工作中的故意高血糖,血糖控制,与工作有关的糖尿病,糖尿病患者工作困扰和工作能力
Samah Saleh Elhadidy1, Abdel-Hady El-Gilany2, Mohamed Roshdi Abdel Ghani Badawi3
1Occupational Health and Industrial Medicine, Faculty of Medicine, Mansoura University, Egypt.
Journal of the ASEAN Federation of Endocrine Societies
|December 2, 2024
概括
患有糖尿病的工人经常经历血糖控制不佳和工作能力下降. 工作中的故意高血糖症 (IHW),与工作有关的糖尿病困扰 (WRDD) 和工作能力受损 (WA) 是影响生产力的重大挑战.
科学领域:
- 内分泌学 在内分泌学.
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
背景情况:
- 糖尿病自我管理受到工作环境的挑战,导致工作中故意高血糖症 (IHW) 和血糖控制不良.
- 与糖尿病相关的痛苦和工作能力受损 (WA) 对患有糖尿病的工作人员的生产力产生负面影响.
研究的目的:
- 为了确定持续高的IHW,低血糖控制,高工作相关糖尿病困扰 (WRDD) 和糖尿病就业人员中低/中等WA的患病率.
- 确定与这些不良结果相关的关键预测因子在工作糖尿病人群中.
主要方法:
- 一项涉及323名在职糖尿病患者在一家专门医疗医院的横截面研究.
- 数据收集包括人口统计和病史的个人访谈,IHW,WRDD和WA的验证问卷,以及临床A1c记录的审查.
主要成果:
- 患病率为:23.8%的始终高的IHW,60.1%的低/非常低的血糖控制,34.7%的高WRDD和74.6%的低/中等WA.
- 确定的预测因素包括:低教育,胰岛素治疗和高WRDD的IHW;城市居住和IHW的低血糖控制;工作类型,糖尿病持续时间和胰岛素治疗的WRDD;和WRDD和IHW的低WA.
结论:
- 大多数患有糖尿病的工人经历了血糖控制不佳和工作能力下降,很大一部分报告高WRDD.
- 干预和工作场所修改对于改善糖尿病管理,提高工作能力和减轻WRDD至关重要,最终提高生产力.
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