Department of Family Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Department of Occupation Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
J Occup Health. 2021 Jan;63(1):e12188. doi: 10.1002/1348-9585.12188.
The cross-sectional study aimed to analyze the association between burnout, work-related factors, and metabolic syndrome (Mets) in nurses from several departments of a tertiary hospital in Taiwan. Exploring biomarkers could provide for prevention.
Demographic data were obtained through a written questionnaire and include the following information: gender, age, education level, psychosocial and work situations, such as departments, working hours, work shift, depression, and sleep time. Burnout was evaluated according to the Chinese Burnout inventory, Mets was evaluated according to the criteria of the National Cholesterol Education Program of Taiwan-Treatment Panel for Adults III (NCEP-ATP III).
A total of 1758 nurses participated with a median age of 35.2 years. The prevalence of burnout and Mets was 6.4% and 13.84%, respectively. The results showed that burnout induced higher risk of Mets, odds ratio (OR) 1.70 (95% confidence interval, 1.04-3.05). Other factors, such as out-patient nurses, seniority (4-10 and >10 years), working hours (51-59 h/wk), nigh shift, Brief Symptom Rating Scale-5 (score 10-14 and ≧15), poor self-rated health status, and inadequate sleep time, led to higher risk of Mets. Biomarkers research showed that Glycated hemoglobin (Hba1c) was significantly associated with burnout nurses (OR = 24.72, P < .001), but thyroid-stimulating hormone and free thyroxin were not.
Results suggested positive associations between burnout and Mets in nurses. For nurses with higher seniority, long hours of work, night shifts, poor physical and mental conditions, and poor lifestyle habits in different departments, strategies are needed to prevent burnout and Mets.
本横断面研究旨在分析台湾一家三甲医院多个科室护士的倦怠、与工作相关的因素与代谢综合征（Mets）之间的关系。探索生物标志物可以提供预防措施。
通过书面问卷获取人口统计学数据，包括以下信息：性别、年龄、教育水平、心理社会和工作情况，如科室、工作时间、工作班次、抑郁和睡眠时间。倦怠根据《中国倦怠量表》进行评估，Mets 根据台湾国家胆固醇教育计划-成人治疗小组 III（NCEP-ATP III）的标准进行评估。
共有 1758 名护士参与，中位年龄为 35.2 岁。倦怠和 Mets 的患病率分别为 6.4%和 13.84%。结果表明，倦怠会增加 Mets 的风险，比值比（OR）为 1.70（95%置信区间，1.04-3.05）。其他因素，如门诊护士、工龄（4-10 年和>10 年）、工作时间（51-59 小时/周）、夜班、简明症状量表-5（得分 10-14 和≧15）、自我报告的健康状况较差和睡眠时间不足，都会增加 Mets 的风险。生物标志物研究表明，糖化血红蛋白（HbA1c）与倦怠护士显著相关（OR=24.72，P<.001），而促甲状腺激素和游离甲状腺素则没有。
结果表明，护士的倦怠与 Mets 之间存在正相关关系。对于工龄较长、工作时间长、上夜班、身心状况较差、不同科室生活习惯较差的护士，需要采取策略预防倦怠和 Mets。
