论文部分内容阅读
目的:了解上海市静安区社区卫生服务中心从业人员颈椎病与职业应激的相关性，为开展早期防治提供建议。方法:采用付出-回报失衡模式理论开发的简明职业应激问卷，以问卷星在线调查方式，于2020年9—11月，对上海市静安区全部15家社区卫生服务中心的从业人员的颈椎病患病情况及职业应激发生现况进行调查。运用多元logistic回归分析不同职业应激因子与颈椎病的关系。结果:独立完成知情同意且有效回答问卷者1 515人，占该区社区卫生服务中心从业人员的83.4%（1 515/1 816）。平均年龄39岁，患颈椎病者占34.7%（526/1 515）。职业应激发生率11.6%（175/1 515）。患颈椎病的从业人员付出因子平均得分高于未患病者［（15.81±5.65）比（13.41±5.32）分，n t=-8.04，n P<0.001］，回报因子平均得分低于未患病者［（45.29±9.93）比（48.26±8.59）分，n t=6.06，n P<0.001］，内在投入因子平均得分高于未患病者［（14.37±6.33）比（11.74±5.50）分，n t=-8.39，n P=0.004］。多因素回归分析结果显示，职业应激（n OR=1.57，95%n CI：1.05~2.36）、中投入（n OR=1.42，95%n CI：1.02~2.00）、高投入（n OR=1.93，95%n CI：1.27~2.93）是患颈椎病的危险因素（均n P<0.05）。n 结论:颈椎病与职业应激有关联，预防颈椎病，建议降低职业应激程度，缓解付出回报失衡，同时防止个体过度的内在投入。“,”Objective:To investigate the relationship between the prevalence of cervical spondylosis and occupational stress among employees in Jingn \'an community health service centers in Shanghai.n Methods:A concise occupational stress questionnaire was developed based on the pay return imbalance model. The prevalence of cervical spondylosis and the incidence of occupational stress were investigated with the questionnaire survey among employees of all 15 community health service centers in a district of Shanghai from September 2020 to November 2020. Multiple logistic regression was used to analyze the relationship between occupational stress factors and prevalence of cervical spondylosis.Results:Of total 1 816 employees in the community health service centers in the district, 1 515 independently completed the questionnaire (83.4%). The average age of responders was 39 years old. The prevalence of cervical spondylosis was 34.7% (526/1 515); and the incidence of occupational stress was 11.6% (175/1 515). The average score of pay factor in the sick group was higher than that in the non-sick group (n t=-8.04, n P<0.001), the average score of return factor was lower than that of the non-sick group (n t=6.06, n P<0.001), and the average score of internal input factor was higher than that of the non-sick group (n t=-8.39, n P=0.004). Multivariate regression analysis showed that occupational stress (n OR=1.57, 95%n CI: 1.05-2.36), medium investment (n OR=1.42, 95%n CI: 1.02-2.00), high investment (n OR=1.93, 95%n CI: 1.27-2.93) were the risk factors of cervical spondylosis (all n P<0.05).n Conclusions:Cervical spondylosis is associated with occupational stress among employees of community health service centers. To prevent the prevalence of cervical spondylosis, it is necessary to reduce occupational tension, alleviate the imbalance of pay and return, and prevent individuals from excessive internal investment.