唐山市某医院护理人员背部工作相关肌肉骨骼疾患的流行特征
Epidemiological Characteristics of Work-Related Musculoskeletal Disorders of Back in Nurses in a Hospital of Tangshan
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摘要:
目的 了解唐山市某三甲医院护理人群的背部肌肉骨骼疾患流行状况,探讨其影响因素。
方法 采用整群抽样的方式,依据肌肉骨骼疾患调查表,对唐山市某三甲医院784名护理人员2013年1-12月背部工作相关肌肉骨骼疾患进行调查,调查指标主要包括症状及出现频率、对身体的影响、主观患病是否与工作有关、年龄、工作及休息时数、工作负荷、工作感受等。采用
t 检验、卡方检验、非参数检验、非条件logistic回归分析等方法进行统计分析。结果 护理工作人员背部肌肉骨骼疾患的患病率为45.7%,症状以酸痛为主,且有半数人员症状几乎每天出现,80.4%的人员认为身体健康受到了影响。护理人员的背部肌肉骨骼疾患患病与年龄(
OR =1.026,95%CI :1.002~1.051)、工作后体力劳累感(OR =1.515,95%CI :1.244~1.844)、工作满意度(OR =2.154,95%CI :1.534~3.026)、每小时重复同一动作次数(OR =1.042,95%CI :1.016~1.067)、日照顾患者数(OR =1.024,95%CI :1.010~1.039)呈正相关,与月休息天数(OR =0.911,95%CI :0.858~0.966)呈负相关。结论 该三甲医院护理工作人员背部肌肉骨骼疾患患病率较高,可能与高劳动负荷、休息放松时间少、年龄增高带来的身体生理变化有关。
Abstract:Objective To understand the prevalence and influencing factors of musculoskeletal disorders of the back in nurses in a tertiary class A hospital of Tangshan.
Methods By the method of cluster sampling, 784 nurses in a tertiary class A hospital of Tangshan was investigated using a musculoskeletal disorders questionnaire on relevant symptoms and related frequencies, health impact, self-report on whether the illness is related to work, age, working and rest hours, work load, and job perception. Statistical analysis methods included
t test, chi-square test, nonparametric test, and non-conditional logistic regression analysis.Results The prevalence rate of nurses' musculoskeletal disorders of the back was 45.7%; pain in the back was a major symptom, accompanying half of the ailing nurses almost every day; 80.4% of the nurses believed that their health was affected. The musculoskeletal disorders of the back had positive correlations with age (
OR =1.026, 95%CI :1.002-1.051), physical fatigue after work (OR =1.515, 95%CI :1.244-1.844), job satisfaction (OR =2.154, 95%CI :1.534-3.026), the times of repeating same action per hour (OR =1.042, 95%CI :1.016-1.067), and the number of patients served per day (OR =1.024, 95%CI :1.010-1.039); while negative association was with the days of off-work per month (OR =0.911, 95%CI :0.858-0.966).Conclusion A high prevalence rate of musculoskeletal disorders of the back is identified in the nurses in the tertiary class A hospital, which might be related to higher work load, less off-work time, and the physical changes by aging.