- علل غيبت از كار به علت بيماري در پرسنل بهداشتي - درماني بيمارستان الزهرا (س) اصفهان در سال 1397

Sick Leave and its Causes among the Health Care Workers in Alzahra Hospital, Isfahan, Iran, during the Year 2018

ﻣﻘﺪﻣﻪ: اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪف ﺑﺮرﺳﯽ ﻋﻠﻞ ﻏﯿﺒﺖ از ﮐﺎر ﺑﻪ ﻋﻠﺖ ﺑﯿﻤﺎري در ﭘﺮﺳﻨﻞ ﺑﻬﺪاﺷﺘﯽ- درﻣﺎﻧﯽ ﺑﯿﻤﺎرﺳﺘﺎن اﻟﺰﻫﺮاي )س( اﺻﻔﻬﺎن اﻧﺠﺎم ﮔﺮﻓﺖ. روش ﻫﺎ: ﻣﻄﺎﻟﻌﻪ ي ﺣﺎﺿﺮ، از ﻧﻮع ﻣﻘﻄﻌﯽ اﺳﺖ ﮐﻪ در ﺳﺎل 1397 در ﺑﯿﻤﺎرﺳﺘﺎن اﻟﺰﻫﺮا )س( در ﺷﻬﺮ اﺻﻔﻬﺎن اﻧﺠﺎم ﺷﺪ. ﺟﺎﻣﻌﻪ ي آﻣﺎري، ﮐﻠﯿﻪ ي ﮐﺎرﮐﻨﺎن ﺑﻬﺪاﺷﺘﯽ- درﻣﺎﻧﯽ ﺑﯿﻤﺎرﺳﺘﺎن اﻟﺰﻫﺮا )س( ﺑﻮدﻧﺪ. ﭼﮏ ﻟﯿﺴﺘﯽ ﺷﺎﻣﻞ اﻃﻼﻋﺎت دﻣﻮﮔﺮاﻓﯿﮏ، ﺷﻐﻠﯽ و ﻋﻠﻞ ﻏﯿﺒﺖ از ﮐﺎر ﻃﺮاﺣﯽ ﺷﺪ و در اﺧﺘﯿﺎر ﭘﺰﺷﮏ ﻗﺮار ﮔﺮﻓﺖ. ﺣﺠﻢ ﻧﻤﻮﻧﻪ ﺑﻪ ﺻﻮرت ﺳﺮﺷﻤﺎري از ﺗﻤﺎم ﻣﻮارد اﺳﺘﻌﻼﺟﯽ اراﯾﻪ ﺷﺪه ﺑﻪ ﭘﺰﺷﮏ ﻣﻌﺘﻤﺪ در ﺑﺎزه ي زﻣﺎﻧﯽ ﯾﮏ ﺳﺎﻟﻪ در ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﺪ. ﮐﺎرﻣﻨﺪاﻧﯽ ﮐﻪ ﺟﻬﺖ ﺗﺄﯾﯿﺪ ﮔﻮاﻫﯽ ﻣﺮﺧﺼﯽ اﺳﺘﻌﻼﺟﯽ ﺑﻪ ﭘﺰﺷﮏ ﻣﺮاﺟﻌﻪ ﻣﯽ ﮐﺮدﻧﺪ، در ﺻﻮرت رﺿﺎﯾﺖ، ﭘﺲ از ﺗﮑﻤﯿﻞ ﻓﺮم وارد ﻣﻄﺎﻟﻌﻪ ﺷﺪﻧﺪ. اﻃﻼﻋﺎت وارد ﻧﺮم اﻓﺰار SPSS ﺷﺪ و ﺑﻪ ﮐﻤﮏ آﻣﺎر ﺗﻮﺻﯿﻔﯽ و آزﻣﻮن ﻫﺎي t و χ2 واﮐﺎوي ﮔﺮدﯾﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: 192 ﻧﻔﺮ در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺷﺮﮐﺖ ﻧﻤﻮدﻧﺪ. ﻣﺸﮑﻼت ﺗﻨﻔﺴﯽ )21/4 درﺻﺪ(، ﻣﺸﮑﻼت اﺳﮑﻠﺘﯽ و ﻋﻀﻼﻧﯽ )18/8 درﺻﺪ(، ﻣﺸﮑﻼت زﻧﺎن و زاﯾﻤﺎن )16/1 درﺻﺪ(، ﻣﺸﮑﻼت ﮔﻮارﺷﯽ )15/1 درﺻﺪ( و ﺣﻮادث اﻋﻢ از ﺑﺮﯾﺪﮔﯽ، ﺷﮑﺴﺘﮕﯽ و ﻏﯿﺮه )8/9 درﺻﺪ( ﺑﯿﺸﺘﺮﯾﻦ دﻻﯾﻞ ﻏﯿﺒﺖ ﺑﻪ ﻋﻠﺖ اﺳﺘﻌﻼﺟﯽ در ﭘﺮﺳﻨﻞ ﺑﯿﻤﺎرﺳﺘﺎن ﺑﻮدﻧﺪ. ﺷﺎﯾﻊ ﺗﺮﯾﻦ ﻣﺪت زﻣﺎن اﺳﺘﻌﻼﺟﯽ ﮐﻤﺘﺮ از 3 روز )71/4 درﺻﺪ( ﺑﻮد. ﺑﯿﻦ ﺟﻨﺴﯿﺖ و ﺳﺎﺑﻘﻪ ي ﮐﺎر ﺑﺎ ﻋﻠﺖ درﺧﻮاﺳﺖ ﻣﺮﺧﺼﯽ اﺳﺘﻌﻼﺟﯽ، راﺑﻄﻪ ي ﻣﻌﻨﯽ داري وﺟﻮد داﺷﺖ )0/050 < P(، اﻣﺎ ﺑﯿﻦ ﺳﻦ، ﺗﺄﻫﻞ، ﺗﻌﺪاد ﻓﺮزﻧﺪ، ﺗﺤﺼﯿﻼت، ﻧﻮع ﺷﻐﻞ، ﺗﻌﻄﯿﻼت، ﻧﻮع ﺷﯿﻔﺖ ﮐﺎري، ﺑﺨﺶ ﻣﺤﻞ ﮐﺎر و ﻣﺪت زﻣﺎن، ﺑﺎ ﻋﻠﺖ ﻣﺮﺧﺼﯽ اﺳﺘﻌﻼﺟﯽ راﺑﻄﻪ ي ﻣﻌﻨﯽ داري وﺟﻮد ﻧﺪاﺷﺖ )0/050 > P(. ﻧﺘﯿﺠﻪ ﮔﯿﺮي: ﺑﺮ اﺳﺎس ﻧﺘﺎﯾﺞ اﯾﻦ ﻣﻄﺎﻟﻌﻪ، ﺷﺎﯾﻊ ﺗﺮﯾﻦ ﻋﻠﻞ ﻏﯿﺒﺖ از ﮐﺎر در ﺑﯿﻦ ﮐﻠﯿﻪ ي ﭘﺮﺳﻨﻞ، ﻣﺸﮑﻼت ﺗﻨﻔﺴﯽ و اﺳﮑﻠﺘﯽ- ﻋﻀﻼﻧﯽ ﺑﻮد. ﺑﯿﺸﺘﺮﯾﻦ ﻋﻠﻞ ﻏﯿﺒﺖ از ﮐﺎر در ﭘﺮﺳﻨﻞ ﻣﺮد ﺑﻪ ﺗﺮﺗﯿﺐ ﻣﺸﮑﻼت اﺳﮑﻠﺘﯽ- ﻋﻀﻼﻧﯽ و ﻣﺸﮑﻼت ﮔﻮارﺷﯽ و در ﭘﺮﺳﻨﻞ زن، ﻣﺸﮑﻼت ﺗﻨﻔﺴﯽ و ﻣﺸﮑﻼت زﻧﺎن و زاﯾﻤﺎن ﺑﻮد. ﮐﻤﺘﺮﯾﻦ ﻋﻠﺖ ﻏﯿﺒﺖ از ﮐﺎر در ﺑﯿﻦ ﭘﺮﺳﻨﻞ، ﺣﻮادث، ﺑﯿﻤﺎري ﻫﺎي ﭼﺸﻢ ﭘﺰﺷﮑﯽ و ﺑﯿﻤﺎري ﻫﺎي ﻗﻠﺒﯽ- ﻋﺮوﻗﯽ ﺑﻮد

Background: The aim of this study was to investigate the sick leave and its causes among the health care workers in Alzahra hospital, Isfahan, Iran. Methods: The present study was a cross-sectional study conducted at Alzahra hospital in 2018. Subjects were staff of hospital that referred to trusted forensic physician for sickness certification confirmation by census method in one year. After obtaining informed consent, a checklist of demographic and occupational variables, causes of sick leave and confirmation or not was completed by forensic physician. The data were entered into SPSS software, and analyzed using chi-square and independent t tests. Findings: 192 sickness certifications were enrolled the study. The most prevalent sick leave causes of hospital staff were respiratory (21.4%), musculoskeletal (18.8%), gynecology (16.1 %), gastrointestinal (15.1%), and accidents (cuts and fracture) (8.9%) causes, respectively. There was a significant relationship between gender and work experience with the reasons of sick leave (P < 0.05). There was no significant relationship between age, marital status, number of children, education, type of job, type of shift, department, and duration of sick leave with the causes of sick leave (P > 0.05). Conclusion: The most prevalent sick leave causes among Alzahra hospital staff were respiratory and musculoskeletal disorders. The male staff suffered mainly from musculoskeletal and gastrointestinal problems, hence female staff often suffered from respiratory and gynecological disorders. The least prevalent sick leave causes were accidents (cuts and fracture), and ophthalmological and cardiovascular diseases