倒班护士胆囊息肉相关危险因素分析  

Analysis of risk factors for gallbladder polyps in shift work nurses

作　　者：盖丽 夏天慧 范玲[3] Gai Li;Xia Tianhui;Fan Ling(NICU,Shengjing Hospital of China Medical University,Liaoning Province,Shenyang 110004,China;Breast Surgery Ward,Shengjing Hospital of China Medical University,Liaoning Province,Shenyang 110022,China;Nursing Department,Shengjing Hospital of China Medical University,Liaoning Province,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院第二新生儿病房,沈阳110004 [2]中国医科大学附属盛京医院乳腺外科病房,沈阳110022 [3]中国医科大学附属盛京医院护理部,沈阳110004

出　　处：《中国实用护理杂志》2021年第9期707-711,共5页Chinese Journal of Practical Nursing

基　　金：2018年辽宁省科学技术厅重点研发计划指导项目(辽科发[2018]24号)。

摘　　要：目的分析倒班护士在健康体检中胆囊息肉的检出情况及其相关影响因素,从而为倒班护士预防胆囊息肉提供科学依据。方法选取2018年1月1日至3月31日在中国医科大学附属盛京医院体检中心进行健康体检的该院的1119名倒班护士,将经超声诊断有胆囊息肉者纳入病例组,无胆囊息肉者为对照组。比较2组年龄、性别、体质量指数(BMI)、夜班频次、文化程度、科室、用餐是否规律、饮酒史、吸烟史、血清三酰甘油、血清总胆固醇、乙肝表面抗原、血清丙氨酸氨基转移酶、血清天门冬氨酸氨基转移酶水平。结果单因素分析结果显示,病例组与对照组之间的差异有统计学意义的因素有年龄(P<0.01)、性别(P=0.028)、BMI(P=0.005)、夜班频次(P=0.021);病例组与对照组之间的差异均无统计学意义的因素有文化程度、科室、用餐是否规律、饮酒史、吸烟史、乙肝表面抗原、血清三酰甘油、血清总胆固醇、血清丙氨酸氨基转移酶、血清天门冬氨酸氨基转移酶水平(P>0.05)。Logistic回归分析显示,最终进入回归方程的影响因素分别为年龄、BMI和夜班频次(P<0.05)。结论年龄、BMI和夜班频次可能是倒班护士中胆囊息肉发生的相关危险因素。Objective To analyze the detection of gallbladder polyps among shift nurses in Shengjing Hospital of China Medical University in physical examination and its related influencing factors,so as to provide scientific basis for shift nurses to prevent gallbladder polyps.Methods A total of 1119 shift nurses who had physical examination in Shengjing Hospital of China Medical University from January 1 to March 31,2018 were selected.The patients with gallbladder polyps diagnosed by ultrasound were included in the case group,and those without gallbladder polyps were taken as the control group.Age,gender,body mass index(BMI),night shift frequency,education level,Department,meal regularity,drinking history,smoking history,serum triglyceride,serum total cholesterol,hepatitis B surface antigen,serum alanine aminotransferase and serum aspartate aminotransferase levels were compared between the two groups.Results Univariate analysis showed that age(P<0.001),gender(P=0.028),BMI(P=0.005),night shift frequency(P=0.021)were the factors with statistically significant difference between the case group and the control group.There were no statistically significant differences between the case group and the control group in terms of education level,department,dining regularity,drinking history,smoking history,hepatitis B surface antigen,serum triacylglycerol,serum total cholesterol,serum alanine aminotransferase,serum aspartate aminotransferase levels(P>0.05).Logistic regression analysis showed that age,BMI and night shift frequency were the influencing factors in the regression equation(P<0.05).Conclusion Age,BMI and night shift frequency may be related risk factors of gallbladder polyps in shift nurses.

关 键 词：胆囊息肉 护士 夜班 倒班 影响因素 

分 类 号：R192.6[医药卫生—卫生事业管理] R575.6[医药卫生—公共卫生与预防医学]