某醫學中心護理人員代謝症候群疾病率及其相關因素之回溯世代研究

A retrospective cohort study on morbidity and its related factors of metabolic syndrome for nurses in a teaching hospital

10.29827/YBYJZZ.202112_5(1).0005

陸嘉玲(Chia-Ling Lu)；陳沛忻(Pei-Hsin Chen)；黎雅萍(Ya-Ping Li)；吳聖良(Shang-Liang Wu)；酒小蕙(Hsiao-Hui Chiu)

代謝症候群 ； 醫院護理人員 ； 世代研究 ； 發生率 ； 盛行率 ； metabolic syndrome ； hospital nurses ； retrospective cohort study ； prevalence ； incidence

醫保研究雜誌

5卷1期（2021 / 12 / 01）

51 - 62

繁體中文

目的：瞭解醫院護理人員代謝症候群之盛行率和發生率及其年度別、年齡別、性別與工作屬性之差異。方法：採回溯世代研究法；以曾任職北台灣某醫院並參加一次以上健檢之護理人員為研究對象，回溯期間自2013年1月至2016年12月止，參與健檢護理人員共有3654人次（3238人）為盛行率樣本，排除只檢查一次的2916人，共738人次（322人）為發生率樣本。 結果：代謝症候群2013-2016年累積盛行率為7.0%；盛行率以2015最高12.0%；男性明顯高於女性（12.3%＞6.7%）；年齡別以50～＜66歲最高達24.2 %、其次為40～＜50歲16.3 %；工作屬性以行政主管19.9%最高，其次為行政人員（13.3%）。整體護理人員（共計322人有兩次以上健檢者）之代謝症候群2013-2016年累積發生率為11.5%，年齡別30～＜40歲（14.3%）居首，其次為40～＜50歲發生率13.2%，男性高於女性（18.2% ＞ 11.3%）；工作屬性以行政人員16.7%最高，其次為普通病房（14.9%）及門診單位（14.0%）。多變項分析顯示年齡別與發生率間具顯著相關。結論：影響醫院護理人員代謝症候群之危險因子為年齡，建議醫院針對30歲以上護理人員提供代謝症候群預防與治療服務。

Purpose. The study investigated the prevalence and incidence of metabolic syndrome among nursing staff in a teaching hospital, as well as its distributions stratified by year, age, gender, and job attributes. Method. Under a retrospective cohort design, the study evaluated nursing staff who had received at least one health examination between Jan 2013 to Dec 2016. A total of 3654 person-time (3238 persons) was recruited from health examination database and only 738 person-time (322 persons) received more than one health examination. Result. The cumulative prevalence of metabolic syndrome from 2013 to 2016 was 7.0% and the yearly prevalence was highest in 2015 (12.0%). Metabolic syndrome was significantly more prevalent in men than women (12.3%＞6.7%). In terms of age, the highest prevalence was found between 50~＜60 years old (24.2%), followed by 40~＜50 years old (16.3%). With regards to job attributes, administrative supervisors had the highest prevalence (19.9%), followed by administrative staff (13.3%). For those who had more than one health examination between 2013 and 2016, the cumulative incidence of metabolic syndrome was 11.5%; the highest incidence was found in the 30~＜40 age group (14.3%), followed by 40~＜50 (13.2%); and men showed higher incidence than women (18.2%＞ 11.3%). Multivariate analysis showed that the incidence had a significant positive relationship with age but is not related to seniority, job attributes and gender. Conclusions. We suggest that a prevention and treatment program is needed for nurses above 30 years old.

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