女性医疗保健工作者对使用基于网络的工具来改善和调整生活方式的坚持情况：前瞻性目标群体试点研究。

Adherence of Female Health Care Workers to the Use a Web-Based Tool for Improving and Modifying Lifestyle: Prospective Target Group Pilot Study.

机构信息

Faculty of Medicine, Josip Juraj Strossmayer, Osijek, Croatia.

Institute of Microbiology and Immunology, Ljubljana, Slovenia.

出版信息

J Med Internet Res. 2020 Aug 14;22(8):e19500. doi: 10.2196/19500.

DOI:10.2196/19500

PMID:32687475

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7455876/

Abstract

BACKGROUND

Health care professionals are exposed to the psychological and physiological effects of stress, which is a well-known risk factor for various mental and physical health problems.

OBJECTIVE

The aims of this study were to assess the adherence of female health care workers to use a web-based tool for improving and modifying lifestyle and to identify the potential factors influencing their adherence.

METHODS

A prospective, observational study was performed. A total of 80 female health care workers (physicians and gradated nurses) from 2 university medical centers and female members of a family medicine society participated. Participants completed a questionnaire that inquired about their basic demographic data and physical fitness. Physical fitness was assessed by the Rockport Fitness Walking Test. Adherence to a web-based application (24@life) was followed for 3 months and the number of log-ins into the application was counted.

RESULTS

The study was conducted from March to October 2019. Significantly high workload has been detected in all groups (P<.05), except in the general practitioner with normal workload group. The graduated nurse working in the surgery room group showed chronic stress with elevated S-cortisol levels (>690 nmol/L); activated cellular immune system with elevated concentrations of lymphocytes (reference 1.1-2.5 × 10 cells/L), CD3 cells (reference 0.7-1.9 × 10 cells/L), CD8 cells (reference 0.2-0.7 × 10 cells/L), and HLA-DR/CD3 cells (reference 0.04-0.2 × 10 cells/L); and the worst quality of sleep (mean 2.8 [SD 1.2]). Only 32 of 80 participants (40%) were adherent to the web-based application. Participants most frequently viewed web pages on areas of physical activity (497 times) and nutrition (332 times). No factors or participant's characteristics such as weight (odds ratio [OR] 1.026, 95% CI 0.977-1.078), BMI (OR 0.993, 95% CI 0.834-1.184), age (OR 0.970, 95% CI 0.910-1.034), or stress level (OR 0.997, 95% CI 0.995-1.000) were identified to affect the adherence rates.

CONCLUSIONS

Female health care workers exposed to high workload did not find the web-based application useful for improving and modifying their lifestyle. Therefore, other strategies that might help health care workers facing stress and improve their lifestyle should be identified.

摘要

背景

医疗保健专业人员会受到心理和生理压力的影响，而压力是各种心理健康和身体健康问题的已知风险因素。

目的

本研究旨在评估女性医护人员使用网络工具改善和调整生活方式的依从性，并确定影响其依从性的潜在因素。

方法

这是一项前瞻性、观察性研究。共有来自 2 所大学医学中心的 80 名女性医护人员（医生和护师）和一个家庭医学学会的女性成员参与了该研究。参与者填写了一份问卷，询问了他们的基本人口统计学数据和身体健康状况。身体健康状况通过 Rockport 健身步行测试进行评估。对使用网络应用程序（24@life）的依从性进行了 3 个月的随访，并统计了登录应用程序的次数。

结果

该研究于 2019 年 3 月至 10 月进行。除了工作量正常的全科医生组外，所有组的工作负荷都很高（P<.05）。在手术室工作的护师表现出慢性压力，皮质醇 S 水平升高（>690 nmol/L）；细胞免疫激活，淋巴细胞浓度升高（参考值 1.1-2.5×10 个细胞/L），CD3 细胞（参考值 0.7-1.9×10 个细胞/L），CD8 细胞（参考值 0.2-0.7×10 个细胞/L）和 HLA-DR/CD3 细胞（参考值 0.04-0.2×10 个细胞/L）；睡眠质量最差（平均 2.8[标准差 1.2]）。在 80 名参与者中，只有 32 名（40%）坚持使用网络应用程序。参与者最常查看的网页内容是关于体育活动（497 次）和营养（332 次）。体重（比值比[OR]1.026，95%置信区间[CI]0.977-1.078）、BMI（OR 0.993，95%CI 0.834-1.184）、年龄（OR 0.970，95%CI 0.910-1.034）或压力水平（OR 0.997，95%CI 0.995-1.000）等因素或参与者特征均未被确定为影响依从率的因素。