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Medicinski pregled
2012, vol. 65, br. 11-12, str. 461-469
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 03/12/2012
doi: 10.2298/MPNS1212461B
Noćni rad, ukupno profesionalno opterećenje i faktori rizika za nastanak malignih i kardiovaskularnih oboljenja kod lekara
aKarolinska Institute, Stockholm, Sweden + Claremont Graduate University, School of Community and Global Health Claremont, California, USA + University of Southern California School of Medicine, Los Angeles, California
bAmbulatory Health Care Center Division for Occupational Health Protection, Novi Sad

e-adresa: Karen.Belkic@ki.se

Sažetak

Uvod. Najveći značaj među mnogim poznatim uzrocima malignih i kardiovaskularnih oboljenja imaju životne navike kao što su pušenje, prekomerna ishrana sa gojaznošću kao posledicom, fizička neaktivnost i prekomerno uzimanje alkohola. Cilj ove studije je da se kod lekara hirurga/anesteziologa i lekara drugih specijalnosti ispita povezanost uslova rada i faktora rizika za nastanak malignih i kardiovaskularnih oboljenja uslovljenih navedenim lošim životnim navikama. Materijal i metode. Istraživanje je sprovedeno kod lekara novosadskih klinika i instituta starosti 35-60 godina, sa visokim procentom odaziva (> 90%). Sadašnjom analizom obuhvaćeni su samo lekari bez dijagnostikovanog koronarnog oboljenja, odnosno bez strukturnog oboljenja srca. Lekari su popunili upitnik Indeks profesionalnog stresa (Occupational Stress Index). Niži nivo rizika u vezi sa životnim navikama je definisan kao: nepušač, indeks telesne težine < 28, redovna fizička aktivnost i neuzimanje alkohola svakodnevno. Rađena je statistička analiza pomoću analize varijanse i kovarijanse. Rezultati. Analizom je obuhvaćen 191 lekar. Svega 23 lekara (12%) imalo je niži nivo rizika. Kod lekara hirurga/anesteziologa utvrđen je veći nivo profesionalnog opterećenja u odnosu na lekare drugih specijalnosti (87,7±8,8 versus 74,1±10,5 p = 0,000). Kod 56 hirurga/anesteziologa manje opterećenje od noćnog rada bilo je povezano sa nižim nivoom rizika (F = 4,19, p = 0,046). Niži ukupan zbir indeska profesionalnog stresa bio je udružen sa nižim nivoom rizika kod ostalih 135 lekara (F = 4,06 p = 0,046). Zaključak. Neophodna je urgentna specifična interventna strategija usmerena ka smanjenju učestalosti dežurstava i poboljšanju uslova noćnog rada hirurga/anesteziologa, a kod lekara ostalih specijalnosti neophodno je sniženje ukupne opterećenosti radom.

Ključne reči

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