南昌市小学教师慢性疲劳综合征及相关因素  

Chronic fatigue syndrome and related factors among primary school teachers in Nanchang City

作　　者：余超[1] 吴磊[1] 阎冀[1] 江涵[2] 张欣[1] 刘月圆[1] 侯良[1] 

机构地区：[1]南昌大学公共卫生学院,南昌330006 [2]南昌大学第二附属医院心外科,南昌33000

出　　处：《中国心理卫生杂志》2012年第9期664-668,共5页Chinese Mental Health Journal

基　　金：江西省科技支撑计划资助项目(2009BBG70015)

摘　　要：目的:了解南昌市小学教师慢性疲劳综合征(CFS)的流行现状和分布特征,探索CFS的相关因素。方法:采用分层抽样方法,选取南昌市10所小学共934名教师,获取有效问卷893份,其中<30岁341人、30～39岁333人、40～49岁135人、≥50岁84人。根据美国疾病控制中心1994修订的CFS诊断标准中规定的9个症状,设计了9个条目的 CFS自评表,先用自编一般情况调查表、CFS相关因素调查表及CFS自评表进行调查,再由南昌大学心身医学科医生对可疑CFS者进行逐一回访以明确诊断。结果:CFS的检出率为12.9%(95%CI:10.68%～15.07%),4个年龄段的CFS检出率分别为8.8%、15.0%、14.1%、19.0%(χ2=7.37,P<0.05);不同性别之间检出率差异无统计学意义。多因素logistic回归分析提示,年龄≥50岁(OR=2.44)、与学生家长关系紧张(OR=6.36)是CFS的主要危险因素,而对目前工作环境满意(OR=0.64)、经常参加娱乐活动(OR=0.15)、遇到烦恼时向他人求助(OR=0.73)是CFS的保护因素。结论:本研究提示,小学教师中慢性疲劳综合征的检出比率较高,并有随年龄增加而上升的趋势,改善与学生家长关系和工作环境、适度参加娱乐活动、及时释放烦恼可能有助于预防CFS的发生。Objective： To understand the present epidemic status and distributional characteristics of the chronic fatigue syndrome （CFS） in primary school teachers in Nanchang. Methods： Altogether, 934 teachers were selected from 10 primary schools in Nanchang City, and 893 effective questionnaires were returned. The sample consisted of 341 aged below 30 years, 333 aged 30 - 39, 135 aged 40 - 49, and 84 aged 50 or above. The 9 items CFS self-assessment scale was developed, according to the 9 symptoms specified in the revised diagnostic criterion of the US Centers for Disease Control and Prevention in 1994. Participants were assessed with the CFS self-assessment scale and the self-made questionnaires for demographic information and CFS related factors. Then psychosomatic medi- cine doctors in affiliated hospital of Nanchang University followed up every suspected patients to make a definite di- agnosis. Results：The rate of CFS was 12. 9% （95% CI： 10. 7% - 15.1%）, and the rates of the 4 age groups were 8. 8%, 15.0%, 14. 1%, and 19.0% respectively （χ2 =7.37, P 〈0. 05）. No significant difference was found in the rates between different genders. Multivariate logistic regression analysis showed that aged 50 or above （OR = 2.44）, having strained relationship with students＇parents （OR = 6. 36） were risk factors for CFS, and higher satis- faction about working environment （ OR = 0. 64）, various recreational activities （ OR = 0. 15）, always seeking help from others when experiencing troubles （ OR = 0. 73） were protective factors. Conclusion： It suggests that the detection rate of CFS is quite high among primary school teachers, with a rising trend with the age increasing. It is helpful to improve teachers-students＇parents relationships, working environment, recreational activities and trouble releasing for reducing the rate of chronic fatigue syndrome.

关 键 词：小学教师 疲劳综合征 慢性 回归分析 横断面研究 

分 类 号：C913.2[经济管理] G443[社会学]