Shimizu Takashi, Eto Risa, Horiguchi Itsuko, Obata Yasuko, Feng Qiaolian, Nagata Shoji
Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Fukuoka, Japan.
J Occup Health. 2005 Jul;47(4):327-33. doi: 10.1539/joh.47.327.
The present study explored the relationship between turnover and periodic health check-up data among Japanese hospital nurses. The subjects were 379 registered nurses in a Japanese hospital and the duration of our study period was three years. By the proportional hazard model, we investigated the relative risks (RRs) of the turnover rate associated with the following: lifestyles (irregularity of meals, taking breakfast), work environment (working hours, work schedule), and health status (body mass index [BMI], serum total cholesterol [T-cho], taking medication, sleep disturbance). We obtained the data on turnover from October, 1997 to September, 2000. During the observed period we were able to follow up on 363 female nurses (96%) and the turnover total amongst them was 100. We divided the subjects into a younger (21-25-yr-old) and an older (>25-yr-old) group because of the interaction between age and turnover. In the younger group, we found that sleep disturbance influenced turnover significantly. On the other hand, in the older nurses, BMI and T-cho contributed to turnover significantly. Our results imply the possibility of a partial association between turnover and periodic health check-up data among the nurses.
本研究探讨了日本医院护士离职率与定期健康检查数据之间的关系。研究对象为一家日本医院的379名注册护士，研究周期为三年。通过比例风险模型，我们调查了与以下因素相关的离职率相对风险（RRs）：生活方式（饮食不规律、吃早餐情况）、工作环境（工作时间、工作安排）和健康状况（体重指数[BMI]、血清总胆固醇[T-cho]、服药情况、睡眠障碍）。我们获取了1997年10月至2000年9月期间的离职数据。在观察期内，我们能够对363名女性护士（96%）进行随访，她们的离职总数为100人。由于年龄与离职率之间存在相互作用，我们将研究对象分为较年轻组（21 - 25岁）和较年长组（>25岁）。在较年轻组中，我们发现睡眠障碍对离职率有显著影响。另一方面，在年长护士中，BMI和T-cho对离职率有显著影响。我们的研究结果表明，护士离职率与定期健康检查数据之间可能存在部分关联。
