Relationship between somatic symptoms with menstruation and intention to leave work among university hospital nurses in Japan: a cross-sectional study
Relationship between somatic symptoms with menstruation and intention to leave work among university hospital nurses in Japan: a cross-sectional study
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DOI：
10.1007/s00420-022-01905-0
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发表时间：
2022-08
影响因子：
3
通讯作者：
Yukari Ota;K. Nomura;Junko Hirayama;E. Maeda;J. Komatsu;Mio Nakamura;Rouko Yamada;Hitomi Ishikawa-Hito
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文献类型：
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作者：
Yukari Ota;K. Nomura;Junko Hirayama;E. Maeda;J. Komatsu;Mio Nakamura;Rouko Yamada;Hitomi Ishikawa-Hito
目的本研究调查了日本女护士的月经症状与离职意愿之间的关系。方法本横断面研究调查了两所大学医院的女护士 (n= 317)。测量的项目包括她们的特征（例如年龄、体重指数）、“离职意向”工作、与月经相关的躯体症状、自我报告的月经特征（例如疼痛）、体力工作量（例如工作时间和夜班）和心理工作量，通过哥本哈根倦怠量表（CBI）和工作内容问卷（JCQ）进行测量。在月经周期中出现至少四种躯体症状（例如感冒、疲劳）的参与者被认为具有“与月经相关的躯体症状”。我们还测量了血清卵巢激素和促性腺激素释放激素。结果大约 40% 的女性回答“打算离开”工作，17% 的女性有“与月经相关的躯体症状”。多元逻辑回归分析表明，报告“与月经相关的躯体症状”的护士更有可能“有意离开”工作：调整后的比值比（AOR，95％置信区间[CI]）在个人倦怠模型中为2.15（1.12-4.11），在工作相关倦怠模型中为2.23（1.16-4.31），2.91 (1.52–5.56) 在客户相关的倦怠模型中； JCQ 模型中为 2.96 (1.50–5.82)。血清和促性腺激素与离职意愿之间没有关联。结论月经期间的躯体症状与日本女护士的离职意愿相关。对月经期间躯体症状的干预可能会支持护士继续工作。
PurposeThis study investigated the association between menstrual symptoms and the intention to leave work among female nurses in Japan.MethodsThis cross-sectional study investigated female nurses (n= 317) at two university hospitals. The items measured were their characteristics (e.g., age, body mass index), “intention to leave” work, somatic symptoms related with menstruation, self-reported menstrual characteristics (e.g., pain), physical workloads (e.g., working hours and night shifts) and psychological workloads, measured with the Copenhagen Burnout Inventory (CBI), and the Job Content Questionnaire (JCQ). Participants with at least four somatic symptoms (e.g., cold, fatigue) which are present during their menstrual cycles were considered to have “somatic symptoms associated with menstruation.” We also measured serum ovarian and gonadotropin-releasing hormones.ResultsApproximately 40% of women answered “intention to leave” work, and 17% had “somatic symptoms associated with menstruation.” Multiple logistic regression analysis suggested that nurses reporting “somatic symptoms associated with menstruation” were more likely to have “intention to leave” work: the adjusted odds ratios (AOR, 95% confidence interval [CI]) were 2.15 (1.12–4.11) in the personal-burnout model, 2.23 (1.16–4.31) in the work-related burnout model, 2.91 (1.52–5.56) in the client-related burnout model; 2.96 (1.50–5.82) in the JCQ model. There was no association between serum and gonadotropin hormones and the intention to leave.ConclusionSomatic symptoms with menstruation were associated with intention to leave work among female Japanese nurses. Intervention for somatic symptoms with menstruation might support nurses to continue work.