北京某三级医院在职职工血糖升高相关因素分析

目的 探究北京某三级医院在职职工血糖升高的相关因素，为进一步在此功能社区开展健康管理及采取合理健康干预方式提供理论依据。方法 于2018年7月18日~8月18日对北京某三级医院进行职工体检的在职职工进行问卷调查，调查研究对象的一般情况、行为方式、饮食习惯、生活压力、血糖升高情况、糖尿病家族史等因素，采用Logistic回归分析该院在职职工血糖升高的影响因素。结果 调查对象共计365人，其中女性265人（72.60%），男性100人（27.40%）；医务人员（包括临床医生和护士）233人（63.84%），非医务人员（包括医技和后勤）132人（36.16%）；不同职业、年龄、BMI、早餐次数人群血糖异常人数比较，差异有统计学意义（P＜0.05）；吸烟与不同压力人群的血糖异常情况比较，差异无统计学意义（P＞0.05）；体重增加（OR=1.202，P＜0.05）和年龄增长（OR=0.171，P＜0.05）是影响血糖升高的危险因素，每周食用早餐次数越多血糖升高发生率越低（OR=0.725，P＜0.05）。结论 血糖升高与体重、年龄呈正相关，与每周食用早餐次数呈负相关，需关注高龄及超重人群血糖水平，并倡导每周至少5次食用早餐。

Analysis of Related Factors of Blood Glucose Elevation in Working Staff of A Third-grade Hospital in Beijing

Abstract:Objective To explore the relevant factors of blood sugar elevation in the employees of a third-grade hospital in Beijing, and provide a theoretical basis for further health management and reasonable health interventions in this functional community.Methods From July 18 to August 18, 2018, a questionnaire survey was conducted among the employees of the third-grade hospitals in Beijing to conduct physical examinations. The general conditions, behaviors, eating habits, life stress, and blood sugar levels of the subjects were investigated. Logistic regression analysis was used to analyze the influencing factors of blood glucose elevation in the hospital staff.Results A total of 365 respondents, including 265 females(72.60%) and 100 males (27.40%); 233 medical staff (including clinicians and nurses) (63.84%), non-medical staff (including medical technology and logistics) 132 people (36.16%).There was significant difference in abnormal blood glucose patients among different occupations, ages, BMI and breakfast times (P<0.05); there was no significant difference in abnormal blood glucose patients between smoking and different pressures (P>0.05).Weight gain (OR=1.202,P<0.001) and aging (OR=0.171,P<0.001) were risk factors for elevated blood glucose. The higher the number of breakfasts per week, the lower the incidence of elevated blood glucose (OR=0.725,P<0.01).Conclusion The increase of blood glucose is positively correlated with body weight and age. It is negatively correlated with the number of breakfasts per week. It is necessary to pay attention to the blood sugar level of elderly and overweight people, and advocate eating breakfast at least 5 times a week.