| Summary: | 碩士 === 中臺科技大學 === 醫療暨健康產業管理系碩士班 === 105 === Objective: The work of the nursing staff is with characteristics of heavy load and stress, which easily leads to the occurrence of diseases. Sick nursing staffs not only affect their own health and quality of life, but also generate crucial impact on the care for patients. The aim of this study was to investigate the statuses of gastrointestinal diseases in female nursing staffs and the factors affecting such diseases..
Methods: Through cross-sectional study, a total of 20,372 female care workers enrolled in the primary health care facilities were obtained from the National Health Insurance Research Database in 2011 as the research subjects. This study used descriptive statistics to analyze the number and percentage of demographic variables, practice characteristics and disease characteristics of nursing personnel, applied Chi-square test to analyze the relationship between gastrointestinal diseases and both the demographic variables and practice characteristics, and utilized logistic regression to analyze the relevant factors affecting female nursing personnel in primary health care facilities who suffered from gastrointestinal diseases.
Results: the prevalence rate of gastrointestinal diseases in female nursing personnel at primary health care facilities was 26.2%, in which the most common diseases were gastritis and duodenitis, followed by disorders of function of stomach, peptic ulcer, gastric ulcer, duodenal ulcer, and gastrojejunal ulcer in sequence. The ages, insured salaries, practice categories, practicing medical institutions ownership, and location of health care institutionof female nursing personnel in primary health care facilities showed a significant relationship with gastrointestinal diseases. In terms of demographic characteristics, personnel between age of 30-39 year had higher gastrointestinal diseases OR (1.129) compared with that of 50-65 year; while compared to those with an insured salary of NT$40,000 or more, personnel’s insured salary below NT$19,999 and between NT $ 20,000-39,999 had higher gastrointestinal diseases OR, at the ration of 1.414 and 1.759, respectively. In respect of practice characteristics, the licensed practical nurses had a higher odds ratio (1.242) of gastrointestinal diseases than that of registered nurses; regarding practicing medical institutions ownership, the odds ratio of personnel suffering gastrointestinal diseases in public and non-profit primary health care facilities was higher than that in private medical institutions, at ration of 1.770 and 1.148, respectively. Compared with the Eastern Division, the Central Divisionhad a higher risk of suffering from gastrointestinal diseases (OR = 1.324). With regard to disease characteristics, personnel suffering with anxiety had higher risk of gastrointestinal diseases (OR=1.856）than that of personnel without anxiety.
Conclusions: compared with other diseases, the gastrointestinal diseases of female nursing personnel at primary health care institutions had a relatively high rate, where the demographic characteristics, practice characteristics and disease characteristics were important factors that affect female nursing personnel of suffering from gastrointestinal diseases in primary health care facilities. Continuously monitoring the status of nursing staff gastrointestinal diseases, reducing factors that affect the disease in life or workplace environment, and interventing and promoting healthy measures in workplace should be helpful for disease prevention and health promotion .
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