Theorell T, Ahlberg-Hulten G, Jodko M, Sigala F, de la Torre B
National Institute of Psychosocial Factors and Health, Stockholm, Sweden.
Scand J Work Environ Health. 1993 Oct;19(5):313-8. doi: 10.5271/sjweh.1469.
A homogeneous sample of 56 women who were between the ages of 20 and 59 years and worked in acute emergency care, child psychiatry, or a pediatric outpatient clinic comprised the subjects of this study to determine the relationship between job strain and blood pressure. Job strain was measured with a standardized questionnaire, and blood pressure during workhours with self-triggered equipment. Endocrine factors (morning concentration of plasma prolactin, cortisol, and dehydroepiandrosterone) and emotional states recorded in diaries were also studied. Significant interrelationships occurred among perceived job strain, plasma prolactin, and diastolic blood pressure during workhours even when body mass index, age, family history of hypertension, level of education, and mood state were adjusted for in a multiple regression analysis. Thus job strain of female care givers was associated with systolic and diastolic blood pressure during workhours and also with diastolic blood pressure at rest, but not with blood pressure during leisure time.
本研究的对象为56名年龄在20至59岁之间、从事急性急救护理、儿童精神病学或儿科门诊工作的女性组成的同质样本，以确定工作压力与血压之间的关系。工作压力通过标准化问卷进行测量，工作时间的血压则使用自动触发设备进行测量。同时还研究了内分泌因素（血浆催乳素、皮质醇和脱氢表雄酮的早晨浓度）以及日记中记录的情绪状态。即使在多元回归分析中对体重指数、年龄、高血压家族史、教育程度和情绪状态进行了调整，工作时感知到的工作压力、血浆催乳素和舒张压之间仍存在显著的相互关系。因此，女性护理人员的工作压力与工作时的收缩压和舒张压有关，也与静息时的舒张压有关，但与休闲时间的血压无关。
