急诊科护士功能性消化不良和功能性肠病患病现况调查

目的 调查急诊科室护士功能性消化不良和功能性肠病患病现况,寻找其规律性.方法 2007年3-4月对中国医科大学附属第一医院和附属盛京医院急诊科、门诊部护士进行了消化系统症状问卷调查和其他相关心理情绪量表(护士工作压力源量表、工作疲倦感量表、匹兹堡睡眠质量指数问卷和临床精神卫生症状自评量表)调查.结果 急诊护士组因消化系统症状就诊例数和频次明显高于门诊护士组(P＜0.05).急诊护士中患有功能性消化不良或功能性肠病患病人数明显高于门诊护士(P＜0.001).两组护士功能性消化不良和功能性肠病各亚型分布中,急诊护士FD、功能性便秘和IBS发病较多,门诊护士组以FD、FD+肠症状和功能性腹胀分布较多.急诊护士组的护士工作压力源总分、工作疲倦感总分、PSQI总分、SCl-90总分、总均分和阳性项目数均明显高于门诊护士组(P＜0.05).结论 急诊科室护士存在着功能性消化不良和功能性肠病患病倾向,后者可能与负性情绪、睡眠障碍以及护士工作劳累、紧张有关.

Investigation on morbility status of functional dyspepsia and functional enteropathy Of nurses in emergency department

Objective To investigate the morbility status of functional dyspepsia and functional enteropathy of the nurse in emergency department and to find the regularity.Methods The nurses in emergency department of the First Hospital Affiliated to China Medical University and Shengjing Hospital were investigated with digestive symptoms questionnaire and other relative mental scales (nurse's working stressor scale, working burn-out scale, Pittsburg sleep quality index, clinical mental health symptom checklist).Results The morbility and frequency of digestive symptoms of the nurse in emergency department were higher than that of the nurse in outpatient department (P＜0.05 ).In the nurses in emergency department, 72 cases were troubled by functional dyspepsia and functional enteropathy (47.37%), while in the nurses in outpatient department the morbility was 34.65%(P＜0.001 ).The subtypes of functional dyspepsia and enteropathy in two groups were different: FD, functional constipation and IBS were common in the nurses in emergency department; FD, FD with entero-symptom and functional abdominal distention were common in the nurses in outpatient department.The scores of nurse's working stressor scale, working burn-out scale, Pittsburg sleep quality index, clinical mental health symptom checklist in the nurses in emergency department were higher than that of the nurses in outpatient department (P＜0.05).Conclusions There is tendency of functional dyspepsia and enteropathy in the nurses in emergency department, which is possibly related with the nurse's negative emotion, dormancy disorder, tired work, and tension.