CAJ | 학술논문

目的：研究产科女医师的精神紧张和女性内分泌功能紊乱状况,探讨干预治疗对精神紧张和女性内分泌功能紊乱的影响。方法采用整群随机抽样的方法,抽取9家二级以上医院及妇幼保健院精神紧张问卷[12项一般健康问卷(General Health Questionnaire,GHQ-12)]得分≥15分的产科女医师317名,随机分为干预组160名,对照组157名。入组时两组精神紧张(问卷及血压、肾上腺素、去甲肾上腺素)评定及女性内分泌功能紊乱(泌乳素、睾酮、雌激素、孕激素、临床症状)水平无差异( P>0．05)。对比干预治疗前后(10个月)上述内容,观察干预治疗效果。结果干预后,干预组的精神紧张明显减轻(P<0．05),女性内分泌功能紊乱好转(P<0．05)。结论干预治疗可缓解产科女医师的精神紧张程度,改善女性内分泌功能紊乱状态及临床症状。
목적：연구산과녀의사적정신긴장화녀성내분비공능문란상황,탐토간예치료대정신긴장화녀성내분비공능문란적영향。방법채용정군수궤추양적방법,추취9가이급이상의원급부유보건원정신긴장문권[12항일반건강문권(General Health Questionnaire,GHQ-12)]득분≥15분적산과녀의사317명,수궤분위간예조160명,대조조157명。입조시량조정신긴장(문권급혈압、신상선소、거갑신상선소)평정급녀성내분비공능문란(비유소、고동、자격소、잉격소、림상증상)수평무차이( P>0．05)。대비간예치료전후(10개월)상술내용,관찰간예치료효과。결과간예후,간예조적정신긴장명현감경(P<0．05),녀성내분비공능문란호전(P<0．05)。결론간예치료가완해산과녀의사적정신긴장정도,개선녀성내분비공능문란상태급림상증상。
Objective To analyze the status of occupational stress and endocrine disorders among female obstetricians and to explore the influence of intervention treatment on the situation. Methods Cluster sampling was employed to recruit 317 female obstetricians with General Health Questionnaire(GHQ-12) scores≥15 in 9 hospitals or maternal and child care service centre,160 obstetricians were randomly divided into intervention group while 157 into control group. No significant difference of occupational stress status( questionnaires,epinephrine,norepinephrine) and endocrine level( prolactin,testosterone,estrogen,progestin,clinical symptoms) between two groups were found at the baseline. Indexes above were compared between pre-intervention and post-intervention(10 months) to observe the effect of intervention treatment. Results The occupational stress status of intervention group has been significantly alleviated after intervention ( P < 0. 05 ) , endocrine disorders significantly improved ( P < 0. 05 ) . Conclusion The intervention treatment can alleviate the occupational stress, relieve the endocrine disorder and clinical symptoms.