诊断放射科住院医师对推荐健康指南的遵循情况：住院医师工作环境的影响

Diagnostic radiology resident compliance with recommended health guidelines: effect of resident work environment.

作者信息

Collins Jannette, Hinshaw James L, Fine Elizabeth, Albanese Mark A

机构信息

Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792-3252, USA.

出版信息

Acad Radiol. 2008 Aug;15(8):1046-57. doi: 10.1016/j.acra.2008.02.014.

DOI:10.1016/j.acra.2008.02.014

PMID:18620125

Abstract

RATIONALE AND OBJECTIVES

To determine diagnostic radiology resident compliance with recommended health guidelines for physical activity, body weight, diet, related health indicators, and the effects of the resident work environment on compliance.

MATERIALS AND METHODS

A request was electronically mailed to members of the Association of Program Directors in Radiology and the Association of Program Coordinators in Radiology in May 2007 and again in June 2007, asking members to forward to their radiology residents an invitation to complete an online health survey. Frequency counts and Fisher's exact test, respectively, were used to summarize results and to determine statistically significant relationships between survey variables.

RESULTS

A total of 811 radiology residents completed the survey, representing 18% of 4,412 diagnostic radiology residents. Five hundred forty-five (67.2%) of 811 were male and 264 (32.6%) female. Two hundred ten (25.9%) were first-year, 239 (29.5%) second-year, 201 (24.8%) third-year, and 161 (19.9%) fourth-year residents. Three hundred two (37.2%) engaged in recommended guidelines for physical activity and < or =465 (57.3%) complied with each of multiple federal dietary guidelines (excluding alcohol intake). Up to 329 (40.6%) residents did not know whether they were in compliance with various dietary guidelines. A total of 426 (52.5%) residents reported working > or =60 hours/week, which significantly correlated with less physical activity (P = .013).

CONCLUSION

A substantial number of residents are out of compliance with federal guidelines for physical activity and diet and are not knowledgeable about their personal dietary intake. Long work hours are related to a lack of physical activity. Radiology programs may be able to influence resident health practices by modifying work hours and the working environment, encouraging healthy dietary intake and physical activity, and instituting campaigns to inform residents and faculty about health guidelines and available wellness programs.

摘要

原理与目的

确定放射诊断住院医师对推荐的身体活动、体重、饮食、相关健康指标等健康指南的遵循情况，以及住院医师工作环境对遵循情况的影响。

材料与方法

2007年5月和6月，分别以电子邮件形式向放射学项目主任协会和放射学项目协调员协会成员发出请求，要求成员将一份在线健康调查问卷转发给他们的放射诊断住院医师。分别使用频数计数和费舍尔精确检验来汇总结果，并确定调查变量之间具有统计学意义的关系。

结果

共有811名放射诊断住院医师完成了调查，占4412名放射诊断住院医师的18%。811名中有545名（67.2%）为男性，264名（32.6%）为女性。210名（25.9%）为一年级住院医师，239名（29.5%）为二年级住院医师，201名（24.8%）为三年级住院医师，161名（19.9%）为四年级住院医师。302名（37.2%）遵循身体活动推荐指南，≤465名（57.3%）符合多项联邦饮食指南（不包括酒精摄入）。多达329名（40.6%）住院医师不知道自己是否符合各种饮食指南。共有426名（52.5%）住院医师报告每周工作≥60小时，这与较少的身体活动显著相关（P = .013）。