CAJ | 학술논문

目的调查北京女性护士下尿路症状(LUTS)和膀胱过度活动症(OAB)的患病情况及其职业紧张状况,探讨工作压力和职业紧张对LUTS和OAB的影响. 方法 2010年9月至2011年3月,对整群抽取的北京市三家综合性医院所有在岗≥1年的女性护士进行问卷调查.1135名受调查护士完整填写包括基本人口学信息、排尿相关个人习惯、下尿路相关症状的问卷和职业紧张量表(OSI-R).计算女性护士中LUTS(包括尿急、尿频、夜尿、急迫性尿失禁等)和OAB的患病率和职业压力情况.应用独立样本t检验比较调查人群与中国职业女性常模的职业紧张得分,并比较患OAB与未患OAB护士的职业紧张得分.应用多元Logistic回归模型校正年龄、体质指数(BMI)、生育史和盆腔手术史的影响,评估OSI-R各分量表得分与各LUTS症状和OAB的关系.结果共收集有效问卷1070份,参与者年龄为(30±8)岁,范围为19～58岁.OAB患病率为27.57％(295例,95％ CI为24.89％～ 30.25％).患至少一种LUTS者占89.63％(959例,95％ CI为87.80％～91.45％),尿急为64.39％(689例,95％ CI为61.52％～ 67.26％),尿频为27.10％(290例,95％ CI为24.44％～ 29.77％),夜尿为17.85％(191例,95％ CI为15.59％～ 20.18％),急迫性尿失禁为21.03％(225例,95％ CI为18.59％～23.47％).所调查人群OSI-R的职业紧张和精神压力各分量表得分均高于中国职业女性常模,相应的应对资源各分量表得分均低于中国职业女性常模.患OAB护士大多数职业紧张和精神压力分量表得分高于未患OAB者,应对资源方面得分与未患OAB护士比较差异无统计学意义.应用多元Logistic回归模型调整年龄、BMI、生育史和盆腔手术史的影响后,OSI-R分量表得分均显示与至少一项LUTS或OAB相关,但是仅能在10％以内增加或降低LUTS或OAB的风险. 结论女性护士中OAB及其他LUTS患病率均高于普通女性人群.女性护理人员的职业压力高于普通职业女性.职业压力在一定程度上与OAB及其他LUTS患病情况呈正相关. 目的調查北京女性護士下尿路癥狀(LUTS)和膀胱過度活動癥(OAB)的患病情況及其職業緊張狀況,探討工作壓力和職業緊張對LUTS和OAB的影響. 方法 2010年9月至2011年3月,對整群抽取的北京市三傢綜閤性醫院所有在崗≥1年的女性護士進行問捲調查.1135名受調查護士完整填寫包括基本人口學信息、排尿相關箇人習慣、下尿路相關癥狀的問捲和職業緊張量錶(OSI-R).計算女性護士中LUTS(包括尿急、尿頻、夜尿、急迫性尿失禁等)和OAB的患病率和職業壓力情況.應用獨立樣本t檢驗比較調查人群與中國職業女性常模的職業緊張得分,併比較患OAB與未患OAB護士的職業緊張得分.應用多元Logistic迴歸模型校正年齡、體質指數(BMI)、生育史和盆腔手術史的影響,評估OSI-R各分量錶得分與各LUTS癥狀和OAB的關繫.結果共收集有效問捲1070份,參與者年齡為(30±8)歲,範圍為19～58歲.OAB患病率為27.57％(295例,95％ CI為24.89％～ 30.25％).患至少一種LUTS者佔89.63％(959例,95％ CI為87.80％～91.45％),尿急為64.39％(689例,95％ CI為61.52％～ 67.26％),尿頻為27.10％(290例,95％ CI為24.44％～ 29.77％),夜尿為17.85％(191例,95％ CI為15.59％～ 20.18％),急迫性尿失禁為21.03％(225例,95％ CI為18.59％～23.47％).所調查人群OSI-R的職業緊張和精神壓力各分量錶得分均高于中國職業女性常模,相應的應對資源各分量錶得分均低于中國職業女性常模.患OAB護士大多數職業緊張和精神壓力分量錶得分高于未患OAB者,應對資源方麵得分與未患OAB護士比較差異無統計學意義.應用多元Logistic迴歸模型調整年齡、BMI、生育史和盆腔手術史的影響後,OSI-R分量錶得分均顯示與至少一項LUTS或OAB相關,但是僅能在10％以內增加或降低LUTS或OAB的風險. 結論女性護士中OAB及其他LUTS患病率均高于普通女性人群.女性護理人員的職業壓力高于普通職業女性.職業壓力在一定程度上與OAB及其他LUTS患病情況呈正相關.
목적 조사북경녀성호사하뇨로증상(LUTS)화방광과도활동증(OAB)적환병정황급기직업긴장상황,탐토공작압력화직업긴장대LUTS화OAB적영향. 방법 2010년9월지2011년3월,대정군추취적북경시삼가종합성의원소유재강≥1년적녀성호사진행문권조사.1135명수조사호사완정전사포괄기본인구학신식、배뇨상관개인습관、하뇨로상관증상적문권화직업긴장량표(OSI-R).계산녀성호사중LUTS(포괄뇨급、뇨빈、야뇨、급박성뇨실금등)화OAB적환병솔화직업압력정황.응용독립양본t검험비교조사인군여중국직업녀성상모적직업긴장득분,병비교환OAB여미환OAB호사적직업긴장득분.응용다원Logistic회귀모형교정년령、체질지수(BMI)、생육사화분강수술사적영향,평고OSI-R각분량표득분여각LUTS증상화OAB적관계.결과 공수집유효문권1070빈,삼여자년령위(30±8)세,범위위19～58세.OAB환병솔위27.57％(295례,95％ CI위24.89％～ 30.25％).환지소일충LUTS자점89.63％(959례,95％ CI위87.80％～91.45％),뇨급위64.39％(689례,95％ CI위61.52％～ 67.26％),뇨빈위27.10％(290례,95％ CI위24.44％～ 29.77％),야뇨위17.85％(191례,95％ CI위15.59％～ 20.18％),급박성뇨실금위21.03％(225례,95％ CI위18.59％～23.47％).소조사인군OSI-R적직업긴장화정신압력각분량표득분균고우중국직업녀성상모,상응적응대자원각분량표득분균저우중국직업녀성상모.환OAB호사대다수직업긴장화정신압력분량표득분고우미환OAB자,응대자원방면득분여미환OAB호사비교차이무통계학의의.응용다원Logistic회귀모형조정년령、BMI、생육사화분강수술사적영향후,OSI-R분량표득분균현시여지소일항LUTS혹OAB상관,단시부능재10％이내증가혹강저LUTS혹OAB적풍험. 결론 녀성호사중OAB급기타LUTS환병솔균고우보통녀성인군.녀성호리인원적직업압력고우보통직업녀성.직업압력재일정정도상여OAB급기타LUTS환병정황정정상관.
Objective To evaluate the prevalence of overactive bladder (OAB) and other lower urinary tract symptoms (LUTS),and to study its association with occupational stress in female nurses in Beijing.Methods From September 2010 to March 2011,1135 registered female nurses with one or more years of nursing experience were cluster-sampled.The participants completed questionnaires on LUTS-related symptoms and Occupational Stress Inventory-Revised (OSI-R) tests.Multiple Logistic regressions were performed to evaluate the independent impact of perceived occupational stress on OAB and other LUTS,adjusting for age,body mass index (BMI),and history of childbearing and pelvic surgery.Results 1070 valid responses to questionnaires were obtained.The mean age of the respondents was (30±8) years,ranged from 19 to 58.The prevalence of OAB was 27.57％ (295 cases,95％CI:24.89％-30.25％).LUTS of any types occured in 89.63％ of nurses (959,95％CI:87.80％-91.45％),with 64.39％ reporting urgency (689,95％CI:61.52％-67.26％),27.10％ reporting increased daytime frequency (290,95％ CI:24.44％-29.77％),17.85％ reporting nocturia (191,95％CI:15.59％-20.18％) and 21.03％ reporting urge incontinence (225,95％CI:18.59％-23.47％).The occupational stress and psychological strain levels of nurses were higher than those of normative populations,while their coping resources were lower.Most of the subscales of occupational stress and psychological strain showed higher results for nurses with OAB than for those with OAB-free,while coping resources were not found to make any significant differences.After adjusting age,BMI,and childbearing and pelvic surgery history,each sub-scale of OSI-R was found to be associated with at least one type of LUTS.Conclusions The prevalence of OAB and other LUTS is high among female nurses in Beijing,and occupational stress may be a contributing factor.Taking measures to decrease their occupational stress and psychological strain may improve urological health among female nurses.