航空乘务员845人月经失调情况调查分析
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摘要
目的探讨航空乘务员月经失调的影响因素,做好预防及宣教。方法 2018年选取符合条件的航空乘务员845人进行问卷调查,列出月经失调的可能影响因素:精神因素、睡眠不良、过度疲劳、极地航线、饮食不规律、经期飞行。结果调查对象845人中,有312人近1年内发生过月经失调,占36.92%。其中功能失调性子宫出血发生人数最多,占51.28%,其次为痛经、经前期综合征、闭经。单因素分析结果显示,月经失调组睡眠不良、精神因素、过度疲劳、饮食不规律、经期飞行、极地航线发生率明显高于月经正常组(P<0.05)。logistic逐步回归分析,按关联程度高低影响因素依次为睡眠不良、过度疲劳、精神因素、饮食不规律、经期飞行(OR=20.747、11.982、5.590、4.284、3.120,P<0.01),极地航线被移出方程(OR=0.741,P=0.389)。结论航空乘务员因特殊的工作性质易出现月经失调症状,睡眠质量及过度疲劳是影响月经失调的主要因素。
Objective To study the influencing factors of menstrual disorder in flight attendants,and to do a good job in prevention and education.Methods Totally 845 qualified flight attendants of an airline company in 2018 were selected and questionnaires were conducted to list the possible influencing factors of menstrual disorder: mental factors,poor sleep,excessive fatigue,polar airlines,irregular diet,and menstrual flight.Results Among 845 respondents,312 crew members had menstrual disorders in the past year,accounting for 36.92%.Among them,dysfunctional uterine bleeding occurred most,accounting for 51.28%,followed by dysmenorrhea,premenstrual syndrome and amenorrhea.Univariate analysis showed that the incidence of sleep disorder,mental factors,excessive fatigue,irregular diet,menstrual flight and polar flight in the menstrual disorder group was significantly higher than that in the normal menstrual group(P<0.05).Logistic stepwise regression analysis showed that poor sleep,excessive fatigue,mental factors,irregular diet,menstrual flight(OR = 20.747,11.982,5.590,4.284,3.120,P<0.01),and polar airlines were removed from the equation(OR=0.741,P=0.389).Conclusion The special working nature of flight attendants is more likely to lead to menstrual disorders.Sleep quality and excessive fatigue are the main factors of menstrual disorders.
Objective To study the influencing factors of menstrual disorder in flight attendants,and to do a good job in prevention and education.Methods Totally 845 qualified flight attendants of an airline company in 2018 were selected and questionnaires were conducted to list the possible influencing factors of menstrual disorder: mental factors,poor sleep,excessive fatigue,polar airlines,irregular diet,and menstrual flight.Results Among 845 respondents,312 crew members had menstrual disorders in the past year,accounting for 36.92%.Among them,dysfunctional uterine bleeding occurred most,accounting for 51.28%,followed by dysmenorrhea,premenstrual syndrome and amenorrhea.Univariate analysis showed that the incidence of sleep disorder,mental factors,excessive fatigue,irregular diet,menstrual flight and polar flight in the menstrual disorder group was significantly higher than that in the normal menstrual group(P<0.05).Logistic stepwise regression analysis showed that poor sleep,excessive fatigue,mental factors,irregular diet,menstrual flight(OR = 20.747,11.982,5.590,4.284,3.120,P<0.01),and polar airlines were removed from the equation(OR=0.741,P=0.389).Conclusion The special working nature of flight attendants is more likely to lead to menstrual disorders.Sleep quality and excessive fatigue are the main factors of menstrual disorders.
引文
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[2]曾倩茹,熊正爱.围绝经期睡眠障碍的病因学研究进展[J].中国实用妇科与产科杂志,2018,34(7):821-823
[3]陈雨朦.大连市青春期女性学生月经失调的调查分析及睡眠时间对其影响研究[D].大连医科大学,2016:19-22.
[4]张瑞红,黄小伟,李倩玲,等.环境的适应性与外来女工月经情况的关系[J].中国妇幼保健,2006,21(9):1269-1270.
[5]成首雁.经期飞行对空中女乘务员月经的影响[J].中华航空航天医学杂志,2006,17(3):233-234.
[6]拓飞,姚永祥,周炼,等.极地与非极地航线空勤人员所受光子和中子宇宙辐射剂量比较[J].中华放射医学与防护杂志,2010,30(4):469-471.
[7]杨悦,何晓艳,崔蕾,等.民航女职工生殖健康流行病学调查分析[J].中国妇幼健康研究,2011,22(4):443-445.
[8]赖红泽.空中女乘务员月经及生育情况调查分析[J].中华航空航天医学杂志,1999,10(2):127.
[9]邢再玲,俞文兰.14614名女职工生殖健康状况调查与分析[J].中国职业医学,2016,43(4):447-450.