北京市某医院临床医生心理压力现状研究

目的：了解医生心理压力现状,探索医生心理压力相关因素及压力来源。方法采用自编基本信息采集问卷、压力评价问卷的组合问卷,对北京市某家三甲医院231名医生进行调查访问。结果不同科室医生压力水平差异具有统计学意义(P <0.05),并受年龄、收入、家庭情况、睡眠质量等基本因素的影响。医生心理压力主要来自于人际社交、家庭问题、工作问题、社会环境、科研学习等多个方面,不同科室、不同性别的医生心理压力主要来源有差别。结论医生心理压力较大,并因其科室分工、薪金收入、家庭环境等不同而在压力水平和压力来源等方面呈现差异。     

江门市某医院女职工健康状况分析

目的 了解江门市中心医院女职工健康状况，为采取早期预防疾病的措施提供依据。方法 由保健科负责组织对该院586名女职工进行体检。内容包括：一般体检、肝功能、血脂、血糖、HBV5项生物标志物、血尿酸、血常规、尿常规、EB病毒检测、B超、心电图、胸片检查。将体检资料进行统计学分析。结果 586名女职工查出疾病23种。其中患内外科疾病共451人．占体检总人数的76．96％，检出内外科疾病中占前5位的分别为高血脂（18．6％）、高血糖（12．28％）、脂肪肝（11．94％）、高血压（11．6％）、肝胆疾病（9．55％）。检出妇科疾病共357人，占体检总人数60．92％，检出妇科疾病中前3位疾病为乳腺增生、阴道炎、宫颈炎，检出率为33．61％、11．77％和7．67％。结论 定期进行体检，有助于早期发现疾病，早期治疗，为女职工身体健康提供早期干预措施。     

衢州市女职工职业卫生现状调查

女职工是企业发展的重要力量 ,且担负着生育繁衍后代的重任。由于性别的差异 ,男女劳动负荷及对有毒有害因素耐受程度也不同。现就我市女职工职业危害情况进行调查分析 ,并就落实和加强女职工职业卫生的对策加以探讨。流行病学调查1　存在的职业危害因素　我市厂矿企业存在的女职工职业危害因素主要有噪声、三苯、铅、锰、粉尘等 ,也有麻醉剂、放射、高温、重体力等。劳动环境和过程中存在的有毒有害因素 ,对人体有不利的影响 ,特别是对女工 ,不论在妊娠前、妊娠时、分娩后都有可能对女工本身或胎儿、乳儿造成健康危害。1 1　噪声 :噪声污染…     

某煤矿女职工HPV感染现状及其危险因素调查分析

目的 了解某煤矿女职工人乳头瘤病毒(HPV)感染现状,并分析其与阴道微环境的关系。方法以华北医疗健康集团峰峰总医院2020年9月至2021年11月接受宫颈癌(cervical cancer,CC)筛查的3 079名煤矿女职工为研究对象,收集其宫颈脱落细胞检测HPV基因亚型,检查阴道分泌物中细菌、滴虫、乳酸杆菌、假丝酵母菌、霉菌。计算HPV感染率,描述HPV感染的基因亚型分布,根据病毒亚型所造成的损伤分成低危型和高危型两类。并了解HPV感染和阴道微环境相关指标(包括阴道清洁度、细菌、滴虫、假丝酵母菌、霉菌感染情况及乳酸杆菌含量)的关系。结果 3 079名煤矿女职工HPV感染率为21.01%,其中高危型HPV感染率为17.15%(528/3 079),低危型HPV感染率为3.86%(119/3 079);高危型HPV感染率居于前三位的基因亚型为HPV52、16与58,低危型HPV感染率居于前三位的基因亚型为HPV6、11与43;40～49岁为HPV及高危型HPV感染率最高的年龄段,其次为30～39岁年龄段,且不同年龄段煤矿女职工HPV及高危型HPV感染率比较,差异有统计学意义(χ^...     

1996年北京市女职工保健现状调查

１９９６年北京市女职工保健现状调查齐庆青唐淑琴丁辉刘凤琴董翠英北京市妇女保健所１００００６为了更好地了解北京市女职工保健现状，进一步开展工作，于１９９６年对北京市女职工保健工作人员的一般状况和工矿企业落实保健法规政策的执行情况进行了调查。１对象和方法...     

冶金行业女职工妇科疾病现状调查与分析

目的探讨冶金行业女职工妇科疾病罹患情况及可能影响因素。方法采用横断面调查方法,对10个省(市)冶金行业3 739名女职工开展问卷调查。结果 3 739名冶金行业女职工妇科疾病患病比例为40.63%(1 519/3 739)。不同年龄、工龄和是否接触职业有害因素女工妇科疾病患病比例的差异有统计学意义(P<0.05),表现为随着年龄的增长患妇科疾病的比例增高,≥36岁女工妇科疾病的患病比例明显高于低年龄段;工龄≥6年者患病比例高于工龄≤5年者;接触职业有害因素女职工妇科疾病的患病比例明显高于不接触职业有害因素者。冶金行业女职工所患的妇科疾病排在前三位的是乳腺增生(15.35%,574/3 739)、阴道炎(11.87%,444/3 739)、子宫肌瘤(8.16%,305/3 739)。工作状态、工作姿势和接触职业有害因素为冶金行业女职工上述疾病发生的影响因素。轮班作业女工乳腺增生、阴道炎和恶性肿瘤的比例高于不轮班者,差异有统计学意义(P<0.05);长时间站立女职工乳腺增生、阴道炎、子宫肌瘤和恶性肿瘤的比例高,差异有统计学意义(P<0.05);接触有害因素女职工患乳腺增生、阴道炎、子宫肌瘤和恶性肿瘤的比例高于不接触有害因素的女职工,差异有统计学意义(P<0.05)。结论冶金行业女职工妇科疾病发病率较高,应进一步加强职业卫生保护和健康管理,减轻职业有害因素对生殖健康带来的的不良影响。     

自来水公司女职工妇科调查

自来水公司女职工多、工种复杂 ,为了解这些妇女的妇科状况 ,以提供制定劳动保护措施的依据。我们对某市自来水公司女职工进行了 1次较全面的妇科检查。参加体检的各类人员共 563人 ,剔掉 51岁以上 (包括 51岁 )的 ,实际参加统计的 559人。1　对象和内容1.1　对象　将从事制水、供水、水质化验、药品保管、检测等工种的人员统称观察组 ,共 2 0 1人。主要接触碱式氯化铝、氯气、酸、碱、少量氯仿、双氧树脂、丙酮、乙二胺、DPD粉等有毒有害物质。其他无毒物接触人员包括行政管理、抄表、收费、幼儿教师、后勤人员、档案管理人员共 358人为…     

某综合性医院临床护士的心理压力分析及对策

目的了解某综合性医院临床科室护士心理压力情况,为帮助护士缓解工作压力,提高护士对压力的应对能力,改善护士身心状况提供依据。方法采用症状自评量表(SCL-90)对临床不同科室护士和非临床科室工作人员的心理压力进行问卷调查和分析。结果与非临床科室的工作人员比较,内科护士在躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性9个因子差异均无统计学意义(P0.05);外科护理人员在人际关系敏感、抑郁、焦虑、敌对、偏执和精神病性6个因子差异有统计学意义(P0.05);精神科护士在人际关系敏感和偏执2个因子差异有统计学意义(P0.05);急诊科护士在躯体化、人际关系敏感、抑郁、焦虑、敌对、偏执和精神病性7个因子差异有统计学意义(P0.05)。结论心理压力源量表显示,临床护士心理压力,特别是急诊科临床护士的心理健康水平明显低于非临床科室工作人员,要改善工作环境,做好护士培训,管理者应为其创造和谐温馨、团结进取的医疗环境和良好的学习氛围,合理地安排人力资源,合理安排班次,从而缓解临床护理人员的压力。     

Stress at work and mental health status among female hospital workers

Relations between working conditions and mental health status of female hospital workers were studied in a sample of 1505 women: 43% were nurses, 32% auxiliaries, and 7% ancillary staff; 13% were other qualified health care staff, mainly head nurses; 5% had occupations other than direct health care; 63% worked on the morning, 20% on the afternoon, and 17% on the night shift. Data were collected at the annual routine medical visit by the occupational health practitioner, using self administered questionnaires and clinical assessments. Five health indicators were considered: a high score to the general health questionnaire (GHQ); fatigue; sleep impairment; use of antidepressants, sleeping pills, or sedatives; and diagnosis of psychiatric morbidity at clinical assessment. Four indices of stress at work were defined: job stress, mental load, insufficiency in internal training and discussion, and strain caused by schedule. The analysis was conducted by multiple logistic regression, controlling for type of occupation, shift, number of years of work in hospital, daily travel time to work, age, marital status, number of children, and wish to move house. Sleep impairment was mostly linked to shift and strain due to schedule. For all other indicators of mental health impairment and especially high GHQ scores, the adjusted odds ratios increased significantly with the levels of job stress, mental load, and strain due to schedule. This evidence of association between work involving an excessive cumulation of stress factors and mental wellbeing should be considered in interventions aimed at improving the working conditions of hospital workers.     

Stress at work and mental health status among female hospital workers.

Relations between working conditions and mental health status of female hospital workers were studied in a sample of 1505 women: 43% were nurses, 32% auxiliaries, and 7% ancillary staff; 13% were other qualified health care staff, mainly head nurses; 5% had occupations other than direct health care; 63% worked on the morning, 20% on the afternoon, and 17% on the night shift. Data were collected at the annual routine medical visit by the occupational health practitioner, using self administered questionnaires and clinical assessments. Five health indicators were considered: a high score to the general health questionnaire (GHQ); fatigue; sleep impairment; use of antidepressants, sleeping pills, or sedatives; and diagnosis of psychiatric morbidity at clinical assessment. Four indices of stress at work were defined: job stress, mental load, insufficiency in internal training and discussion, and strain caused by schedule. The analysis was conducted by multiple logistic regression, controlling for type of occupation, shift, number of years of work in hospital, daily travel time to work, age, marital status, number of children, and wish to move house. Sleep impairment was mostly linked to shift and strain due to schedule. For all other indicators of mental health impairment and especially high GHQ scores, the adjusted odds ratios increased significantly with the levels of job stress, mental load, and strain due to schedule. This evidence of association between work involving an excessive cumulation of stress factors and mental wellbeing should be considered in interventions aimed at improving the working conditions of hospital workers.     

护理人员心理健康状况分析

目的为提升护理质量，探讨护理人员心理健康问题发生的原因和提高其心理健康水平的对策。方法采取收集既往研究资料和结合临床工作经验的方法，总结护理人员心理健康问题发生的原因。结果护理人员心理健康水平总体低于国内一般人群；心理问题发生的原因主要有危重患多、抢救多、工作压力大、工作模式改变、突发事件心理危机干预不及时、心理健康维护培训不足。结论要提高护理质量首先应关注该人群的心理健康问题，应该从健康教育和科学管理多个层面人手，通过各种活动缓解护理人员的心理压力，为护理人员营造一个宽松、愉悦、团结的工作环境，提高其心理健康水平。     

贵州省国家级性病监测点医务人员性病报病知识现况调查

目的:了解贵州省3个国家级性病监测点医务人员性病报病知识现况,为今后我省建立健全性病监测网络,提高性病报病质量提供科学依据。方法:在都匀、兴义、铜仁市3个国家级性病监测点24家医疗机构/性病监测管理机构,随机抽取117名性病专业人员,采用匿名自填方式进行问卷调查。结果:平均不及格(57.15)。性病监测防治机构专业人员测试分最高(79.32分),私立医疗机构专业人员测试分最低(38.24分)(P<0.05)。参加过培训的专业人员测试分(60.94分)高于未参加过培训的专业人员(49.55分)(P<0.05);对传染病报告卡的病例分类及监测病种,尖锐湿疣、生殖器疱疹、生殖道沙眼衣原体感染的诊断分类,梅毒与淋病的实验室检测知识不够熟悉。结论:应加强医疗机构专业人员性病报病相关知识的培训,提高培训覆盖率,建立再培训机制。培训内容除要有疫情报告相关技术外,还应包括5种性病的卫生部行业诊断标准及相应的实验室检测技术。     

江西省基层医务工作者心理健康状况与职业倦怠的关系

摘要:目的　探讨江西省基层医务工作者的心理健康与职业倦怠现况及其关系。方法　采取整群抽样法,采用症状自评量表（SCL-90）、职业倦怠问卷—服务行业版（MBI-HSS）和自编一般情况问卷对江西省各地652名基层医务工作者进行测评与分析。结果　（1）SCL-90得分:基层医务工作者在躯体化、人际敏感、焦虑、抑郁、敌对因子上得分显著高于全国常模（t＝3.193,2.615,3.009,3.327,3.102;P＜0.05）;而强迫症状、恐怖、偏执、精神病性因子分与全国常模相比,差异无统计学意义。（2）MBI-HSS得分方面:情感淡漠（5.53±4.67）处于轻度水平,个人成就感（24.39±10.21）和情感衰竭（36.79±9.39）均处于中度水平;（3）SCL-90中部分因子与MBI-HSS中的情感淡漠和情绪衰竭维度呈显著正相关（P＜0.05）;SCL-90中各因子与个人成就感维度之间相关程度相对较低。结论　江西省基层医务工作者的职业倦怠状况和心理健康水平总体均较差,二者密切联系,应加强对该群体的关注并实行积极有效的对策加以改善。     

北京市昌平区医务人员吸烟现状调查

目的了解昌平区医务人员吸烟现状。方法随机选择二级和一级医院各两家,随机抽取430名医务人员作为调查对象,使用统一问卷,采用一对一和自我填表方式进行调查。结果男性医务人员总吸烟率为48.8%,女性为1.0%;男女现在吸烟率分别为45.6%和0.7%;男女被动吸烟率分别为48.6%和51.5%。结论昌平区医务人员吸烟率很高,应大力开展对医务人员的控烟教育。     

云南河口县越南跨境女性性工作者性传播感染和求医行为状况

目的了解云南河口县越南跨境女性性工作者(FSW)人群性传播感染状况、求医行为及其影响因素,为促进越南跨境FSW生殖健康和预防控制性病传播提供依据。方法采用“滚雪球”方式在云南河口县娱乐场所招募研究对象,进行问卷调查并采集血液、阴道分泌物和取宫颈拭子标本进行HIV/性病检测。结果共调查262名越南跨境FSW,94人被检出感染性病和艾滋病,感染率为35.88%。近一年116名(44.27%)越南跨境FSW出现性病相关症状,其中34.45%出现症状后选择去医院或私人门诊就诊,44.83%自行买药治疗,20.69%未做任何治疗。在过去一年进行过性病检测(OR=3.54,P<0.05),来自中高档场所(OR=3.94,P<0.05),出现两种以上性病相关症状(OR=3.88,P<0.05),自认为感染性病高风险(OR=3.03,P<0.05)的FSW更可能去医院或私人门诊就诊。结论云南河口县越南跨境FSW人群有较高的性病感染率,出现性病相关症状去医院门诊就诊率较低,未做任何治疗比例较高,需要正确引导越南跨境FSW的求医行为。     

Sexual coercion, HIV-related risk, and mental health among female sex workers in China

We performed this study to examine the association of sexual coercion with HIV-related risk behaviors and suicidal thoughts and attempts among female sex workers (FSWs) in Guangxi, China. Four hundred fifty-four FSWs in 57 entertainment establishments (including shampooing salons, massage parlors, and restaurants) were interviewed between March and May 2004. Fifteen percent of the women reported having been coerced into sex in the last 6 months. The prevalence of suicidal thoughts and suicide attempts in the last 6 months were 14.3% and 8.4%, respectively. Sexual coercion was significantly associated with both an increased rate of HIV-related risk behavior, and suicidal thoughts and attempts among FSWs. Therefore, along with the awareness and intervention programs, efforts should be taken to reduce the exposure of FSWs to sexual coercion and to improve the mental health of FSWs.     

Strenuous working conditions and musculo-skeletal disorders among female hospital workers

The relations between working conditions and various aspects of health among female hospital workers were studied in 26 departments of large hospitals in the Paris area in 1986; 90% of the workers of these departments filled in a questionnaire about their working conditions, sociodemographic characteristics and health in the previous 12 months and attended a medical examination. The study sample included 1505 women. The main cause of sick leave was musculoskeletal disorders and affected 16% of the women. Back pain was described by 47% of the women, and treatment for musculo-skeletal disorders by 28%. Three working conditions were considered to characterize the posture at work: standing more than six hours a day, bending over more than ten times per hour, and maintaining an uncomfortable posture. A cumulative posture index was constructed by adding for each worker the number of the working conditions to which she had been exposed. A cumulative lifting index was constructed in a similar way from the four following characteristics: lifting weights of more than 15 kg, lifting patients more than ten times a day, making beds normally or often, and pushing beds or trolleys more than ten minutes a day. A mixed index was then constructed associating the two previous ones. The relations between these indexes and musculoskeletal disorders (MSD) were studied after adjustment for potential confounders such as age, obesity, number of children, travel duration, sport practice, occupational level, number of years in the occupation, previous attack of back pain, and mental health (assessed by the score to the general health questionnaire). The logistic regressions of MSD indicators on the mixed index and other risk factors showed that MSD was about twice as frequent among women with a maximal load in posture and/or in lifting than among women with no more than one medium index (tiring posture or lifting). These facts support the necessity for improvement of the work load in hospitals.