title: [Let's save our nurses and doctors!].
abstract: BACKGROUND
  Several studies have shown that healthcare service is a dangerous workplace, but the reasons have been remained unexplained.
  
  
  OBJECTIVE
  The aim of the authors was to obtain data on the health condition of health care professionals and identify the underlying risk factors for the increased morbidity.
  
  
  METHODS
  Health care data obtained from 276 bedside nurses in 2004 and 1250 hospital employees in 2009 were analysed. In addition, the fate of department directors of Szent György University Hospital in Székesfehérvár between 1979 and 2010 was recorded and the data were compared to those obtained from a smaller hospital in Budapest during the same time period.
  
  
  RESULTS
  The body mass index of bedside nurses between the age of 30-35 years reached the upper limit of normal (which occurred 5-10 years earlier as compared to the average population) and then it increased continuously above the average value. In hospital employees the increase of body mass index was accompanied by an increase in the frequency of chronic diseases such as hypertension, allergy, thyroid dysfunction, rheumatologic diseases, diabetes, peptic ulcer, cancer and depression. When the cause of death of the department directors who died between 1979 and 2010 was analyzed the authors found that cancer death occurred in 77% and 82% of department directors in Székesfehérvár and Budapest hospitals, respectively, while cancer death rate in 2011 was 25.4% in Hungary.
  
  
  CONCLUSIONS
  The authors propose that continuous psychological stress, night shifts, nonstop standby and surcharge may all suppress the activity of the immune system. This proposal seems to be supported by novel psycho-neuro-immunological research data. The solution could be early prevention using stress control.
authors.affiliation: Szent György Egyetemi Oktató Kórház Ideggyógyászati Osztály Székesfehérvár Cserkész u. 11-13. 8000.
authors.forename: András
authors.initials: A
authors.lastname: Guseo
authors.affiliation: Szent György Egyetemi Oktató Kórház Foglalkozásegészségügyi Orvosi Rendelő Székesfehérvár.
authors.forename: Annamária
authors.initials: A
authors.lastname: Hertelendi
mesh_terms: D000328:Adult; D017677:Age Distribution; D002908:Chronic Disease; D003863:Depression / Q000150:complications / Q000209:etiology; D004703:Endocrine System / Q000378:metabolism* / Q000503:physiopathology; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007249:Inflammation / Q000150:complications / Q000209:etiology; D008297:Male; D044342:Malnutrition / Q000150:complications / Q000209:etiology; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology / Q000209:etiology* / Q000276:immunology / Q000378:metabolism / Q000517:prevention & control / Q000523:psychology; D009726:Nurses / Q000523:psychology / Q000706:statistics & numerical data; D044343:Overnutrition / Q000150:complications / Q000209:etiology; D010820:Physicians / Q000523:psychology / Q000706:statistics & numerical data; D012893:Sleep Wake Disorders / Q000150:complications* / Q000209:etiology / Q000378:metabolism; D013315:Stress, Psychological / Q000150:complications / Q000453:epidemiology / Q000209:etiology / Q000276:immunology / Q000378:metabolism / Q000517:prevention & control*; D017132:Workplace / Q000523:psychology*
keywords: body mass index; cancer mortality; hospital nurses; kórházi nővérek; psychosomatic diseases; pszichoszomatikus betegségek; rákhalálozás; stress control; stresszkontroll; testtömegindex