Barua Lingkan, Banik Palash Chandra, Faruque Mithila
Department of Noncommunicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh.
PLOS Glob Public Health. 2023 Aug 1;3(8):e0002234. doi: 10.1371/journal.pgph.0002234. eCollection 2023.
Chronic illness among health professionals (HPs) is rarely reported due to idealistic views of their role in treating and fighting diseases. This creates a gap mainly due to a lack of research on them, resulting in insufficient data at the national level, especially in Bangladesh. In this circumstance, we analyzed the data of senior staff nurses (SSNs) and para-health professionals (PHPs) to assess their healthy bahaviours, treatment, and control status of hypertension (HTN) and diabetes mellitus (DM). It was a cross-sectional study that used the census as a sampling technique. The study site was a medical university in Bangladesh located in the capital city of Dhaka. A total of 1942 government-employed health professionals working at Upazila Health Complexes participated and completed both the questionnaire and physical measurements with a response rate of 100%. Among them, 1912 (SSNs = 938 and PHPs = 974) remained for analysis after data cleaning. The prevalence of self-screening (HTN, 97.4%; DM, 81.5%), diagnosis (HTN, 20.5%; DM,15.3%), treatment (HTN, 88.7%; DM, 83.7%) and control status (HTN, 63.7%; DM, 31%) did not reveal any notable differences between SSNs and PHPs. Most of the HPs with HTN and DM failed to maintain adequate physical activity (87.4%; 86.2%), fruit and/or vegetable intake (60.7%; 59%), and healthy body weight (60.5%; 54%) respectively. Only avoidance of smoking showed a significant association with the professional categories in both hypertensives (AOR, 7.98; p = 0.001) and diabetics (AOR, 14.78; p<0.001). Although working in the field of primary health care and involved in assisting patient management, control of HTN, DM and their risk factors is not satisfactory among the SSNs and PHPs of Bangladesh. Future interventions should focus on smoking, diet, and physical activity to reduce HTN and DM in the HPs of Bangladesh.
由于对卫生专业人员（HPs）在治疗和抗击疾病中所扮演角色持有理想化观点，他们患慢性病的情况很少被报道。这主要造成了一个研究空白，导致国家层面数据不足，在孟加拉国尤其如此。在这种情况下，我们分析了高级护士（SSNs）和辅助卫生专业人员（PHPs）的数据，以评估他们的健康行为、高血压（HTN）和糖尿病（DM）的治疗及控制状况。这是一项采用普查作为抽样技术的横断面研究。研究地点是位于孟加拉国首都达卡的一所医科大学。共有1942名受雇于Upazila卫生中心的政府卫生专业人员参与并完成了问卷调查和身体测量，回复率为100%。其中，1912人（高级护士 = 938人，辅助卫生专业人员 = 974人）在数据清理后留作分析。自我筛查患病率（高血压，97.4%；糖尿病，81.5%）、诊断患病率（高血压，20.5%；糖尿病，15.3%）、治疗患病率（高血压，88.7%；糖尿病，83.7%）和控制状况（高血压，63.7%；糖尿病，31%）在高级护士和辅助卫生专业人员之间未显示出任何显著差异。大多数患有高血压和糖尿病的卫生专业人员分别未能保持足够的身体活动（87.4%；86.2%）、水果和/或蔬菜摄入量（60.7%；59%）以及健康体重（60.5%；54%）。只有戒烟在高血压患者（调整后比值比，7.98；p = 0.001）和糖尿病患者（调整后比值比，14.78；p<0.001）中均与专业类别存在显著关联。尽管在初级卫生保健领域工作并参与协助患者管理，但孟加拉国的高级护士和辅助卫生专业人员对高血压、糖尿病及其危险因素的控制并不理想。未来的干预措施应侧重于吸烟、饮食和身体活动，以降低孟加拉国卫生专业人员的高血压和糖尿病患病率。
