长春地区护理人员工作压力与原发性头痛的关系  

Association between work stress and primary headache in nursing staff in Changchun

作　　者：莫多 贾姗姗 赵坚立 吴百华[1] 施苗 于澎[2] 董铭[1] MO Duo;JIA Shanshan;ZHAO Jianli(Department of Neurology and Neuroscience Center,The First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院神经内科和神经科学中心,吉林长春130021 [2]吉林大学第二医院眼科中心眼底病科,吉林长春130041

出　　处：《中风与神经疾病杂志》2023年第10期922-926,共5页Journal of Apoplexy and Nervous Diseases

基　　金：国家自然科学基金(31872772);吉林省卫生计生委科研计划(2016J049);吉林省自然科学基金(省联合基金白求恩医学专项)(20200201606JC)。

摘　　要：目的了解护理人员压力与原发性头痛之间的联系,以及应对这种头痛的方法。方法采用半结构化问卷对吉林长春一家三甲教学医院的225名护理人员进行了一项基于医院的横断面研究。测量了32个项目,包括基本信息、头痛和压力相关问题、工作满意度和应对策略。根据国际头痛协会(IHS)标准,患有偏头痛或发作性紧张性头痛(每月发作<15 d)的头痛患者被纳入分析。统计分析采用Student's t检验、单因素方差分析(ANOVA)和卡方检验。结果210名应答者中有103人(48.9%)在前一年经历过原发性头痛,98人(46.7%)经历过发作性头痛(<15 d/月)。对后一组患者进行的仔细的神经病学访谈显示,56人(26.5%)患有偏头痛,28人(13.3%)患有紧张性头痛,11人(5.2%)为偏头痛和紧张性头痛混合型,4人(1.9%)为其他头痛原因。患者和非头痛患者之间没有人口统计学差异,尽管在自我报告的压力来源方面存在统计学显著差异(个体P值范围从0.021到<0.001)。头痛患者在工作中的压力比非头痛患者大(P<0.001)。护理人员中最年轻、经验最少的人、未婚者和受教育程度较低的人压力较大。治疗头痛的方法有睡眠、服药、休息、就医和寻求心理帮助。护士们通常使用非甾体抗炎药来缓解疼痛。结论结果表明工作压力与护理人员的原发性头痛有关,护士病初很少寻求帮助。因此,对护理人员进行旨在缓解压力和应对头痛的教育,使护士能够为患者提供更好的护理,可能是有必要的。Objective To investigate the association between stress and primary headache in nursing staff and the methods for managing such headache.Methods A semi-structured questionnaire was used to conduct a hospital-based cross-sectional study among 225 nursing staff members in a grade A tertiary teaching hospital in Changchun,Jilin,China.A total of 32 items were measured,including basic information,headache-and stress-related questions,job satisfaction,and coping strategies.According to the International Headache Society criteria,headache patients with migraine or epi-sodic tension-type headache(with attacks for less than 15 days a month)were included for analysis.The Student's t-test,a one-way analysis of variance,and the chi-square test were used for statistical analysis.Results Among the 210 respon-dents,103(48.9%)reported the experience of primary headache in the previous year,and 98(46.7%)experienced epi-sodic headache(less than 15 days a month).Detailed neurological interviews of the latter group showed that 56 respon-dents(26.5%)had migraine,28(13.3%)had tension-type headache,11(5.2%)had a combination of migraine and tension-type headache,and 4(1.9%)had headache due to other causes.There were no significant differences in demo-graphic data between headache patients and non-headache patients,although there was a significant difference in self-reported sources of stress between the two groups(individual P values ranging from 0.021 to<0.001).The patients with headache experienced greater job-related stress than the individuals without headache(P<0.001).The nursing staff mem-bers with a younger age,less experience,an unmarried status,and a lower educational level tended to report higher levels of stress.Treatment methods for headaches included sleep,medication,rest,medical consultation,and psychological help.Nurses often used nonsteroidal anti-inflammatory drugs for pain relief.Conclusion The results show that work stress is associated with primary headache among nursing staff,and nurses seldom seek help at the early

关 键 词：原发性头痛 工作压力 护理人员 

分 类 号：R741.041[医药卫生—神经病学与精神病学]