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[经前不适——这是职业医学医生需要处理的问题吗]

[Perimenstrual complaints--is this a problem to be handled by occupational medicine physicians].

作者信息

Makowiec-Dabrowska Teresa, Sprusińska Elzbieta, Hanke Wojciech, Radwan-Włodarczyk Zyta, Koszada-Włodarczyk Wiesława

机构信息

Zakładu Fizjologii Pracy i Ergonomii Instytut Medycyny Pracy im prof. J. Nofera w Łodzi.

出版信息

Med Pr. 2003;54(6):511-9.

Abstract

BACKGROUND

The aim of the study was to define associations between intensity of perimenstrual complaints, the type of job performed and working conditions, taking also account of non-occupational factors. The study preceding the development of a preventive program was carried out in a group of women employed in work settings different in the character and burden of adverse agents.

MATERIALS AND METHODS

The group was composed of 142 women, aged 21-45 years, employed in a cosmetics manufacture plant (27%) and a bank (27%), as well as of hospital and ambulatory nurses and auxiliary personnel (50%). A questionnaire on premenstrual and menstrual complaints, working conditions, characteristics of the women and their household duties load was the main tool of the study.

RESULTS

The study revealed that about 80% of women experienced premenstrual and about 75% menstrual symptoms, which were strongly intensified in 40% of women. After applying logistic regression, it was found that physical workload and occupational stress were the major occupational risk factors, whereas chronic diseases, age, household duties load and alcohol consumption were the major non-occupational risk factors.

CONCLUSIONS

The evidenced relationship between complaints and adverse agents typical of the job performed should prompt occupational medicine physicians to more comprehensive analysis of individual jobs in view of reducing occupational load.

摘要

背景

本研究的目的是确定经前不适的强度、所从事的工作类型和工作条件之间的关联,同时考虑非职业因素。在制定预防计划之前,对一组从事不同性质和有害因素负担工作环境的女性进行了研究。

材料与方法

该组由142名年龄在21 - 45岁之间的女性组成,她们受雇于一家化妆品制造厂(27%)、一家银行(27%),以及医院和门诊护士及辅助人员(50%)。一份关于经前和经期不适、工作条件、女性特征及其家务负担的问卷是该研究的主要工具。

结果

研究表明,约80%的女性经历经前症状,约75%的女性经历经期症状,其中40%的女性症状明显加重。应用逻辑回归分析后发现,体力工作量和职业压力是主要的职业风险因素,而慢性病、年龄、家务负担和饮酒是主要的非职业风险因素。

结论

所证明的不适与所从事工作典型有害因素之间的关系,应促使职业医学医生为减轻职业负荷对个体工作进行更全面的分析。

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