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一项关于高压力环境下医护人员非传染性疾病风险因素的观察性研究。

An observational study on non-communicable disease risk factors among healthcare workers in high-stress environments.

作者信息

Pirrello Alessandra, Mancuso Daniele Giacomo, Pace Chiara, Immordino Angelo, Meli Virginia, Tramuto Fabio, Casuccio Alessandra, Immordino Palmira

机构信息

Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.

University Hospital AOUP "Paolo Giaccone", Palermo, Italy.

出版信息

Front Public Health. 2025 May 26;13:1609034. doi: 10.3389/fpubh.2025.1609034. eCollection 2025.

Abstract

INTRODUCTION

Non-communicable diseases (NCDs) account for 74% of global mortality and place significant socioeconomic burdens on healthcare systems. Despite their knowledge and awareness, healthcare workers (HCWs) often struggle to adopt preventive measures due to demanding work conditions and high-stress environments.

METHODS

This observational study aimed to evaluate the prevalence of NCD risk factors among HCWs at the University Hospital "Paolo Giaccone" in Palermo, Italy. An online questionnaire, based on the WHO's STEPS approach, was administered to 390 HCWs. Data from 273 responses were analyzed using SPSS software.

RESULTS

The sample comprised 57.9% women, predominantly nurses (35.9%).

DISCUSSION

Key findings revealed that 56.8% consumed alcohol, 42.1% used tobacco, and 86.1% frequently skipped meals due to work. Lifestyle factors, such as fruit and vegetable consumption, salt intake, and physical activity, were assessed alongside metabolic risk factors like blood pressure, glycemia, and triglycerides. Despite their expertise in NCD prevention, HCWs often failed to implement healthy behaviors. While evening shift work showed limited correlation with lifestyle changes, results underscored the need for targeted health promotion programs for HCWs. Healthcare institutions should actively support their workforce in adopting healthier lifestyles to mitigate NCD risks and improve public health outcomes.

摘要

引言

非传染性疾病(NCDs)占全球死亡率的74%,给医疗系统带来了巨大的社会经济负担。尽管医护人员(HCWs)对这些疾病有所了解和认识,但由于工作条件苛刻和压力环境大,他们往往难以采取预防措施。

方法

本观察性研究旨在评估意大利巴勒莫“保罗·贾科内”大学医院医护人员中NCD风险因素的流行情况。基于世界卫生组织的STEPS方法,对390名医护人员进行了在线问卷调查。使用SPSS软件对273份回复的数据进行了分析。

结果

样本中女性占57.9%,主要是护士(35.9%)。

讨论

主要研究结果显示,56.8%的人饮酒,42.1%的人吸烟,86.1%的人因工作经常不吃饭。除了评估血压、血糖和甘油三酯等代谢风险因素外,还评估了水果和蔬菜消费、盐摄入量和体育活动等生活方式因素。尽管医护人员在NCD预防方面具有专业知识,但他们往往未能践行健康行为。虽然夜班工作与生活方式改变的相关性有限,但结果强调了针对医护人员开展有针对性的健康促进项目的必要性。医疗机构应积极支持其员工采用更健康的生活方式,以降低NCD风险并改善公共卫生结果。

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Health problems in healthcare workers: A review.医护人员的健康问题:综述
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