天然气田工人轮班作业和心理资本对糖脂代谢异常的交互作用  

Interaction of shift work and psychological capital on abnormal glucose and lipid metabolism among natural gas field workers

作　　者：吴辉 谷桂珍 李富冉 周文慧 邵建中 薛红册 余善法 Wu Hui;Gu Guizhen;Li Furan;Zhou Wenhui;Shao Jianzhong;Xue Hongce;Yu Shanfa(Office,Henan Provincial Institute of Occupational Health,Zhengzhou 450052,China;Office,Zhongyuan Oilfield Center for Disease Control and Prevention,Puyang 457001,China;Department of Occupational Health,Henan Provincial Institute of Occupational Health,Zhengzhou 450052,China;Puguang Branch of Zhongyuan Oilfield Company,SINOPEC,Dazhou 635000,China;institute of Occupational Disease Prevention and Control,Zhongyuan Oilfield Center for Disease Control and Prevention,Puyang 457001,China;Department of Scientific Research and Foreign Affairs,Henan Medical College,Zhengzhou 451191,China)

机构地区：[1]河南省职业病防治研究院办公室,郑州450052 [2]中原油田疾病预防控制中心办公室,濮阳457001 [3]河南省职业病防治研究院劳动卫生科,郑州450052 [4]中国石油化工股份有限公司中原油田普光分公司,达州635000 [5]中原油田疾病预防控制中心职业病防治所,濮阳457001 [6]河南医学高等专科学校科研外事处,郑州451191

出　　处：《中华预防医学杂志》2020年第11期1213-1219,共7页Chinese Journal of Preventive Medicine

基　　金：河南省医学科技攻关计划联合共建项目(2018020571);河南省卫生计生科技创新型人才“51282”工程特聘学科带头人项目(2016)。

摘　　要：目的探讨轮班作业和心理资本对糖脂代谢异常的交互作用。方法采用方便抽样方法,于2018年10月纳入某天然气田1415名作业人员为研究对象,通过问卷调查收集人口学特征、轮班作业和心理资本等信息,按照标准规范测量其生理、生化指标。采用多因素logistic回归模型分析轮班作业和心理资本对糖脂代谢异常的交互作用。结果1415名研究对象中,血糖异常的检出率为21.2%(300例),糖尿病检出率为8.3%(118例);总胆固醇异常的检出率为40.4%(572例),高胆固醇血症的患病率为11.3%(160例);甘油三酯异常的检出率为41.6%(588例),高甘油三酯血症的患病率为24.7%(350例);低密度脂蛋白异常的检出率为17.3%(245例),低密度脂蛋白升高的检出率为4.0%(56例);高密度脂蛋白异常的检出率为1.3%(18例)。多因素非条件logistic回归模型分析显示,轮班作业、低水平自我效能、低水平乐观均与血糖异常存在正向关联(P值均<0.05),轮班作业与甘油三酯异常存在正向关联(P值均<0.05);但未见轮班作业与低水平自我效能、低水平希望、低水平韧性、低水平乐观对糖脂代谢异常存在交互作用。结论轮班作业是血糖异常、甘油三酯异常的危险因素,自我效能和乐观是血糖异常的保护因素,未见轮班作业和心理资本对研究人群的糖脂代谢异常存在交互作用。Objective To explore the interaction between shift work and psychological capital on abnormal glucose and lipid metabolism.Methods A convenient sampling survey of demographics characteristics,shift work and psychological capital was conducted on 1415 natural gas field workers by questionnaire in October 2018,and their physiological and biochemical indexes were measured according to standard norms.Multivariate logistic regression model was used to analyze the interaction between shift work and psychological capital on abnormal glucose and lipid metabolism.Results For 1415 subjectsthe prevalence of abnormal blood glucose was 21.2%,the prevalence of diabetes was 8.3%.The prevalence of abnormal total cholesterol was 40.4%,the prevalence of hypercholesterolemia was 11.3%.The prevalence of abnormal triglyceride was 41.6%,the prevalence of hypertriglyceridemia was 24.7%.The detection rate of Low-density Lipoprotein was 17.3%,the detection rate of Low-density Lipoprotein was 4.0%,and the detection rate of high-density Lipoprotein was 1.3%.Multiple logistic regression model analysis showed that shift work,the low level of self-efficacy and the low level of optimism was positively associated with abnormal blood glucose,respectively(P<0.05).Shift work was positively associated with abnormal triglyceride(P<0.05).However,there was no interaction between shift work,low self-efficacy,low hope,low resilience,and low optimism on abnormal glucose and lipid metabolism.Conclusion Shift work was a risk factor of abnormal blood glucose and triglyceride,self-efficacy and optimism were protective factors of abnormal blood glucose.There was no multiplicative interaction between shift work and psychological capital on abnormal glucose and lipid metabolism in the study population.

关 键 词：时间生物学现象 心理生理学 能量代谢 轮班作业 

分 类 号：R135[医药卫生—劳动卫生]