女性护士的职业压力轨迹和与代谢功能障碍相关的脂肪性肝病:一项前性队列研究
Hanxiao Luo1,2, Linlin Xing3, Tongtong Fu1
1Department of Nursing, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
BMC public health
|November 16, 2024
概括
增加的职业压力显著提高了女性护士发展代谢功能障碍相关的脂肪性肝病 (MASLD) 的风险. 压力管理对于预防MASLD进展至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是慢性肝病的主要原因.
- 职业压力是MASLD的一个新兴风险因素.
- 这项研究调查了中国护士职业压力轨迹与新发性MASLD之间的联系.
研究的目的:
- 在中国女性护士中识别出不同的职业压力轨迹.
- 确定这些压力轨迹与MASLD发生率之间的关联.
- 探索年龄和BMI对这种关联的潜在修改效应.
主要方法:
- 一项从护士健康队列研究 (2018-2024) 中对1113名女性护士进行的前性纵向研究.
- 在四个时间点使用中国护士工作压力表来评估职业压力.
- 基于组的轨迹建模确定了压力模式;考克斯回归分析了MASLD风险.
主要成果:
- 在随访期间,256名护士出现了MASLD事件.
- 确定了三个压力轨迹:中度下降 (36.4%),中度稳定 (55.9%) 和中度增加 (7.7%).
- 适度增加的压力轨迹显示MASLD的风险增加了3.14倍 (aHR:3.14,95%CI:2.19-4.49).
结论:
- 逐渐增加的职业压力是发展MASLD的一个重要风险因素.
- 专注于减轻压力的干预措施对于减轻MASLD风险至关重要.
- 进一步研究机制和有针对性的压力管理策略是有必要的.
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