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护士静脉功能不全危险因素及人口统计学特征分析:一项分析性横断面研究。

Analysis of Venous Insufficiency Risk Factors and Demographic Characteristics among Nurses: An Analytical Cross-Sectional Study.

机构信息

Department of Nursing, Faculty of Health Science, Başkent University, 06790 Ankara, Türkiye.

Department of Cardiovascular Surgery, Faculty of Medicine, Başkent University, 06790 Ankara, Türkiye.

出版信息

Medicina (Kaunas). 2024 Sep 13;60(9):1498. doi: 10.3390/medicina60091498.

Abstract

Chronic venous insufficiency negatively affects the quality of life and reduces the job performance of nurses, who are important components of the healthcare system. The aim of this study was to assess the risk factors of venous insufficiency according to demographic characteristics among nurses working at a foundation university hospital. This study used an analytical cross-sectional approach. The sample consisted of 100 nurses working at a foundation university hospital in a metropolitan city of Turkey. Data were collected using a demographic characteristics form, VEINESQOL/Sym, and a CEAP classification form. The condition of varicose veins among the nurses was diagnosed by a cardiovascular surgeon using Doppler ultrasonography. The prevalence of chronic venous insufficiency (CVI) among nurses was 65%, with 48% at a C1 level according to the CEAP classification. CVI was higher among those with chronic diseases ( = 0.027) and those who had pregnancy ( = 0.021). In addition, the risk of CVI (+) was 7.68 times higher among those aged older than 26.5 years and 36.14 times higher for women ( < 0.001). A 0.9-fold increase in the risk of CVI (+) among nurses produced a one-unit decrease in venous-insufficiency-related quality of life ( = 0.006, OR = 0.94, 95% CI:(0.896-0.982)). The prevalence of CVI among nurses was found to be high, especially among women, those with chronic diseases, and pregnant individuals. In this context, it is recommended to implement risk screening and prevention education programs for CVI among nurses.

摘要

慢性静脉功能不全对生活质量产生负面影响,并降低护士的工作绩效,而护士是医疗保健系统的重要组成部分。本研究旨在评估在一所基础大学附属医院工作的护士中,根据人口统计学特征静脉功能不全的危险因素。本研究采用分析性横断面研究方法。样本由土耳其一个大都市基础大学附属医院的 100 名护士组成。使用人口统计学特征表、VEINESQOL/Sym 和 CEAP 分类表收集数据。心血管外科医生使用多普勒超声诊断护士的静脉曲张状况。护士中慢性静脉功能不全(CVI)的患病率为 65%,根据 CEAP 分类,有 48%处于 C1 级。患有慢性病( = 0.027)和怀孕的护士中 CVI 更高( = 0.021)。此外,年龄大于 26.5 岁的护士 CVI(+)的风险增加 7.68 倍,女性的风险增加 36.14 倍(<0.001)。护士的 CVI(+)风险增加 0.9 倍,静脉功能不全相关生活质量降低一个单位(=0.006,OR=0.94,95%CI:(0.896-0.982))。研究发现,护士中 CVI 的患病率很高,尤其是女性、患有慢性病和怀孕的护士。在这种情况下,建议为护士实施 CVI 风险筛查和预防教育计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199e/11434460/639f39ae50b0/medicina-60-01498-g001.jpg

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