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Factors And The Health Status Of Medical Staff At 3A Grade Hospital In Qiqihar

Posted on:2017-07-26Degree:MasterType:Thesis
Country:ChinaCandidate:X L HanFull Text:PDF
GTID:2334330512454239Subject:Public Health
Abstract/Summary:PDF Full Text Request
With the development of medical technology in our country and people's awareness of the disease, people pay more and more attention to the health status of human. Medical service is a special kind of service career, which is different from other work, such as complexity, variability, uncertainty and so on. In view of this particularity, the medical staff have long been under much larger intensity of the work and psychological pressure than the general population [1]. Domestic scholars on different regions, period and levels of hospital's medical staff health examination survives shows that the health of the medical staff had been worried [2-5]. Therefore, the medical staff, which is responsible for themselves but also for their patients. Health of medical staff is not only related to themselves, but also directly affect the quality of diagnosis and treatment and prognosis of patients, so the whole society and medical system should strengthen their attention to the health of medical staff. Objective:This study collected a medical report of medical staff from three hospitals in Qiqihar, the medical staff of different age, gender, job analysis, education and BMI health, medical staff find common health problems and potential dangers, and affecting the health of medical staff, so as to put forward effective measures to promote the health of medical staff. Methods:In this study, medical staff whose work experience in a grade three hospital in Qiqihar city for more than a year, and join the annual physical examination and test items as the research object, a total of 896 in 2015, including internal medicine, surgery, gynecology, pediatrics and other departments. The survey included general demographic information and health status of medical staff. Using Excel input data, SPSS 22.0 software for statistical analysis of the data. Count data using rate, and the groups analyzed by Person chi-square test, cannot use the Person chi square test conditions were compared by Fisher's exact test group, and the influencing factors of the health using logistic regression analysis.Both method was used to test the level of ?=0.05. Results:1. This study collected 896 cases of medical staff, women accounted for 63.3% of the whole staff. The average age was 39.6±4.5, 21~30 years old accounted for 22.2%, 31~40 years old accounted for 27.8%, 41~50 years old accounted for 32.8%, 51~60 years old accounted for 15.4%, 61~64 years old accounted for 1.8%; the doctors accounted for 39.2%, the proportion of 44.6%, administrative personnel accounted for 9.3%, workers accounted for 6.9%; cultural degree is high school education accounted for 0.6%, undergraduate education accounted for 94.9%, bachelor degree or above accounted for 4.6%.2. Disease rate in the top ten of the disease is cervical spondylitis, overweight and obesity, fatty liver, high blood lipids, high blood sugar, breast hyperplasia, uterine fibroids, hypertension, arrhythmia and ovarian cysts. One of the highest incidence of cervical disease was 32.1%, 31.5% prevalence rate of overweight and obesity prevalence rate of fatty liver was 17.4%, hyperlipidemia rate reached 14.6%, hyperglycemia rate was 11.3% and the rate of hypertension was 5%, arrhythmia rate lower reaches 4.5%. The incidence rate of breast hyperplasia in female medical workers was 10.6%, the prevalence rate of uterine leiomyoma was 6.9%, and the prevalence rate of ovarian cysts was 3.7%.3. Single factor analysis shows there was a significant difference between the gender, age, positions and overweight or obesity rate(P<0.05). The proportion of overweight and obesity of male medical staff was significantly higher than the female; the number of overweight and obesity was the highest in 51~60 years old group, and the highest proportion of overweight and obesity was doctors.4. By single factor analysis of gender, age, positions and BMI index of high blood sugar, high blood fat, high blood pressure prevalence rate has statistical difference(P<0.05). The multivariate analysis showed that gender, age, position and BMI may be the influencing factors of medical workers, high blood sugar and high blood lipids(P<0.05), age, position and BMI may be the influencing factors of hypertension in medical staff(P<0.05). The results showed that the account of male medical staff suffering from hyperglycemia, high blood lipids and hypertension were higher than the proportion of women; the hyperglycemia, hyperlipidemia and hypertension prevalence rate increased overall with the age increased, but the hyperglycemia and hyperlipidemia of 61~64 age group prevalence rate decreased; the number of hyperglycemia and hyperlipidemia and hypertension in doctor was most. The highest prevalence of administrative personnel; the proportion of overweight and obesity of medical staff suffering from hyperglycemia, hyperlipidemia and hypertension were most.5. Different gender, age, position and BMI index had significant difference in the prevalence of cervical spondylitis and cerebral infarction(P<0.05). Multivariate analysis showed that age may be the influence factor of cervical spondylitis and cerebral infarction in medical staff( P < 0.05), with the age increasing, the prevalence rate of the two was increased.6. The prevalence of fatty liver in different gender, age and BMI index were statistically significant( P < 0.05). There were significant differences in the prevalence of cholecystitis in different ages(P<0.05). Multivariate analysis showed that job, age and BMI may be the influencing factors of the prevalence of fatty liver among medical staff(P<0.05). Compared with obese people, BMI normal to make the protective factor of fatty liver; with the growth of age, the risk of fatty liver increased. Conclusion:1. In 896 medical staff, the higher prevalence rate of disease were cervical spondylitis, overweight and obesity, fatty liver, hyperlipidemia, hyperglycemia, hyperplasia of mammary glands, uterine myoma, hypertension, and ovarian cyst. Mostly for chronic diseases, with a kind of chronic disease, and more than one medical workers accounted for 71.1% of the whole staff, show that the hospital medical workers health was unsatisfactory, and shall cause medical staff attention to importance of the health.2. Overweight and obesity prevalence rate in medical staff associated with gender, age and position.3. The female medical staff's risk of developing hyperglycemia, hyperlipidemia and hypertension is less than the male; Compared with normal weight overweight and obesity risk of hyperglycemia, hyperlipidemia and hypertension is bigger; Age may lead to the greater risk of hyperglycemia, hyperlipidemia and hypertension; Doctors and administrators with a greater risk of hyperglycemia and hyperlipidemia, executive had a higher risk of developing hypertension.4. The risk of serious cervical spondylitis was higher with the age growing; the risk of suffering from cerebral infarction was higher in 61 ~ 64 years old.5. Age and BMI may be the influence factors of fatty liver medical staff.
Keywords/Search Tags:Medical staff, health, survey, influencing factors
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