Occupational Medicine Quarterly Journal

fa بررسی استرس شغلی دربین رانندگان تاکسی و ارتباط آن با عوامل خطر بیماری‌های قلبی- عروقی Assessment of occupational stress in taxi drivers and its relation with cardiovascular risk factors طب کار occupational medicine كاربردي Applicable مقدمه: استرس شغلی، نتیجه فرآیند کار ویا عوامل محیط کاراست که منجربه بیماری‌های جسمی(مانند بیماری‌های قلبی عروقی) و روحی روانی می‌شود. این مطالعه به بررسی ارتباط استرس با برخی عوامل خطر قلبی عروقی در رانندگان وسایل نقلیه عمومی سبک می‌پردازد. روش بررسی: این مطالعه مقطعی برروی 330 نفراز رانندگان انجام شد و اطلاعات دموگرافیک و شغلی افراد وعوامل خطر قلبی عروقی شامل فشار خون، تری‌گلیسرید، کلسترول، قند خون ناشتا، مصرف سیگار و شاخص توده بدنی درچک لیست ثبت شد. برای سنجش استرس شغلی از پرسشنامه استاندارد اوسیپو استفاده شد. برای تجزیه و تحلیل داده‌ها از آزمون ANOVA و Kruskal wallisو آنالیز رگرسیون لاجستیک استفاده و سطوح معنی‌داری کمتر از05/0 بررسی شد. نتایج: میانگین وانحراف معیار نمره استرس کل12/65±24/167بود که140نفر(4/42%)درگروه خفیف،61 نفر(5/18%) درگروه خفیف تا متوسط،22نفر(7/6 %) درگروه متوسط تا شدید و107نفر(4/32 %)در گروه شدید قرارگرفتند. در مقایسه بین میانگین فشار خون سیستولیک ودیاستولیک، کلسترول، تری‌گلیسرید، قند خون ناشتا و شاخص توده بدنی در 4 زیرگروه استرس، تفاوت معنی‌دار آماری وجود داشت ولی با مصرف سیگار، تفاوت معنی‌داری پیدا نشد(88/0.(p= ارتباط استرس با تری‌گلیسرید، کلسترول و شاخص توده بدنی در حضور مداخله‌گرها (سن، درآمد، شیفت کاری و میزان تحصیلات) معنی‌دار شد(01/1 ,OR=001/0>TG: p)(02/1,OR= 001/0>p Chol:) (01/1 ,OR=001/0> P BMI:) ولی با فشارخون سیستولیک و دیاستولیک، قند خون ناشتا و میزان مصرف پاکت سیگار در سال معنی‌دار نشد. نتیجه‌گیری: با توجه به رابطه معنی‌دار بین استرس با برخی از عوامل خطرقلبی عروقی در رانندگان، انجام غربالگری مناسب این عوامل و نیزآموزش رانندگان در زمینه پیشگیری و کنترل عوامل موثر بر استرس توصیه می‌شود. <a name="_ENREF_1">1-</a> McGonagle KA, Kessler RC. 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[Persian]   Assessment of occupational stress in taxi drivers and its relation with cardiovascular risk factors Farzane Rahimpour (MD) 1, Lida Jarahi (PhD) 2 , Ehsan Rafeemanesh (MD) 3, Atefe Taghati (MD) *4 1 Assistant professor, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 2 Assistant professor, Addiction Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 3 Assistant professor, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 4 Resident of Occupational Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Received: 22 Jan 2015                                                                   Accepted: 12 May 2015 Abstract Introduction: Occupational stress is caused by job itself or it's related environment that leads to several somatic diseases such as cardiovascular disorders or psychosomatic diseases. This study aimed to evaluate the relation between stress level and some cardiovascular risk factors among taxi drivers. Method: This is a cross-sectional study on 330 taxi drivers. Demographic and occupational data and cardiovascular risk factors such as blood pressure, triglyceride, cholesterol, fasting blood sugar, smoking and body mass index were recorded in a check-list and standard Osipow questionnaire was used to score the stress level. ANOVA , Kruskal wallis and logestic regression test were used for data analysis and P- value less than 0.05 was considered as significant difference. Results: Mean Stress score and standard deviation were 167.24±65.12 that one hundred and forthy individuals(%42.4) were in low stress group, 61 individuals(%18.5) in low to moderate group, 22 individuals(%6.7) in moderate to severe group and 107 individuals(%32.4) in severe group. Comparing mean systolic and diastolic blood pressure, cholesterol, triglyceride, fasting blood sugar and BMI among four subgroups of stress revealed significant difference, but we didn't observe any relation between  smoking and stress score(P=0.88). The effect of stress on cholesterol and triglyceride and BMI after control of confounding factors (age, educathon, shift work and income) was significant (TG: p<0.001, OR=1.01, Chol: p<0.001, OR=1.02, BMI: p<0.001, OR=1.01). But there was no significant relationship between stress and SBP, DBP, FBS and smoking. Conclusion: According to the significant correlation between stress level and cardiovascular risk factors in the taxi drivers, we suggest screening this risk factors and training the taxi drivers for prevention and control of stress fact استرس شغلی, رانندگان, عوامل خطر قلبی Cardiovascular risk factors, Drivers, Occupational stress 51 61 http://tkj.ssu.ac.ir/browse.php?a_code=A-11-549-1&slc_lang=fa&sid=1 Farzaneh Rahimpour فرزانه رحیم پور rahimpourf@mums.ac.ir No Mashhad University of Medical Sciences دانشگاه علوم پزشکی مشهد Lida Jarahi لیدا جراحی jarahil@mums.ac.ir No Mashhad University of Medical Sciences دانشگاه علوم پزشکی مشهد Ehsan Rafeemanesh احسان رفیعی منش rafeemaneshe@mums.ac.ir No Mashhad University of Medical Sciences دانشگاه علوم پزشکی مشهد Atefeh Taghati عاطفه طاقتی taghatia911@mums.ac.ir Yes Mashhad University of Medical Sciences دانشگاه علوم پزشکی مشهد