Betlehem József, Horváth Attila, Göndöcs Zsigmond, Jeges Sára, Boncz Imre, Oláh András
Pécsi Tudományegyetem, Egészségtudományi Kar Sürgősségi Ellátási Tanszék Pécs Vörösmarty u. 4. 7621.
Orv Hetil. 2010 Dec 19;151(51):2089-98. doi: 10.1556/OH.2010.28976.
Health status of ambulance personnel has an important impact on the quality of patient care. Surveys in some smaller regions of Hungary have been conducted on health behavior of ambulance personnel; however they do not mirror the complexity of multidimensional health status in this respect. The aim of the present study is to examine the self-perceived health status of ambulance personnel (AP) and its most salient work related and individual factors.
A quantitative cross-sectional survey was carried out among AP of the Hungarian National Ambulance and Emergency Service in 2008. The survey covered all the regions and sample taking ensured the study to be of representative value. Anonymously 364 individuals gave their answers that could be evaluated. After data procession and coding, records were statistically analyzed by SPSS 15.0. Spearman correlation, chi-square test and multivariable logistic regression analyses were applied to measure the significance of variables. The survey was conducted with a self-fill-in questionnaire measuring the following dimensions of self-perceived health: self-rated health, self-rated physical fitness and limitation in daily activities by health problems.
The results revealed that self-perceived general health status of ambulance personnel does not differ significantly among the emergency units in many terms. However, there are significant differences regarding the complexity of the duties what they have to deal. In their self rated health 1.9 times (95% CI:1.2-2.8), in their self rated physical fitness 2.0 times (95% CI:1.3-3) and in the limitation of daily activities by health problems 1.9 times (95% CI:1.2-3.1) those ambulance personnel feel more favorable who do any kind of sports activity. Generally they experience serious stress; they have not enough leisure time and hardly do sport. Due to their bad lifestyle all fifth ambulance personnel suffer from serious obesity.
Physical activity may enhance self perceived health even though if the person delivers physical symptoms. Regular training to increase the physical fitness should be implemented for ambulance personnel that could well contribute to copying with psychological trauma.
救护人员的健康状况对患者护理质量有重要影响。匈牙利一些较小地区已对救护人员的健康行为进行了调查;然而,在这方面它们并未反映出多维健康状况的复杂性。本研究的目的是调查救护人员(AP)自我感知的健康状况及其最显著的工作相关因素和个人因素。
2008年对匈牙利国家救护和紧急服务机构的救护人员进行了定量横断面调查。该调查覆盖了所有地区,样本采集确保了研究具有代表性价值。364人匿名给出了可评估的答案。数据处理和编码后,用SPSS 15.0对记录进行统计分析。应用Spearman相关性分析、卡方检验和多变量逻辑回归分析来衡量变量的显著性。该调查采用自填式问卷进行,问卷测量自我感知健康的以下维度:自我评定健康、自我评定体能以及健康问题对日常活动的限制。
结果显示,救护人员自我感知的总体健康状况在许多方面在各急救单位之间并无显著差异。然而,在他们必须处理的职责复杂性方面存在显著差异。在自我评定健康方面,从事任何体育活动的救护人员感觉更良好的可能性是其他人的1.9倍(95%可信区间:1.2 - 2.8),在自我评定体能方面是2.0倍(95%可信区间:1.3 - 3),在健康问题对日常活动的限制方面是1.9倍(95%可信区间:1.2 - 3.1)。一般来说,他们承受着严重的压力;他们没有足够的休闲时间且几乎不做运动。由于不良的生活方式,五分之一的救护人员患有严重肥胖症。
体育活动可能会增强自我感知的健康,即使此人有身体症状。应为救护人员开展定期培训以增强体能,这有助于应对心理创伤。