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巴西一家社区医院医护人员中的非酒精性脂肪性肝病及相关危险因素

Non-alcoholic fatty liver disease and associated risk factors in health care professionals in a community hospital in Brazil.

作者信息

Magalhães Vitória Dos Santos, Jost Thais Dall Acqua, Pasqual Henrique Mezzomo, Becker Anna Lourdes Gueller, Marques Luiza Maidana, Manica Mônica, Delani Bernardo Luis Lazzaroto, Langaro João Pedro, Afonso Deise Terra, Hoppe Lisia, Orsolin Ademir, Vartha Ana Paula Pompeo

机构信息

Curso de Medicina, Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil.

Curso de Medicina, Universidade Federal da Fronteira Sul, Passo Fundo, RS, Brazil.

出版信息

Rev Bras Med Trab. 2021 Mar 3;18(4):449-456. doi: 10.47626/1679-4435-2020-582.

DOI:10.47626/1679-4435-2020-582
PMID:33688327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7934177/
Abstract

INTRODUCTION

Health care professionals are vulnerable to several health problems, including overweight, stress and anxiety. As such, non-alcoholic fatty liver disease is a likely diagnosis in this population.

OBJECTIVES

To investigate the association between non-alcoholic fatty liver disease and levels of stress and anxiety in a sample of health care workers in a community hospital in the state of Rio Grande do Sul.

METHODS

The sample consisted of 107 health care workers who were interviewed and screened for non-alcoholic fatty liver disease based on clinical, imaging and laboratory parameters. Occupational stress was evaluated using Lipp's Stress Symptom Inventory, and anxiety was assessed using the Hamilton Anxiety Rating Scale.

RESULTS

The mean age of the sample was 37.6 years. Most participants were female (89.1%) and the most frequent occupation was nursing technicians (83.2%). While 77.22% of participants did not report significant levels of stress, 30.7% did have mild anxiety. Statistical tests did not reveal a significant association between non-alcoholic fatty liver disease and stress (p = 0.688) or anxiety (p = 0.996).

CONCLUSIONS

All participants with non-alcoholic fatty liver disease had some degree of anxiety, but only some experienced stress symptoms, according to Lipp's Inventory. Statistical tests did not confirm an association between stress, anxiety and the presence non-alcoholic fatty liver disease. Nevertheless, the potential association between these variables should continue to be investigated given the global rise in the prevalence of non-alcoholic fatty liver disease and its implications for health care workers.

摘要

引言

医疗保健专业人员易患多种健康问题,包括超重、压力和焦虑。因此,非酒精性脂肪性肝病很可能是该人群的诊断结果。

目的

在南里奥格兰德州一家社区医院的医护人员样本中,调查非酒精性脂肪性肝病与压力和焦虑水平之间的关联。

方法

样本包括107名医护人员,他们接受了访谈,并根据临床、影像学和实验室参数进行了非酒精性脂肪性肝病筛查。使用利普压力症状量表评估职业压力,使用汉密尔顿焦虑量表评估焦虑。

结果

样本的平均年龄为37.6岁。大多数参与者为女性(89.1%),最常见的职业是护理技术员(83.2%)。虽然77.22%的参与者未报告有显著压力水平,但30.7%确实有轻度焦虑。统计检验未显示非酒精性脂肪性肝病与压力(p = 0.688)或焦虑(p = 0.996)之间存在显著关联。

结论

根据利普量表,所有患有非酒精性脂肪性肝病的参与者都有一定程度的焦虑,但只有一些人有压力症状。统计检验未证实压力、焦虑与非酒精性脂肪性肝病的存在之间存在关联。然而,鉴于非酒精性脂肪性肝病的全球患病率上升及其对医护人员的影响,这些变量之间的潜在关联仍应继续研究。

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