physically examined in the physical examination center of a grade-3 class-A hospital in Qiqihaer city and the questionnaire survey, the health and the prevalence of metabolism syndrome of the hospital staff were studied, the factors for the genesis and development of the metabolism syndrome were analyzed at the same time based on the results of the questionnaire survey and the prevention and management measures of the metabolism syndrome of the hospital staff were summarized. MethodsThe 1200 staff physically examined in the physical examination center of a three A level hospital in Qiqihaer city in 2013 who had finished all the examination items were enrolled in the study as the objects. The related report results of their physical examinations were firstly investigated, all the examination indexes were analyzed, such as the blood pressure, height, waistline, weight, BMI, lipid, blood sugars, etc and the number of people with metabolism syndrome was determined. The hospital staff were divided into groups according to their ages to study the correlation of the genesis of metabolism syndrome with their ages; The hospital staff were divided into groups according to their genders to study whether metabolism syndrome was correlated with their genders; The hospital staff were divided into groups according to their job categories, such as doctors, nurses, medical staff and executive staff to study whether metabolism syndrome was correlated with their job categories. The objective self-made questionnaires were used and directed at the professionals who had been qualified after training. The contents of the questionnaires included their marital status, diet habits, exercises, history of smoking and alcohol drinking, family records of diseases, medical history, drug administration and the concrete blood biochemical examination results. The influencing factors for the genesis and development of the staff’s metabolism syndrome were analyzed based on the statistical results of the questionnaires. The strategies on the prevention and management of the metabolism syndrome of the hospital staff were summarized based on the results of their physical examination and the questionnaires. ResultsIn this study, the prevalence rate of metabolism syndrome in the 1200 hospital staff was 13.17%. The differences between the prevalence rates of metabolism syndrome in different age groups had statistical significance.(χ2=11.051,P=0.011) With the increase of ages, the prevalence rates of metabolism syndrome tended to rise.The prevalence rate in males was significantly higher than that in females(χ2=2.982 P=0.031) and the difference had statistical significance.The prevalence of metabolism syndrome in hospital staff with different job categories had statistical significance.(χ2=48.384,P<0.001) The rate of metabolism syndrome in doctors was the highest and there were significant differences between this rate and those in other groups.(χ2 nurse group=27.173,P<0.001;χ2 medical staff group=16.474,P<0.001;χ2 executive staff group=17.003,P<0.001) The differences in the rates of metabolism syndrome in doctors from all departments had statistical significance.(χ2=32.563,P<0.001) The prevalence rate of metabolism syndrome in doctors from the department of surgery was the highest and the differences between it and those in other groups had statistical significance.(χ2 department of obstetrics and gynecology=8.669,P=0.003;χ2 department of internal medicine=21.298,P<0.001;χ2 department of pediatrics=17.625,P<0.001) The prevalence rate of metabolism syndrome in doctors from the surgical operation group was significantly higher than that in doctors from the non-surgical operation group.(χ2=4.129 P=0.029) and the difference had statistical significance. The prevalence rate of metabolism syndrome in nurses for surgical operations was significantly higher than that in outpatient nurses and that in resident nurses and their differences in rates had statistical significance.(χ2 outpatient=9.620,P=0.002;χ2 resident=12.956,P<0.001)There were statistical differences in the prevalence of metabolism syndrome in staff of different living habits with alcohol drinking(χ2=33.956,P<0.001), smoking(χ2=62.504,P<0.001), daily sitting time(χ2=40.158,P<0.001),sleeping time(χ2=68.861,P<0.001), exercise time(χ2=14.263,P<0.001) and surf time(χ2=83.142,P<0.001).There were statistical differences in the prevalence of metabolism syndrome in staff of different diet habits with regular diet(χ2=81.954,P<0.001), the ratio of staple food to non-staple food(χ2=96.367,P<0.001), the intake of meat(χ2=65.016,P<0.001), the intake of salt(χ2=39.681,P<0.001) and the intake of fried food(χ2=123.506,P<0.001).Conclusions1, The prevalence rate in males is higher than that in females in the hospital staff. The prevalence rates of staff in different age groups are different and with the increase of ages, the rates tend to be higher.2, The prevalence rate of metabolism syndrome in doctors is higher than that in nurses, in executive staff and in medical staff. The rate in doctors from the surgical operation group is significantly higher than that from the non-surgical operation group.The prevalence rate in nurses for surgical operations is significantly higher than that in the non-outpatient nurses and resident nurses.3, The main factors for affecting metabolism syndrome of the medical staff are relatively higher work pressure, smoking, alcohol drinking, bad living habits and diet habits, etc.