| 摘要: | 本研究針對北部某區域醫院之急重症護理工作者探討其心血管疾病相關危險因子，以作為日後急重症護理人員健康管理之參考。研究方法採回溯性研究，將研究對象區分為夜班工作和非夜班工作兩組，分析其勞動資料及體檢結果，包括性別、年齡、年資、工時、血壓、身體質量指數、高密度脂蛋白膽固醇、低密度脂蛋白膽固醇、總膽固醇、三酸甘油酯、十年內缺血性心臟病發病機率等變項。前述資料以SPSS 24.0 for Windows 電腦套裝軟體進行統計分析，以描述性統計、 t 檢定、變異數分析、皮爾森積差相關分析探討各變項之間相關性。
經統計分析後，可能影響本研究對象之心血管疾病因子如下：1.年齡與舒張壓(r=0.215，p>0.05)及總膽固醇(r=0.245，p>0.05)呈現正相關，且有顯著差異。2.護理總年資與舒張壓(r=0.249，p>0.05)、總膽固醇(r=0.278，p>0.01)、低密度脂蛋白膽固醇(r=0.280，p>0.01)呈現正相關，且有顯著差異。3.急重症年資與收縮壓(r=0.252，p<0.05)、總膽固醇(p=0.239，p>0.05)呈現正相關，且有顯著差異。
This study was aimed to investigate the risk factors related to cardiovascular disease for the emergency and critical nursing staffs of regional hospital in north Taiwan and to serve as a reference for health management of emergency and critical nursing workers in the future. The research adopted a retrospective research method. The research subjects were divided into night shift work and non-night shift work groups, and their labor situation and physical examination results were investigated, including gender, age, years of seniority, working hours, blood pressure, body mass index, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, total cholesterol, triglycerides, and Framingham Coronary Heart Disease Risk Score. The aforementioned data were analyzed by using the “SPSS 24.0 for Windows” package software with various statistical analysis methods, including descriptive statistics, t-test, ANOVA, and Pearson product-moment correlation.
The risk impact factors of cardiovascular disease for the subjects of this study maybe as follows: 1. Age is significantly positively correlated with diastolic blood pressure (r=0.215, p>0.05) and total cholesterol (r=0.245, p>0.05). 2. Total seniority in nursing is significantly positively correlated with diastolic blood pressure (r=0.249, p>0.05), total cholesterol (r=0.278, p>0.01), and low-density lipoprotein cholesterol (r=0.280, p>0.01). 3. The seniority of emergency and critical care nurse is significantly positively correlated with systolic blood pressure (r=0.252, p<0.05) and total cholesterol (r=0.239, p>0.05). |
