年轻的医疗保健工作者中功能受损,长时间工作和夜间工作
1Institute of Environmental and Occupational Health Sciences, National Taiwan University College of Public Health, No. 17 Xuzhou Road, Zhongzheng Dist., Taipei, Taiwan. hyang@ntu.edu.tw.
Scandinavian journal of work, environment & health
|April 3, 2024
概括
长时间工作和夜班工作与年轻医护人员的功能下降 (eGFR) 有关. 这项研究突出了要求苛刻的工作时间表对脏健康的潜在风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 医疗保健工作者面临着苛刻的日程安排,包括长时间工作和夜班.
- 早期发现功能障碍对于预防慢性病至关重要.
- 职业因素对年轻专业人员功能的影响需要研究.
研究的目的:
- 评估年轻医疗保健工作者长时间工作,夜间工作和估计的膜过率 (eGFR) 之间的关联.
- 在这个人口群体中识别脏健康的潜在风险.
主要方法:
- 台湾10677名医疗保健工作者 (2002-2021) 的回顾性队列研究.
- 包括年龄在20-65岁之间的员工,有记录的工作时间和年度肌素检测.
- 排除了基线eGFR<60毫升/分钟/1.73米2或蛋白尿的参与者;使用通用线性混合模型进行分析.
主要成果:
- 每增加10小时的每周总工作时间与0.86ml/min/1.73m2 eGFR的下降相关.
- 每增加10小时的每周夜间工作时间与0.25毫升/分钟/1.73米2的EGFR下降相关.
- 在更年轻 (<40岁) 和更健康的子组 (没有高血压/糖尿病) 中,消极的关联仍然存在.
结论:
- 较长的工作时间和夜间工作与医疗保健工作者估计的球过率 (eGFR) 较低显著相关.
- 这些发现表明,职业因素会对功能产生负面影响,即使在年轻人身上也是如此.
- 为了保护脏健康,可能需要采取干预措施来减轻与苛刻的工作时间表相关的风险.
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