Sovová Markéta, Sovová Eliška, Nakládalová Marie, Pokorná Tereza, Štégnerová Lenka, Masný Oldřich, Moravcová Katarína, Štěpánek Ladislav
Department of Exercise Medicine and Cardiovascular Rehabilitation, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, Czech Republic.
Department of Occupational Medicine, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, Czech Republic.
Cent Eur J Public Health. 2020 Oct;28 Suppl:S53-S56. doi: 10.21101/cejph.a6210.
Low cardiorespiratory fitness (CRF) is related to higher risk of cardiovascular diseases, increase in all-cause mortality and higher risk of different tumors. The reverse is also true; improvement in CRF is related to decrease in mortality. Cardiopulmonary exercise testing (CPET) is a standard and also the most precise test for determination of CRF - the best possibility is the maximal test measuring different parameters including maximal oxygen consumption. Healthcare professionals throughout the developed world have markedly high rates of sickness absence, burnout, and distress compared to other sectors and this leads to higher risk factors. The study aimed to assess CRF in a group of nurses in a big hospital and compare it with population norms and available published results.
Nurses over 50 years of age working in one faculty hospital were gradually included in the study from the beginning of 2018. These nurses work in physically demanding positions. A CPET was carried out following the Bruce protocol.
90 nurses (84 females and 6 males), mean age 55.7 years, were evaluated by CPET. The resting blood pressure was within the norm in 58 persons (64.44%), maximal oxygen consumption in 61 persons (67.8%), W/kg in 25 persons (46.2%). We detected a hypertension reaction in 28 persons (31.1%), some types of arrhythmia in 17 persons (18.9%) and signs of ischaemia in 8 persons (8.9%). The result of CPET led to further examination in 42 persons (46.6%). Detailed examination resulted in change of medication in 21 nurses (23.3%). New diseases were diagnosed in 15 nurses (hypertension, atrial fibrillation, mitral valve prolapse indicated for cardiac surgery, coronary artery stenosis, and lipid disorders).
It was concluded that the usage of CPET during the regular medical check-ups significantly increases detection of hidden diseases and thus improves the care for nurses.
低心肺适能（CRF）与心血管疾病风险增加、全因死亡率上升以及不同肿瘤的高风险相关。反之亦然；CRF的改善与死亡率降低相关。心肺运动试验（CPET）是测定CRF的标准且最精确的测试——最佳方法是测量包括最大耗氧量在内的不同参数的最大测试。与其他行业相比，发达国家的医护人员病假缺勤率、职业倦怠率和痛苦程度明显更高，这导致了更高的风险因素。该研究旨在评估一家大型医院的一组护士的CRF，并将其与人群标准及已发表的现有结果进行比较。
自2018年初起，逐渐将在一家教学医院工作的50岁以上护士纳入研究。这些护士从事体力要求较高的岗位。按照布鲁斯方案进行CPET。
90名护士（84名女性和6名男性）接受了CPET评估，平均年龄55.7岁。静息血压正常的有58人（64.44%），最大耗氧量正常的有61人（67.8%），每千克体重耗氧量正常的有25人（46.2%）。我们检测到28人（31.1%）有高血压反应，17人（18.9%）有某些类型的心律失常，8人（8.9%）有缺血迹象。CPET结果导致42人（46.6%）进一步检查。详细检查导致21名护士（23.3%）更改用药。15名护士被诊断出患有新疾病（高血压、心房颤动、心脏手术指征为二尖瓣脱垂、冠状动脉狭窄和脂质紊乱）。
得出的结论是，在定期体检中使用CPET可显著提高隐匿性疾病的检出率，从而改善对护士的护理。
