A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital.

A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital.
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DOI:
10.1016/j.shaw.2017.08.005
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发表时间:
2018-03
影响因子:
3.5
通讯作者:
Choi HW
Choi HW
中科院分区:
医学3区
文献类型:
--
作者:
Yun MJ;Kim YK;Kang DM;Kim JE;Ha WC;Jung KY;Choi HW

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下肢静脉曲张 (VV) 很常见,并且已知在需要长时间站立的职业的人群中患病率较高。然而,在韩国,与 VV 相关的职业因素很少得到研究。本研究旨在评估护士(被认为是 VV 高危职业群体)中 VV 的患病率,并确定长时间站立的职业危险因素。 2014年3月至8月,对某大学附属医院的护士进行了问卷调查并结合多普勒超声检查。共有414名护士参与了调查和诊断测试。根据调查分析和检测结果,护士中VV的患病率估计为16.18%。静脉反流的重要因素是年龄[比值比 (OR) = 1.06,95% 置信区间 (CI) = 1.03–1.10]、妊娠(OR = 2.15,95% CI = 1.17–3.94)和分娩(OR = 2.02,95% CI = 1.08–3.78)。这些因素的统计显着性在对社会人口因素进行风险调整后得到验证(OR = 3.40,95% CI = 1.27-9.09)。与静脉反流显着相关的因素是年龄增加和站立工作时间延长(≥ 4 小时)(OR = 2.80,95% CI = 1.08–7.25),即使在对社会人口因素进行风险调整后也是如此。这项研究的意义在于,在分析VV发生的危险因素之前对VV进行了客观诊断,从而客观地验证了VV与需要长时间站立工作的职业相关。
Lower-limb varicose veins (VVs) are common and known to have a higher prevalence among people who work in occupations requiring prolonged standing. In the Republic of Korea, however, VV-related occupational factors have seldom been examined. This study was conducted to assess the prevalence of VVs among nurses, an occupational group considered to be at high risk of VVs, and determine the occupational risk factors of prolonged standing. Between March and August 2014, a questionnaire survey coupled with Doppler ultrasonography was conducted on the nurses working at a university hospital. A total of 414 nurses participated in the survey and diagnostic testing. From the survey analysis and test results, the prevalence of VVs in nurses was estimated to be 16.18%. Significant factors for venous reflux were age [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.03–1.10], pregnancy (OR = 2.15, 95% CI = 1.17–3.94), and delivery (OR = 2.02, 95% CI = 1.08–3.78). The statistical significance of these factors was verified after risk adjustment for sociodemographic factors (OR = 3.40, 95% CI = 1.27–9.09). Factors significantly associated with venous reflux were increasing age and prolonged working hours (≥ 4 hours) in a standing position (OR = 2.80, 95% CI = 1.08–7.25), even after risk adjustment for sociodemographic factors. This study is significant in that an objective diagnosis of VVs preceded the analysis of the risk factors for VV incidence, thus verifying objectively that VVs are associated with occupations requiring prolonged hours of working in a standing position.
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