Assadi Seyedeh Negar
Department of Occupational Health Engineering, Health Sciences Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2014 Nov;19(6):569-73.
Workplace exposures as in clinical work can cause disorders. Some organ systems are at risk. This work may be a risk factor for early symptoms of menopause. The objective of this study was to compare the early symptoms of menopause between hospital personnel who work in clinical and office settings.
This was a historical cohort study conducted on clinical and office workers of hospitals. The study was conducted using a flexible interview conducted with a questionnaire among personnel of age 40 years and above. According to their menopausal status, they were divided into three phases: premenopause, perimenopause, and postmenopause. Symptoms in 10 items were assessed and scored from 1 to 10, and were compared. Data were analyzed with SPSS 16, t-test, and Chi-square tests and were calculated considering P < 0.05 as the significant level. Odds ratios were calculated along with 95% confidence interval.
Frequency of menopausal symptoms was higher in the clinical group than in the office group. In the clinical group, the odds ratio for menopausal symptoms like flashing and sweating was 1.879 (1.457-2.423) and in the office personnel, it was 0.192 (0.030-1.238). In the clinical group, the odds ratio for anxiety and irritability was 2.029 (1.660-2.481) and in the office personnel, it was 0.116 (0.017-0.779).
Clinical personnel had higher risk for early menopausal symptoms such as flashing, sweating, anxiety, and irritability. Assessing the health of these personnel may help to improve their reproductive health. The person with reproductive risk factors is not suitable for clinical work.
临床工作中的职业暴露可能导致疾病。一些器官系统面临风险。这项工作可能是更年期早期症状的一个风险因素。本研究的目的是比较在临床和办公室环境中工作的医院工作人员更年期的早期症状。
这是一项针对医院临床和办公室工作人员的历史性队列研究。该研究通过对40岁及以上人员进行问卷调查的灵活访谈来进行。根据他们的更年期状态，将他们分为三个阶段：绝经前、围绝经期和绝经后。对10项症状进行评估，并从1到10评分，然后进行比较。数据用SPSS 16、t检验和卡方检验进行分析，并将P < 0.05作为显著水平进行计算。计算优势比以及95%置信区间。
临床组更年期症状的发生率高于办公室组。在临床组中，潮热和出汗等更年期症状的优势比为1.879（1.457 - 2.423），而在办公室人员中为0.192（0.030 - 1.238）。在临床组中，焦虑和易怒的优势比为2.029（1.660 - 2.481），而在办公室人员中为0.116（0.017 - 0.779）。
临床人员出现潮热、出汗、焦虑和易怒等更年期早期症状的风险较高。评估这些人员的健康状况可能有助于改善他们的生殖健康。有生殖风险因素的人不适合从事临床工作。
