代謝症候群職場員工伴隨阻塞性睡眠呼吸中止症相關因素探討──以北部某地區醫院為例

Factors Influencing Obstructive Sleep Apnea Among Employees With Metabolic Syndrome: An Example of a District Hospital in Northern Taiwan

背景：阻塞性睡眠呼吸中止症（obstructive sleep apnea, OSA）是一種常見的慢性睡眠障礙疾病。研究顯示代謝症候群（metabolic syndrome, MS）與OSA的強相關。MS醫療人員伴隨OSA除了導致睡眠不佳，亦可能造成病人安全的顧慮，現況針對MS醫療人員與OSA相關研究仍闕如。
目的：瞭解代謝症候群職場員工伴隨阻塞性睡眠呼吸中止症現況及分析MS職場員工伴隨OSA之重要影響因子。
方法：以橫斷式調查，採方便取樣，於北台灣某地區醫院招募，以結構式問卷表及居家睡眠呼吸檢測儀進行資料收集，以多元邏輯斯迴歸分析MS職場員工伴隨OSA之重要影響因子。
結果：共89人完成檢測，65.2%代謝症候群員工伴隨OSA，性別、工作職務、身體質量指數（body mass index）、頸圍、腰圍、血氧飽和度下降指數、打鼾次數為MS職場員工伴隨OSA之重要影響因子。
結論／實務應用：高達65.2%MS員工伴隨OSA，建議常規員工健檢針對高風險職場員工，提供居家呼吸偵測儀檢測，讓MS職場員工了解其罹患OSA之風險，並倡議透過實踐促進健康生活型態，以改善代謝症候群，預防OSA之發生。

Background: Obstructive sleep apnea (OSA) is a common sleep disorder shown to be significantly correlated with metabolic syndrome (MS). Healthcare professionals affected by both MS and OSA may suffer from poor sleep quality, raising potential concerns about patient safety. Currently, there remains a gap in research specifically addressing the relationship between MS and OSA in healthcare professionals.
Purpose: This study was conducted to examine the prevalence of employees with MS concomitant with OSA and to identify the factors of influence affecting MS employees with OSA in the workplace.
Methods: A cross-sectional study design and convenient sampling were used, and participants were recruited from a district hospital in northern Taiwan. Data were collected using a structured questionnaire and a home sleep apnea test. Multiple logistic regression analysis was used to determine the significant factors influencing OSA in employees with MS.
Results: A total of 89 participants completed the assessment, with 65.2% of those with MS also found to have OSA. The main factors found to be associated with these employees with MS having OSA as well include gender, job position, body mass index, neck circumference, waist circumference, oxygen desaturation index, and snoring frequency.
Conclusions/ Implications for Practice: In light of the high percentage (65.2% in this study) of MS employees affected by OSA, regular health screenings should include a home sleep apnea test for high-risk employees to assess their risk of developing OSA. In addition, promoting a healthy lifestyle to improve MS and prevent OSA is needed.