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研究生:張朔衽
研究生(外文):Shuo-Jen Chang
論文名稱:護理人員代謝症候群盛行率及相關危險因子探討
論文名稱(外文):Prevalence and Associated Risk Factors of Metabolic Syndrome among Nurses
指導教授:廖玟君廖玟君引用關係
指導教授(外文):Wen-Chun Liao
學位類別:碩士
校院名稱:中山醫學大學
系所名稱:護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:131
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前言:代謝症候群是一多重心血管危險因子之聚集,護理人員因工作繁重、身心壓力大,且有輪班工作形態,是罹患代謝症候群的高危險群。本研究採橫斷性研究,檢測護理人員健檢資料庫數據及生活、工作型態問卷資料,調查護理人員罹患代謝症候群盛行率及探討人口學特性、生活、工作型態與代謝症候群之相關性。
方法:本研究對象為中部某醫學中心之護理人員,共發出1200份問卷,回收1129份有效問卷。研究工具包括:護理人員體檢生理指標及自填式問卷,其中代謝症候群診斷定義是以2007年國健局診斷標準為基準,五項危險因子中有三項或以上者,則定義有代謝症候群。資料以SPSS18.0進行統計分析,包括:描述性統計分析、獨立樣本t檢定、ANOVA、卡方檢定、皮爾森相關,並使用羅吉斯迴歸進行相關危險因子分析。
結果:護理人員平均年齡30.4歲,代謝症候群盛行率為5.0%。在各項生理指標中以膽固醇異常(27.8%)最多。罹患代謝症候群的勝算比分析發現目前有慢性病病史的人員較無慢性病的人員高6.56倍;行政人員較臨床人員高5.22倍;大夜班的人員較白班人員高14.15倍,每周飲料含糖量於88-175公克的人員高於未飲用含糖飲料人員3.81倍。
結論:護理人員的輪班型態、飲食行為與代謝症候群的發生相關,建議醫院落實護理人員健康管理政策,追蹤員工體檢狀況,並對輪班工作型態進行檢討與修正;建議制定健康飲食方案與環境,改善護理人員飲食習慣。


Introduction: Metabolic syndrome (MS) refers to a cluster of multiple cardiovascular disorders. Nurses are especially at high risk for MS because of heavy workload, physical and emotional stress and frequent rotating shifts. In this cross-sectional study, we used nurses’ annual physical check-up data and questionnaires regarding life and working style to identify the relationship between prevalence of MS indicators and nurses’ lifestyle.
Methods: 1200 nurses from a medical center in central Taiwan were recruited and 1129 completed this study. The diagnosis criteria of MS were based on the indicators set by the Bureau of Health Promotion, Taiwan. Descriptive statistical analysis, independent-samples t test, ANOVA, Chi-square test, Pearson correlation and logistic regression analysis were used for data analysis.
Results: Nurses’ mean age was 30.4 years-old. Prevalence of MS was 5.0%. Hypercholesterolemia (27.8%) was the most common disorder nurses encountered. Nurses with chronic diseases (OR=6.56), performed administrative work (OR=5.22), and fixed night-shift (OR=14.15) had higher risk of MS. Those who drank beverage with 88-175 gram of suger per week had higher risk of MS (OR= 3.81) than those who did not.
Conclusion: The relationship among work-shift, diet habits and the prevalence of metabolic syndrome was significant. A friendly environment and policy for shifts and health eating is emphasized in our study.


目 錄
第一章 緒論 1
第一節 研究背景與動機 1
第二節 問題陳述 3
第三節 研究問題 3
第四節 研究目的 3
第五節 名詞界定 3
第二章 文獻探討 5
第一節 代謝症候群之沿革 5
第二節 代謝症候群之定義 5
第三節 代謝症候群之理論機轉 8
第四節 代謝症候群之盛行率 9
第五節 引發代謝症候群之危險因子 21
第六節 護理人員與代謝症候群 26
第三章 研究架構 30
第四章 研究方法 31
第一節 研究設計 31
第二節 研究對象及場所 36
第三節 收案流程 36
第四節 統計分析 37
第五節 研究之倫理考量 39
第五章 研究結果 41
第一節 護理人員基本特性、工作型態、生活型態及生理指標數據之描述性分析 41
第二節 護理人員基本特性、工作型態、生活型態與五項指標疾病之單變項分析 50
第三節 護理人員生理指標數據與基本特性、工作型態、生活型態之單變項分析 74
第四節 護理人員引發五大指標疾病之相關危險因子分析 81
第六章 討論 102
第一節 護理人員代謝症候群盛行率 102
第二節 引發護理人員代謝症候群相關危險因子探討 102
第七章 結論與建議 109
第一節 結論 109
第二節 研究結果之應用 110
第三節 研究限制與建議 112
參考文獻 113





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