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[目的]了解新疆三甲医院医务人员职业紧张和慢性非传染性疾病(简称“慢性病”)患病情况,完善新疆地区医务人员职业紧张和慢性病患病的流行病学资料。[方法]采取整群抽样的方法,抽取3家新疆三级甲等医院的医务人员2 036人作为研究对象,通过工作紧张度问卷和慢性非传染性疾病现患情况及行为危险因素调查问卷调查其职业紧张和慢性病患病情况。运用描述性分析来介绍医务人员的职业紧张状况和慢性病患病情况,卡方检验分析不同职业紧张组医务人员的慢性病患病差异,logistics回归分析慢性病的影响因素。[结果]调查结果显示,依工作紧张指数划分,低(<3.89)、中(3.89~4.37)、高(>4.37)职业紧张组的人数分别为414人(22.4%)、931人(50.4%)和502人(27.2%);其中77.6%的医务人员处于中、高度职业紧张水平。患病率居前4位的慢性病依次是颈、腰部疾病(24.6%),慢性消化系统疾病(21.5%),高血压(14.9%)及高血脂(10.1%);且在不同职业紧张组,这4种慢性病的患病率不同(P<0.05)。在控制人口学特征因素后进行logistic回归分析发现:随着工作紧张指数和工作压力指数的增加,医务人员患慢性病的风险增加,其OR及95%CI分别为6.172(3.542~8.323)和5.134(2.706~8.822)。[结论]新疆三甲医院医务人员的职业紧张程度和慢性非传染性疾病的患病率均较高。职业紧张程度不同,慢性病的发生情况也不同。职业紧张有可能会增加医务人员发生慢性病的风险。
[Objective] To understand the prevalence of occupational stress and chronic non-communicable diseases (referred to as “chronic diseases”) among medical staffs in the top three hospitals in Xinjiang and to improve the epidemiological data of occupational stress and chronic diseases among medical staffs in Xinjiang. [Methods] A total of 2 036 medical staffs from 3 tertiary hospitals in Xinjiang were selected as the study objects by cluster sampling method. Through questionnaire survey on prevalence of stress and questionnaires of behavioral risk factors for chronic non-communicable diseases Occupational stress and chronic illness prevalence. Descriptive analysis was used to introduce the occupational stress and the prevalence of chronic diseases in medical staff. The chi-square test was used to analyze the differences in chronic diseases among medical staff in different occupational stress groups. Logistics regression analysis was conducted to analyze the influencing factors of chronic diseases. [Results] The survey results showed that the number of occupational stress groups with low (3.89), moderate (3.89 ~ 4.37) and high (4.37) occupations was respectively 22.4%, 931 (50.4% ) And 502 (27.2%); 77.6% of them are at medium and high occupational stress levels. The top 4 chronic diseases were cervical and lumbar diseases (24.6%), chronic digestive diseases (21.5%), hypertension (14.9%) and hyperlipidemia (10.1%). In different occupational stress groups, The prevalence rates of these four chronic diseases were different (P <0.05). Logistic regression analysis showed that the ORs and 95% CIs were 6.172 (3.542-8.323) and 5.134 (5.142) respectively, with the increase of job stress index and work stress index. 2.706 ~ 8.822). [Conclusion] The occupational stress level and the prevalence rate of chronic non-communicable diseases of medical staff in the top three hospitals in Xinjiang are all higher. Occupational stress is different, the occurrence of chronic diseases are also different. Occupational stress may increase the risk of chronic diseases for medical staff.