A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital

Background: Lower-limb varicose veins (VVs) are common and known to have a higher prevalence among people who work in occupations requiring prolonged standing. In the Republic of Korea, however, VV-related occupational factors have seldom been examined. This study was conducted to assess the prevale...

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Main Authors: Myeong-Ja Yun, Young-Ki Kim, Dong-Mug Kang, Jong-Eun Kim, Won-Choon Ha, Kap-yeol Jung, Hyun-Woo Choi
Format: Article
Language:English
Published: Elsevier 2018-03-01
Series:Safety and Health at Work
Online Access:http://www.sciencedirect.com/science/article/pii/S2093791117301440
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author Myeong-Ja Yun
Young-Ki Kim
Dong-Mug Kang
Jong-Eun Kim
Won-Choon Ha
Kap-yeol Jung
Hyun-Woo Choi
author_facet Myeong-Ja Yun
Young-Ki Kim
Dong-Mug Kang
Jong-Eun Kim
Won-Choon Ha
Kap-yeol Jung
Hyun-Woo Choi
author_sort Myeong-Ja Yun
collection DOAJ
description Background: Lower-limb varicose veins (VVs) are common and known to have a higher prevalence among people who work in occupations requiring prolonged standing. In the Republic of Korea, however, VV-related occupational factors have seldom been examined. This study was conducted to assess the prevalence of VVs among nurses, an occupational group considered to be at high risk of VVs, and determine the occupational risk factors of prolonged standing. Methods: Between March and August 2014, a questionnaire survey coupled with Doppler ultrasonography was conducted on the nurses working at a university hospital. Results: A total of 414 nurses participated in the survey and diagnostic testing. From the survey analysis and test results, the prevalence of VVs in nurses was estimated to be 16.18%. Significant factors for venous reflux were age [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.03–1.10], pregnancy (OR = 2.15, 95% CI = 1.17–3.94), and delivery (OR = 2.02, 95% CI = 1.08–3.78). The statistical significance of these factors was verified after risk adjustment for sociodemographic factors (OR = 3.40, 95% CI = 1.27–9.09). Conclusion: Factors significantly associated with venous reflux were increasing age and prolonged working hours (≥ 4 hours) in a standing position (OR = 2.80, 95% CI = 1.08–7.25), even after risk adjustment for sociodemographic factors. This study is significant in that an objective diagnosis of VVs preceded the analysis of the risk factors for VV incidence, thus verifying objectively that VVs are associated with occupations requiring prolonged hours of working in a standing position. Keywords: nurse, occupational risk factor, prevalence, varicose vein
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spelling doaj.art-683f064438514129b33fcc06410d08152023-09-02T22:44:42ZengElsevierSafety and Health at Work2093-79112018-03-01917983A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University HospitalMyeong-Ja Yun0Young-Ki Kim1Dong-Mug Kang2Jong-Eun Kim3Won-Choon Ha4Kap-yeol Jung5Hyun-Woo Choi6Department of Preventive and Occupational Medicine, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Preventive and Occupational Medicine, School of Medicine, Pusan National University, Busan, Republic of Korea; Department of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea; Corresponding author. Department of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital, (626-770) 20, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, Republic of Korea.Department of Preventive and Occupational Medicine, School of Medicine, Pusan National University, Busan, Republic of Korea; Department of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea; Institute of Environmental Health Research, Pusan National University, Yangsan, Republic of KoreaDepartment of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of KoreaNursing Administration & Education Team, Pusan National University Hospital, Busan, Republic of KoreaDepartment of Occupational & Environmental Medicine, Dong-A University Hospital, Busan, Republic of KoreaDepartment of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of KoreaBackground: Lower-limb varicose veins (VVs) are common and known to have a higher prevalence among people who work in occupations requiring prolonged standing. In the Republic of Korea, however, VV-related occupational factors have seldom been examined. This study was conducted to assess the prevalence of VVs among nurses, an occupational group considered to be at high risk of VVs, and determine the occupational risk factors of prolonged standing. Methods: Between March and August 2014, a questionnaire survey coupled with Doppler ultrasonography was conducted on the nurses working at a university hospital. Results: A total of 414 nurses participated in the survey and diagnostic testing. From the survey analysis and test results, the prevalence of VVs in nurses was estimated to be 16.18%. Significant factors for venous reflux were age [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.03–1.10], pregnancy (OR = 2.15, 95% CI = 1.17–3.94), and delivery (OR = 2.02, 95% CI = 1.08–3.78). The statistical significance of these factors was verified after risk adjustment for sociodemographic factors (OR = 3.40, 95% CI = 1.27–9.09). Conclusion: Factors significantly associated with venous reflux were increasing age and prolonged working hours (≥ 4 hours) in a standing position (OR = 2.80, 95% CI = 1.08–7.25), even after risk adjustment for sociodemographic factors. This study is significant in that an objective diagnosis of VVs preceded the analysis of the risk factors for VV incidence, thus verifying objectively that VVs are associated with occupations requiring prolonged hours of working in a standing position. Keywords: nurse, occupational risk factor, prevalence, varicose veinhttp://www.sciencedirect.com/science/article/pii/S2093791117301440
spellingShingle Myeong-Ja Yun
Young-Ki Kim
Dong-Mug Kang
Jong-Eun Kim
Won-Choon Ha
Kap-yeol Jung
Hyun-Woo Choi
A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital
Safety and Health at Work
title A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital
title_full A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital
title_fullStr A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital
title_full_unstemmed A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital
title_short A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital
title_sort study on prevalence and risk factors for varicose veins in nurses at a university hospital
url http://www.sciencedirect.com/science/article/pii/S2093791117301440
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