探討醫事人員罹患大腸直腸癌盛行率以及併發憂鬱症之情況

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探讨医事人员罹患大肠直肠癌盛行率以及并发忧郁症之情况

Prevalence of colorectal cancer and complicated with depression in health personnel.

李俊贤 , 硕士　　导师：罗英瑛　　

繁体中文

大肠直肠癌；医事人员；忧郁症； Colorectal cancer ； Medical personnel ； Depression

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摘要 │ 参考文献 (81) │ 国际计量

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Background and purpose
Number of patient with colorectal cancer in Taiwan is continuously rising. The work environment for medical personnel may not match with the regular routine in diet, exercise, and sleep due to shift rotation, and the long-term exposure under highly stressful environment may lead to abnormal GPT index for poor liver function. Due to these causes, the risk of metabolic disorder for medical personnel may increase, as the recent studies showed it as a risk factor for colorectal cancer.  Therefore, the research would attempt to investigate the prevalence rate and compare the difference between medical personnel and non-medical personnel with colorectal cancer, as well as the similarity or difference in the complication of depression.
Methods
The research was retrospective in nature by using the outpatient prescriptions, detail list of treatment, hospitalization expenditure balance, and basic information of medical personnel in the 2005 National Health Insurance Research Database, to analyze the condition of colorectal cancer in medical personnel and existence of complication of depression.
Results
The research result showed the prevalence rate 9 ‰ of colorectal cancer in medical personnel, which was not higher than the rate 14.1 ‰ in non-medical personnel. And, there was difference in prevalence rate of colorectal cancer in medical personnel of different departments. The incidence rate of depression in medical personnel with colorectal cancer was lower than the non-medical personnel, but the difference was not statistically significant. And, there was correlation between sex and incidence rate of depression. The number of female without depression was higher than male by a factor of 0.438.
Conclusions and suggestions
In the aspect of conclusion and recommendation, the work environment of medical personnel did contain carcinogenic risk factors. Although the prevalence rate was not higher than non-medical personnel, they might still need to pay attention to health in order to avoid or reduce any impact on the health status due to poor work environment. As for medical personnel with cancer, even though they might already have knowledge on the treatment and were informed consumers, the chance of complication of depression was not different from non-medical personnel, and thus, the psychological state must be under watch.

参考文献 ( 81 ) 〈TOP〉

王秀伯. (2006). 谁会比较早得大肠癌？. 健康世界(245), 6-6.
连结：
王建楠, & 李璧伊. (2015). 轮班工作之健康效应: 系统性回顾与统合分析. 中华职业医学杂志, 22(3), 155-165.
连结：
尤素芬, 郑惠珠, 刘浩勳. (2012). 蓝领移工健康问题之初探性研究：以南部某健康服务站的谘询移工为例. 台湾公共卫生杂志, 31(1), 43-57
连结：
毛义方, 蔡忠融, 徐雅媛, 徐儆晖, 毛镜琪, 卢士一, 陈美莲. (2011). 我国医院员工超工时与轮班研究. 劳工安全卫生研究季刊, 19(2), 223-232.
连结：
何雪华, 蔡宗益, & 陈小莲. (2007). 护理人员之代谢症候群盛行率及其相关因素探讨. 健康管理学刊, 5(2), 185-194.
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。