Investigation of health status among hospital workers

• Main Authors: LIU,YUN-WEI, 劉筠微
• Other Authors: LIN,CHING-CHIANG
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/84143717045551188915

碩士 === 輔英科技大學 === 醫學檢驗生物技術系碩士班 === 104 === In the contemporary medical system, health care workers are the guardians of the public health, and therefore the health status of medical workers is an important issue that requires our attention. In present study, we collected and analyzed the records of routine medical checkups of healthcare workers at a regional teaching hospital from 2010 to 2014. From this data analysis we determined the health status and the prevalence of chronic diseases among these hospital workers. A total 2,097 people, 398 male and 1,699 female, were included into this study from 2010 to 2014. The average age was 37.3 years old. The prevalences of diabetes, pre-diabetes, metabolic syndrome, and chronic kidney disease were 1.5% (31/2,097), 11.3% (238/2,097), 6.9% (145/2,097), and 3.1% (64/2,097), respectively. Incomparison, the prevalence of pre-diabetes in medical professionals is lower than the administration staff (10.3 vs. 14.9 %, p = 0.005). However, the average age of medical professionals is younger than the administration staff(36.5 vs. 39.8 years). As we compared the differences between three-shift and non-three-shifts workers, the prevalence of pre-diabetes in three-shift workers is lower than non-three-shifts workers (6.5 vs. 13.7 %, p < 0.005). However, the average age of three-shift workers is younger than non-three-shifts workers(32.9 vs. 39.3 years). According to our analysis, female nurses were the largest group among the medical professionals. In order to simplify the study amongst a large variety of work duties and age distribution, we excluded male person and divided workers into three-shifts nurses, non-three shifts nurses and administrative staff. We subdivided these three worker groups further into three age levels: 25.0~29.9, 30.0~34.9, and 35.0~39.9 years. We compared the prevalence and risk factors of chronic diseases among these worker groups. The results showed that there were no statistical significances in workers of all ages regarding to diabetes, pre-diabetes, metabolic syndrome, and chronic kidney disease. Further statistical analysis was performed in the risk factors which include BMI, waist circumference, blood pressure, total cholesterol, triglyceride, blood sugar, cigarette smoking, and alcohol consumption. In the 25.0~29.9 age level, the proportions of abnormal BMI were 48.6% in three-shift nurses, 59.9% in non-three-shift nurses, and 23.7% in administrative staffs, respectively (p< 0.001). In the 35.0~39.9 age level, the proportions of abnormal BMI were 49.1% in three-shift nurses, 25.3% in non-three-shift nurses, and 27.1% in administrative staff, respectively (p = 0.006). Also the proportions of abnormal waist circumference were 35.8% in three-shift nurses, 30.5% in non-three-shift nurses, and 7.7% in administrative staff, respectively (p< 0.001). Our study found that higher abnormalities of BMI and waist circumference in the nurse population. If we can do early screening of these risk factors, and try to prevent them, we could help reduce the incidence of chronic diseases among hospital workers.