醫院員工生活型態、工作壓力與代謝症候群相關性之研究

The Association among Metabolic Syndrome, Life Style and Work Stress in Hospital Staff

陳德仁(Den-Ren Chen) ； 朱基銘(Chi-Ming Chu) ； 羅慶徽(Ching-Hui Loh) ； 林金定(Jin-Ding Lin)

《中華職業醫學雜誌》 16卷1期 (2009/01) Pp. 39-53

https://doi.org/10.30027/CJOM.200901.0005

摘要

Metabolic syndrome (MS) is increasingly becoming common and causing a huge economic burden of medical care system in Taiwan. The problem is not only due to genes, but also many studies have shown that major causes of MS are unhealthy lifestyle. The working characteristics of hospital staff are most likely to be with intensity and stress, they are prone to be one of MS high-risk groups. The aims of this thesis were to investigate the association among lifestyle, work stress and MS in the hospital staff, Taipei, Taiwan.
We conducted a cross-sectional study via self-administered questionnaire into hospital staff annual health check data to exam the association in 2007. The definition of Taiwan-MS was adapted for this analysis.
Results: The MS prevalence was 8.7% in all staff, 14.8% in male staff and 7.1% in female staff. The prevalence of the waist's abnormal was 21.9% in all staff. The finding of male staff: The odds ratios for having MS in the 24≤BMI＜27 and 27≤BMI were 23.80 (95% CI:1.13-501.13) and 182.38 (7.65-4345.64). The male staff with Passive were more likely to have MS than those with Low Strain (odds ratios=13.63, 1.30-142.44).The finding of female staff: The odds ratios for having MS in the 30-39 (age), 40-49 and 50-60 were 5.71(1.21-27.04), 33.17(5.86-187.78) and 26.72 (4.42-161.70). The odds ratios for having MS in the 24≤BMI＜27 and 27≤BMI were 12.99 (3.67-45.97) and 87.44 (25.50-299.84). The female staff with paternal and maternal history of diabetes were more likely to have MS than those without history of diabetes (OR=2.81, 1.19-6.67). The female staff without exercise were more likely to have MS than those with exercise (OR=3.67, 1.17-11.51). The female staff with drinking were more likely to have MS than those without drinking (OR=3.07, 1.14-8.25).
The study suggests：1. The strategy of weight management, the hospital manager should help the staff to control weight. 2. Exercise may be beneficial to the MS cluster of risk factors among hospital staff. 3. Management executives can pinpoint the problem of work stress. They should build effective stress management strategies to avoid the stress hazards affect on the health of staff. 4. Management executives should pay attention to health of the male staff with Passive and the older female staff with family diabetes. 5. We suggest strengthening a multidisciplinary approach to implement the preventive strategies in hospital staff.

關鍵字

醫院員工 ； 代謝症候群 ； 工作壓力 ； 生活型態

並列摘要

Metabolic syndrome (MS) is increasingly becoming common and causing a huge economic burden of medical care system in Taiwan. The problem is not only due to genes, but also many studies have shown that major causes of MS are unhealthy lifestyle. The working characteristics of hospital staff are most likely to be with intensity and stress, they are prone to be one of MS high-risk groups. The aims of this thesis were to investigate the association among lifestyle, work stress and MS in the hospital staff, Taipei, Taiwan.
We conducted a cross-sectional study via self-administered questionnaire into hospital staff annual health check data to exam the association in 2007. The definition of Taiwan-MS was adapted for this analysis.
Results: The MS prevalence was 8.7% in all staff, 14.8% in male staff and 7.1% in female staff. The prevalence of the waist's abnormal was 21.9% in all staff. The finding of male staff: The odds ratios for having MS in the 24≤BMI＜27 and 27≤BMI were 23.80 (95% CI:1.13-501.13) and 182.38 (7.65-4345.64). The male staff with Passive were more likely to have MS than those with Low Strain (odds ratios=13.63, 1.30-142.44).The finding of female staff: The odds ratios for having MS in the 30-39 (age), 40-49 and 50-60 were 5.71(1.21-27.04), 33.17(5.86-187.78) and 26.72 (4.42-161.70). The odds ratios for having MS in the 24≤BMI＜27 and 27≤BMI were 12.99 (3.67-45.97) and 87.44 (25.50-299.84). The female staff with paternal and maternal history of diabetes were more likely to have MS than those without history of diabetes (OR=2.81, 1.19-6.67). The female staff without exercise were more likely to have MS than those with exercise (OR=3.67, 1.17-11.51). The female staff with drinking were more likely to have MS than those without drinking (OR=3.07, 1.14-8.25).
The study suggests：1. The strategy of weight management, the hospital manager should help the staff to control weight. 2. Exercise may be beneficial to the MS cluster of risk factors among hospital staff. 3. Management executives can pinpoint the problem of work stress. They should build effective stress management strategies to avoid the stress hazards affect on the health of staff. 4. Management executives should pay attention to health of the male staff with Passive and the older female staff with family diabetes. 5. We suggest strengthening a multidisciplinary approach to implement the preventive strategies in hospital staff.

並列關鍵字

hospital staff ； metabolic syndrome ； work stress ； and lifestyle