醫院員工代謝症候群發生率及其危險因素之世代追蹤研究

A Cohort Study of Metabolic Syndrome Incidence and Risk Factors amongst Hospital Employees

何雪華(Shuen-Hua Ho) ； 蔡宗益(Tzung-Yi Tsai)

《護理暨健康照護研究》 6卷2期 (2010/06) Pp. 151-159

https://doi.org/10.6225/JNHR.6.2.151

摘要

背景　醫院員工於病人照護過程扮演重要的角色，故其健康狀態值得重視，但至今台灣仍鮮少研究以長期追蹤方式，觀察其代謝症候群發生率及相關危險因素。
目的　本研究旨在探討醫院員工之代謝症候群發生率及其相關危險因素。
方法　採世代研究設計，以1999年1月至2008年12月底曾任職於北台灣某醫院一年以上之1,002名員工為研究對象，並擷取其健檢資料進行分析。代謝症候群參酌行政院國民健康局2007年訂定之標準，且以複邏輯斯回歸估算調整後勝算比與95%信賴區間。
結果　經平均追蹤5.10年後，醫院員工之代謝症候群發生率為21.33‰，男女性發生率各為41.54‰與16.49‰。其中年齡、高ALT值、從事行政事務以及低教育程度皆是代謝症候群之危險因素。
結論　研究結果有助於釐清醫院員工罹患代謝症候群之危險因素，醫院管理者可據此提早進行健康監測，並規劃職場健康促進方案，確保員工健康。

關鍵字

醫院員工 ； 代謝症候群 ； 世代研究 ； 職場健康促進

並列摘要

Background: In light of their critical role in patient care, the health condition of hospital employees merit continuous and serious attention. Limited data from follow-up studies are currently available on metabolic syndrome (MS) incidence and related risk factors in hospital employees in Taiwan.
Purpose: The purposes of this study were to explore the incidence of MS and related risk factors in hospital employees.
Methods: Subjects in this cohort study comprised 1, 002 hospital employees, all of who had worked for more than one year at a medical center in northern Taiwan during the decade running between January 1999 and December 2008. Participant periodic health examination data were analyzed. MS was defined according to criteria proposed by Taiwan's national Department of Health in 2007. Multiple logistic regression was used to estimate adjusted the odds ratio and 95% confidence intervals.
Results: During an average follow-up period of 5.10 years, the overall incidence of MS was 21.33 per 1000 personyears, with 41.54‰ in men and 16.49‰ in women, respectively. Subjects who were older, had elevated ALT levels, engaged in administrative work and had a relatively lower level of education were found to face significantly greater risks of developing MS than their peers at baseline.
Conclusion: Findings should help hospital managers identify the incidence of MS by pinpointing groups with a higher predisposition to the condition. Such should facilitate early health assessments and promote better employee health.

並列關鍵字

hospital employees ； metabolic syndrome ； cohort study ； workplace health promotion