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[工作、家庭与护士对自身健康的认知:与乳腺癌及轮班工作的关系。]

[Work, family and nurses perception about their own health: relationship with breast cancer and shift work.].

作者信息

Fagundo-Rivera Javier, Gómez-Salgado Juan, García-Iglesias Juan Jesús, Allande-Cussó Regina, Ortega-Moreno Mónica, Ruiz-Frutos Carlos

机构信息

Escuela de Doctorado. Universidad de Huelva. Huelva. España.

Centro Universitario de Enfermería Cruz Roja. Universidad de Sevilla. Sevilla. España.

出版信息

Rev Esp Salud Publica. 2021 Jun 2;95:e202106078.

Abstract

OBJECTIVE

Breast cancer is a commonly diagnosed disease in nurses that, from recent years, has been linked to shift work and night work. Also, different components of work stress have such an impact on the nurses' health and work, family and social conciliation. The objective of this research was to analyze the family and working characteristics of Spanish nurses who perform shift work (including night shifts) in search of possible associations with manifestations of psychosomatic stress and the risk of breast cancer.

METHODS

A cross-sectional descriptive study was conducted through a virtual questionnaire in a sample of 966 Registered Nurses in Spain between December 2019 and November 2020. A descriptive analysis of sociodemographic and occupational variables was performed, and statistically significant differences and associations were contrasted by estimating risks and confidence intervals.

RESULTS

The number of night shifts throughout life and the number of years worked were statistically significant for the association with breast cancer. In addition, other psychosomatic manifestations such as insomnia, palpitations or extreme tiredness were highlighted. Among the most appreciated aspects to generate job satisfaction, co-worker's relationship was underlined.

CONCLUSIONS

Rotating shift work can cause multiple clinical alterations that could lead to problems related to family conciliation, self-care or employment wellness. It is important to control the physical, psychological and emotional overload of nurses.

摘要

目的

乳腺癌是护士群体中一种常见的诊断疾病,近年来,它与轮班工作和夜班工作有关。此外,工作压力的不同组成部分对护士的健康以及工作、家庭和社会协调产生影响。本研究的目的是分析从事轮班工作(包括夜班)的西班牙护士的家庭和工作特征,以寻找与身心压力表现及乳腺癌风险之间可能存在的关联。

方法

在2019年12月至2020年11月期间,通过虚拟问卷对西班牙966名注册护士进行了横断面描述性研究。对社会人口统计学和职业变量进行了描述性分析,并通过估计风险和置信区间对具有统计学意义的差异和关联进行了对比。

结果

终生夜班次数和工作年限与乳腺癌的关联具有统计学意义。此外,还突出了其他身心表现,如失眠、心悸或极度疲劳。在产生工作满意度的最受赞赏的方面中,同事关系被强调。

结论

轮班工作会导致多种临床改变,可能引发与家庭协调、自我护理或职业健康相关的问题。控制护士的身体、心理和情绪负担很重要。

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