工作环境对中年护士围绝经期综合征的影响  

The relationship of menopausal symptoms and work environment in mid-age nurses:A multicenter study of 37 Beijing hospitals

作　　者：于书慧[1] 张婧[2] 白文佩[3] 阎小妍[4] 丁炎明[5] 王兰[5] Yu Shuhui;Zhang Jing;Bai Wenpei;Yan Xiaoyan;Ding Yanming;Wang Lan(Urology Department of Peking University First Hospital,Beijing 100034,China;Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China;Department of Obstetrics and Gynecology,Beijing Shijitan Hospital,Beijing 100038,China;Peking University Clinical Research Institute,Beijing 100191,China;Nursing Department,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院泌尿外科,100034 [2]北京大学第一医院妇产科,100034 [3]北京世纪坛医院妇产科,100038 [4]北京大学临床研究所,100191 [5]北京大学第一医院护理部,100034

出　　处：《中国实用护理杂志》2020年第21期1672-1677,共6页Chinese Journal of Practical Nursing

基　　金：首都临床特色应用研究(Z131107002213088)。

摘　　要：目的:探讨工作环境对中年护士围绝经期综合征的影响。方法:采用多中心整群抽样的方法,于2014年9—12月共纳入包括37家医院的2 194名护士。采用自行设计的调查问卷测评护士的社会人口学资料,工作环境等;采用改良版Kupperman指数(KMI)评分表评价护士围绝经期综合征的发生情况。结果:中年护士绝经期年龄是47.64岁,63.91%(1 328/2 078)的护士未发生围绝经期综合征;采取Logistic回归结果表明,工作中经常接触患者体液( P=0.037),工作中曾受到恐吓( P<0.01),工作中经常或偶尔面对死亡( P=0.013、0.002)均是中年护士发生围绝经期综合征的危险因素。 结论:工作环境越复杂,护士围绝经期综合征发生风险越高。需要管理者给予重视,帮助护士顺利度过这一特殊时期。Objective The aim of this study was to explore the relationship between nurses′work environment and menopausal symptoms.Methods A multicenter,cross-sectional study was performed in Beijing,China,distributed to 2194 registered nurses at 37 hospitals.Using a self-designed questionnaire included individual personal details,and the hospital working environment.Menopausal symptoms were evaluated using a modified Kupperman index(KMI)scoring system.Results The average natural age at menopause stag was 47.64 years with 63.91%(1328/2078)nurses without menopausal symptoms.Logistic analysis showed that menopausal symptoms were co-dependently influenced by the following:to frequently contact with patient bodily fluids during your work(P=0.037);be intimidated in your work(P<0.01);to often or occasionally face death at work(P=0.013 and P=0.002).Nurses suffered more stressful environment with high prevalence of menopausal symptoms.Conclusions The mid-age nurses with menopausal symptoms were related with work environment.Managers should pay more attention to this problem.

关 键 词：中年护士 围绝经期综合征 工作环境 

分 类 号：R47[医药卫生—护理学]