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2018, 10, v.41 1313-1316
591例护理人员紧张性头痛的危险因素分析
基金项目(Foundation): 国家自然科学基金(81460489)
邮箱(Email): liujiwendr@163.com;
DOI:
发布时间: 2018-10-15
出版时间: 2018-10-15
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摘要:

目的调查护理人员紧张性头痛(tension type headache,TTH)的危险因素。方法选用世界卫生组织"lifting the burden"项目头痛问卷,收集591例护士TTH的特点及与本职业相关的因素,包括婚姻、年龄、工龄、教育程度、体质指数(BMI)及所在科室。采用多因素Logistic回归分析各危险因素与护理人员TTH的相关性。结果护理人员患TTH的风险与婚姻及科室无关(P>0.05)。年龄≥30岁的护理人员TTH患病率(73.2%)高于20~29岁护理人员TTH患病率(26.8%),差异有统计学意义(P=0.006,χ2=7.61);工龄≥5a的护理人员患TTH的风险高于工龄<5a的护理人员,差异有统计学意义(P=0.012,χ2=6.33);BMI≥23kg/m2时,TTH患病率增加(P=0.004,χ2=8.25);多因素Logistic回归分析显示年龄≥30岁,工龄≥5a,BMI≥23kg/m2的护理人员患TTH风险增加,三者存在交互作用(P=0.000,OR=3.675)。结论年龄≥30岁,工龄≥5a,BMI≥23kg/m2是护理人员发生TTH的危险因素。

Abstract:

Objective To investigate the risk factors of tension-type headache(TTH)in the nursing staff.Methods The WHO Lifting the Burden project headache questionnaire was used to analyze the characteristics of headache in 591 nurses and the related factors of the occupation.These factors including ethnicity,marriage,age,length of service,education,body mass index(BMI),and nursing profession.Multivariate Logistic regression was used to analyze the correlation between the risk factors and TTH.Results The risks of TTH were not related to ethnicity,marriage and nursing profession among nurses(P >0.05).But the prevalence rate of nursing staff aged 30 year-old with TTH was 73.2%,which was higher than 26.8% in the 20-29 year-old group(P =0.006,χ2=7.61).The risk of suffering from TTH in service length of longer than 5 years was higher than that of less than 5 years(P=0.012,χ2=6.33).When BMI was greater than 23,the prevalence rate of TTH increased significantly(P =0.004,χ2=8.25).Multivariate Logistic regression analysis showed that the persons aged bigger than 30 years with longer than 5 years service length,and BMI more than 23 increased the risk of TTH,there existed interaction among the three factors(P =0.000,OR =3.675).Conclusion The risk factors of TTH include age being more than 30 year-old,service length longer than 5 years,BMI more than 23.

参考文献

[1]沈航,崔丽英,李力波,等.头痛患者593例分型和特点[J].中华神经科杂志,2016,49(6):467-471.

[2]李健,刘婉琳.高血压患者头痛与血压控制的关系[J].新疆医科大学学报,2006,29(10):937-939.

[3]DERMITZAKIS E V,GEORGIADIS G,RUDOLF J,et al.Headache patients in the emergency department of a Greek tertiary care hospital[J].J Headache Pain,2010,11(2):123-128.

[4]YU S,LIU R,ZHAO G,et al.The prevalence and burden of primary headaches in China:apopulation based door-to-door survey[J].Headache,2012,52(4):582-591.

[5]DUCROS A,ARNOLD M,DICHGANS M,et al.The international classification of headache disorders,(beta version)[J].Cephalalgia,2013,33(9):629-635.

[6]ASHINA S,BENDTSEN L,LYNGBERG A C,et al.Prevalence of neck pain in migraine and tension-type headache:a population study[J].Cephalalgia,2015,35(3):211-219.

[7]SAYLOR D,STEINER T J.The global burden of headache[J].Semin Neurol,2018,38(2):182-190.

[8]李娜,杜衍君,邢舒平,等.388例紧张型头痛病人临床分析[J].中国疼痛医学杂志,2018,24(1):71-74.

[9]王运锋,周冀英,柳华,等.偏头痛和紧张型头痛患者就诊因素分析[J].西部医学,2013,25(6):835-837.

[10]NADAOKA T,KANDA H,OIJI A,et al.Headache and stress in a group of nurses and government administrators in Japan[J].Headache,1997,37(6):386-391.

[11]WANG S J,FUH J L,YOUNG Y H,et al.Prevalence of migraine in Taipei,Taiwan:apopulation-based survey[J].Cephalalgi1a,2000,20(6):566-572.

[12]LIN K,HUANG CC.Association between stress at work and primary headache among nursing staff in Taiwan[J].Headache,2007,47(4):576-584.

[13]WU H,GE C X,SUN W,et al.Depressive symptoms and occupational stress among Chinese female nurses:The mediating effects of social support and rational coping[J].Res Nurs Health,2011,34(5):401-407.

[14]CALLAGHAN P,TAK-YING S A,WYATT P A.Factors related to stress and coping among Chinese nurses in Hong Kong[J].J Adv Nurs,2000,31(6):1518-1527.

[15]BENDTSEN L,ASHINA S,MOORE A,et al.Muscles and their role in episodic tension-type headache:implications for treatment[J].Eur J Pain,2016,20(2):166-175.

[16]VANDENHEEDE M,SCHOENEN J.Central mechanisms in tension-type headaches[J].Curr Pain Headache Rep,2002,6(5):392-400.

[17]岳云光.尼莫地平加小剂量肠溶阿司匹林治疗偏头痛98例的临床观察[J].川北医学院学报,2014,19(3):41-42.

[18]JANKE E A,HOLROYD K A,ROMANEK K.Depression increases onset of tension-type headache following laboratory stress[J].Pain,2004,111(3):230-238.

基本信息:

中图分类号:R47

引用信息:

[1]刘媛媛,吴艳,帕提古丽·那吾尔,等.591例护理人员紧张性头痛的危险因素分析[J].新疆医科大学学报,2018,41(10):1313-1316.

基金信息:

国家自然科学基金(81460489)

发布时间:

2018-10-15

出版时间:

2018-10-15

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