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[目的]探究职业紧张是否对胚胎停育的发生有影响。[方法]采用病例-对照研究。选择2014年3月14日—6月11日于济宁市第一人民医院或济宁医学院附属医院就诊的近一年内有过胚胎停育史的110例育龄妇女为病例组,同期130名在上述2所医院正常妊娠的待产孕妇或7 d内正常分娩的产妇为对照组,调查其个人基本情况和职业紧张状况。职业紧张测量采用付出-回报失衡问卷、工作内容问卷和工作-家庭冲突问卷中文版。选择其中资料完整的研究对象,对职业紧张和胚胎停育之间的关系及影响因素进行t检验、χ~2检验和logistic回归分析。[结果]付出-回报失衡问卷显示:病例组的职业紧张、外在付出评分高于对照组(t=6.139,t=5.808,均P<0.05),回报得分低于对照组(t=-6.248,P<0.05);病例组的内在投入得分≥17分者占31.8%,高于对照组的4.6%(χ~2=31.127,P<0.05)。工作内容问卷显示:两组在工作心理要求、自主程度、上级支持和社会支持的得分差异均具有统计学意义(t=3.355,t=-3.830,t=-4.802,t=-3.708,均P<0.05)。工作-家庭冲突问卷显示:病例组工作-家庭冲突高于对照组(t=5.697,P<0.05)。logistic回归分析提示,职业紧张与胚胎停育的比值比为8.838,95%可信区间为2.169~36.017。[结论]职业紧张可能是胚胎停育发生的危险因素。
[Objective] To investigate if occupational stress has an impact on the occurrence of embryo stop. [Methods] A case-control study was conducted. Select 110 cases of childbearing women of childbearing age who had a history of embryo shutdown in the first year of Jining First People’s Hospital or Affiliated Hospital of Jining Medical College from March 14, 2014 to June 11, 2014 as the case group, The hospital for normal pregnancy to be pregnant or within 7 d of normal delivery of maternal control group, to investigate the basic situation of their personal and occupational stress. Occupational stress measures use pay-return imbalance questionnaire, job content questionnaire and work-family conflict questionnaire Chinese version. Select the complete data of the study, the relationship between occupational stress and the suspension of embryos and the impact of t test, χ ~ 2 test and logistic regression analysis. [Results] The pay-return imbalance questionnaire showed that the occupational stress in the case group was significantly higher than that in the control group (t = 6.139, t = 5.808, both P <0.05), and the reward score was lower than that in the control group , P <0.05). In the case group, the intrinsic input score of ≥17 was 31.8%, which was 4.6% higher than that of the control group (χ ~ 2 = 31.127, P <0.05). Work content questionnaire showed that there were significant differences between the two groups in the psychological requirements of work, degree of autonomy, superior support and social support scores (t = 3.355, t = -3.830, t = -4.802, t = -3.708, P <0.05). The Work-Family Conflict Questionnaire showed that work-family conflict in case group was higher than that in control group (t = 5.697, P <0.05). Logistic regression analysis showed that the odds ratio between occupational stress and embryo stop was 8.838, 95% confidence interval was 2.169 ~ 36.017. [Conclusion] Occupational stress may be the risk factor of embryo stop.