Zhang Yi, Wang Wenqin, Liu Qiaofei, Wu Xinjuan, Xiang Min, Zhao Yanwei, He Xiaodong, Ma Yufen
Department of Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Department of Nursing, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Ann Transl Med. 2019 Jul;7(14):329. doi: 10.21037/atm.2019.06.09.
Researches focus on the risk factors affecting the health of nurses have been amounting. However, the specific factors about nurse' attitude to health and health-seeking behavior pattern are not well explored.
A questionnaire was sent out to all 620 nurses in department of surgery in Peking Union Medical College Hospital (PUMCH) and demographic information, educational background, clinical experience, and attitude to the disease were investigated.
The survey indicated that 44.44% (N=212) of respondents did not consult physician. Instead, they self-managed their illness, with 60.38% (N=128) of non-consulters taking some medications. Education background (P=0.027) and income (P=0.010) were found to be the main factor affecting whether a doctor was consulted. Those who self-evaluated with well physical condition show higher strict compliance (55.00% 41.64%), lower discount-compliance (43.75% 56.15%), and lower total ignorance (1.25% 2.21%), compared with those who self-evaluated not well (P=0.020). The respondents who thought the work stress was the influencing factor to the health were more likely to feedback a poor health status, worry about their health, fear to suffer from a disease, and complain about suffering from pain or discomfort.
Half of nurses self-treat, with a large proportion self-prescribing, and do not believe in or comply with the doctor's advice, which warrant a closer look.
关注影响护士健康的风险因素的研究不断增加。然而，关于护士对健康的态度和就医行为模式的具体因素尚未得到充分探讨。
向北京协和医院外科的620名护士发放问卷，调查其人口统计学信息、教育背景、临床经验和对疾病的态度。
调查显示，44.44%（N = 212）的受访者不咨询医生，而是自行治疗疾病，其中60.38%（N = 128）的非咨询者会服用一些药物。教育背景（P = 0.027）和收入（P = 0.010）被发现是影响是否咨询医生的主要因素。与自我评估身体状况不佳的人相比，自我评估身体状况良好的人表现出更高的严格依从性（55.00%对41.64%）、更低的折扣依从性（43.75%对56.15%）和更低的完全忽视率（1.25%对2.21%）（P = 0.020）。认为工作压力是影响健康因素的受访者更有可能反馈健康状况不佳、担心自己的健康、害怕患病以及抱怨遭受疼痛或不适。
一半的护士自行治疗，其中很大一部分自行开药，且不相信或不遵守医生的建议，这值得密切关注。
