首次急性冠状动脉综合征后,工作压力和员工心率变化的变化:基于医院的纵向队列研究
Zhao Hu1, Xingyu Cao1, Pan Jing1
1Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Frontiers in public health
|April 11, 2024
概括
努力奖励失衡 (ERI) 工作压力预测心脏病发作幸存者的心率变化率 (HRV) 较低. 这种关联持续了一年后急性冠状动脉综合征 (ACS),特别影响频域HRV测量.
科学领域:
- 心脏病学 心脏病学
- 职业健康 职业健康 职业健康
- 精神病体医学是一种精神病体医学.
背景情况:
- 工作压力是冠状动脉心脏病的已知危险因素.
- 工作压力对急性冠状动脉综合征 (ACS) 幸存者的心率变化 (HRV) 的影响仍未得到充分研究.
研究的目的:
- 在ACS幸存者中研究基线工作压力和HRV变化在一年内之间的关联.
- 检查工作压力 (JS) 和努力奖励失衡 (ERI) 对ACS后HRV恢复的影响.
主要方法:
- 这是一项对122名ACS后患者进行的纵向队列研究.
- 在住院期间使用JS和ERI模型评估工作压力.
- 在出院后的基线,1,6和12个月内测量HRV.
- 用于统计分析的概括估计方程.
主要成果:
- 高职位压力 (JS) 与人力资源价值指标没有显著的关联.
- 较高的努力回报失衡 (ERI) 与5个频域HRV测量 (TP,HF,LF,VLF,ULF) 的恢复速度较慢显著相关 (p < 0.001).
- ERI与一个时间域HRV测量 (SDNN) (p = 0.069) 有边际关联.
结论:
- 劳动力奖励不平衡 (ERI) 工作压力预测急性冠状动脉综合征 (ACS) 后一年的HRV降低.
- 频域HRV测量特别受到ERI的影响.
- 研究结果强调了在心脏康复中解决ERI的重要性.
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