Abstract：
BACKGROUND: The quality of life of women is seriously affected by perimenopausal symptoms and related diseases. Clinical nurses often suffer from job burnout due to high pressure and intensity of work and life, which is easy to induce and aggravate perimenopausal syndrome. Nursing occupational environment varies greatly in different economic regions, but relevant studies are limited to northern cities, and are often confined to the second and third grade hospitals or a hospital in a certain region, lacking multi-center studies on hospitals of different grades. Therefore, it is necessary to understand the occurrence of perimenopausal syndrome in clinical nurses in Chongqing and its influencing factors, so as to provide reference for managers to take targeted intervention measures.
METHODS: The investigation was conducted using the method of stratified random cluster sampling. A questionnaire survey was conducted among 933 clinical nurses aged from 40 to 55 in primary, secondary and tertiary hospitals. Kupperman\'s total symptom score ranged from 0 to 63, while a score of ≥7 can determine the existence of perimenopausal syndrome.
RESULTS: Among the 933 clinical nurses surveyed, 662 (70.95%) had perimenopausal syndrome, the results of the multivariate unconditional logistic regression analysis showed that The age ranges from 51 to 55 (OR =2.035, 95% CI: 1.070-3.872), the presence of chronic diseases (OR =1.659, 95% CI: 1.095-2.512), menopause (OR =1.989, 95% CI: 1.198-3.303), moderate family function impairment (OR =1.940, 95% CI: 1.356-2.776), severe family dysfunction weekly (OR =2.309, 95% CI: 1.178-4.524), never participation in sports (OR =3.328, 95% CI: 1.657-6.684) and exercising 1-5 times per week (OR =2.689, 95% CI: 1.516-4.768) were risk factors for perimenopausal syndrome in clinical nurses, basic security (OR =0.939, 95% CI: 0.887-0.994), and sufficient manpower (OR =0.915, 95% CI: 0.855-0.979) were protective factors for perimenopausal syndrome in clinical nurses.
CONCLUSIONS: The incidence of perimenopausal syndrome in clinical nurses at all levels of hospitals situated in Chongqing is relatively high. It is suggested that nursing managers should attach great importance to the physical and mental condition of this population and timely take targeted intervention measures to prevent or alleviate the occurrence and development of perimenopausal syndrome in clinical nurses.
METHODS: The investigation was conducted using the method of stratified random cluster sampling. A questionnaire survey was conducted among 933 clinical nurses aged from 40 to 55 in primary, secondary and tertiary hospitals. Kupperman\'s total symptom score ranged from 0 to 63, while a score of ≥7 can determine the existence of perimenopausal syndrome.
RESULTS: Among the 933 clinical nurses surveyed, 662 (70.95%) had perimenopausal syndrome, the results of the multivariate unconditional logistic regression analysis showed that The age ranges from 51 to 55 (OR =2.035, 95% CI: 1.070-3.872), the presence of chronic diseases (OR =1.659, 95% CI: 1.095-2.512), menopause (OR =1.989, 95% CI: 1.198-3.303), moderate family function impairment (OR =1.940, 95% CI: 1.356-2.776), severe family dysfunction weekly (OR =2.309, 95% CI: 1.178-4.524), never participation in sports (OR =3.328, 95% CI: 1.657-6.684) and exercising 1-5 times per week (OR =2.689, 95% CI: 1.516-4.768) were risk factors for perimenopausal syndrome in clinical nurses, basic security (OR =0.939, 95% CI: 0.887-0.994), and sufficient manpower (OR =0.915, 95% CI: 0.855-0.979) were protective factors for perimenopausal syndrome in clinical nurses.
CONCLUSIONS: The incidence of perimenopausal syndrome in clinical nurses at all levels of hospitals situated in Chongqing is relatively high. It is suggested that nursing managers should attach great importance to the physical and mental condition of this population and timely take targeted intervention measures to prevent or alleviate the occurrence and development of perimenopausal syndrome in clinical nurses.
摘要：
背景：围绝经期症状及相关疾病严重影响女性的生活质量。临床护士经常因工作和生活压力大、强度大,易诱发和加重围绝经期综合征。不同经济区域的护理职业环境差异很大，但是相关研究仅限于北方城市，并且通常局限于某个地区的二级和三级医院或医院，缺乏对不同等级医院的多中心研究。因此,了解重庆市临床护士围绝经期综合征的发生情况及其影响因素,从而为管理者采取有针对性的干预措施提供参考。
方法：采用分层随机整群抽样的方法进行调查。对933名40～55岁的基层临床护士进行问卷调查,二级和三级医院。Kupperman的总症状评分为0~63分，而≥7分可以确定围绝经期综合征的存在。
结果：在接受调查的933名临床护士中，662（70.95%）有围绝经期综合征，多因素非条件logistic回归分析结果显示,年龄在51~55岁之间(OR=2.035,95%CI:1.070~3.872),慢性疾病的存在（OR=1.659，95%CI：1.095-2.512），绝经（OR=1.989，95%CI：1.198-3.303），中度家庭功能损害(OR=1.940，95%CI：1.356-2.776)，每周严重家庭功能障碍（OR=2.309，95%CI：1.178-4.524），从未参加运动（OR=3.328，95％CI：1.657-6.684）和每周锻炼1-5次（OR=2.689，95％CI：1.516-4.768）是临床护士围绝经期综合征的危险因素，基本安全性（OR=0.939，95%CI：0.887-0.994），足够的人力（OR=0.915，95％CI：0.855-0.979）是临床护士围绝经期综合征的保护因素。
结论：重庆市各级医院临床护士围绝经期综合征发生率较高。提示护理管理者应高度重视该人群的身心状况,及时采取有针对性的干预措施,预防或缓解临床护士围绝经期综合征的发生和发展。
方法：采用分层随机整群抽样的方法进行调查。对933名40～55岁的基层临床护士进行问卷调查,二级和三级医院。Kupperman的总症状评分为0~63分，而≥7分可以确定围绝经期综合征的存在。
结果：在接受调查的933名临床护士中，662（70.95%）有围绝经期综合征，多因素非条件logistic回归分析结果显示,年龄在51~55岁之间(OR=2.035,95%CI:1.070~3.872),慢性疾病的存在（OR=1.659，95%CI：1.095-2.512），绝经（OR=1.989，95%CI：1.198-3.303），中度家庭功能损害(OR=1.940，95%CI：1.356-2.776)，每周严重家庭功能障碍（OR=2.309，95%CI：1.178-4.524），从未参加运动（OR=3.328，95％CI：1.657-6.684）和每周锻炼1-5次（OR=2.689，95％CI：1.516-4.768）是临床护士围绝经期综合征的危险因素，基本安全性（OR=0.939，95%CI：0.887-0.994），足够的人力（OR=0.915，95％CI：0.855-0.979）是临床护士围绝经期综合征的保护因素。
结论：重庆市各级医院临床护士围绝经期综合征发生率较高。提示护理管理者应高度重视该人群的身心状况,及时采取有针对性的干预措施,预防或缓解临床护士围绝经期综合征的发生和发展。
