工作壓力與心臟血管疾病之關係

Relationship of Job Strain and Cardiovascular Disease

祝年豐(Nain-Feng Chu) ； 林承箕(Chen-Chee Lin) ； 劉紹興(Saou-Hsing Liou)

《中華職業醫學雜誌》 1卷4期 (1994/10) Pp. 156-161

https://doi.org/10.30027/CJOM.199410.0001

摘要

工作壓力－可由工作的心理負擔和工作決定範圍而來加以定義或測量。有許多研究都在探討工作壓力是否會造成心臟血管疾病的死亡率增加，即目前流行的「過勞死」，或工作壓力與血壓間是否有密切的相關等，來進一步探討工作壓力與心臟血管疾病間之關係。
目前的結果顯示，工作壓力的增加，會使冠狀動脈疾病的症狀較易發生。工作壓力會使較年輕的個案發生致死性心臟血管疾病的機會增加。在血壓方面，工作壓力較大之個案，其血壓值在工作時會上升的較高，同時其平均工作時血壓（Mean Work Blood Pressure）亦較工作壓力低之個案為高。工作壓力不但會使血壓升高，同時亦可發現其心臟超音波測量之左心室體積指標（Left Ventricular Mass Index）亦較工作壓力低組為大。
由此可見，工作壓力與血壓及心臟血管疾病的致病率、死亡率等均有密切關係，這是一個值得吾等進一步研究之課題。

關鍵字

工作壓力 ； 工作需要 ； 工作決定自由度 ； 心臟血管疾病

並列摘要

Many studies showed that there are significant association between job strain and cardiovascular disease. The job strain was defined as high psychological demands and low decision latitude on the job. It could be determined by a few short questions. Schnall et al, using a case-control study, showed that there are highly correlation between the job strain and workplace diastolic blood pressure and left ventricular mass index in male subjects. Light et al found that the mean workplace blood pressure was higher in higher occupational status and greater skill discretion male subjects. After controlling other factors, the morbidity and mortality of cardiovascular disease was raised up among the subjects with high job demands and low job decision latitude. The symptoms of cardiovascular disease was also apparently among the subjects with higher job strain. From this review, we could find that there are closely association between job strain and cardiovascular disease and further longitudinal study is needed.

並列關鍵字

Job demands ； Job decision latitude ； Job strain ； Cardiovascular disease