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社会心理因素对妇产科医务人员工作相关肌肉骨骼疾患的影响 |
崔娅, 袁志伟, 徐相蓉, 曹扬, 李智民, 何丽华, 任利容, 张铨富, 吴晓霞, 唐丽霞, 苏放明, 姜艳华
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1. 深圳市职业病防治院, 广东深圳 518001; 2. 北京大学劳动卫生与环境卫生学系, 北京 100191; 3. 深圳市宝安区妇幼保健院, 广东深圳 518000; 4. 深圳市妇幼保健院, 广东深圳 518017; 5. 深圳市福田区妇幼保健院, 广东深圳 518048; 6. 深圳市人民医院, 广东深圳 518020; 7. 深圳市罗湖区妇幼保健院, 广东深圳 518009
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摘 要: 目的分析探讨社会心理因素对妇产科医务人员工作相关肌肉骨骼疾患(WMSDs)的影响,以降低社会心理负荷,促进职业健康。方法选取某市各级医院的妇产科医务人员679人为研究对象,主要为妇科、产科医生以及助产士,采用自主研发的肌肉骨骼问卷调查其肌肉骨骼疾患状况,并进行横断面研究,对可能的危险因素进行多元Logistic回归分析。结果 3个因素影响妇产科医务人员的WMSDs:自觉身体健康状况差,自觉竭尽全力,单一工作姿势。自觉身体健康状况差的WMSDs患病风险是自觉身体健康状况良好的11.063倍(OR=11.063,95%CI=2.680~45.666,P=0.001);自觉竭尽全力(OR=2.762,95%CI=1.285~5.935,P=0.009)和单一工作姿势(OR=1.862,95%CI=1.174~2.953,P=0.008)是WMSDs不可忽视的危险因素。结论社会心理因素对妇产科医务人员的WMSDs有一定程度的影响,从社会心理因素出发研究相关的预防改善措施具有重要意义。 |
关键词: 妇产科医务人员 工作相关肌肉骨骼疾患(WMSDs) 社会心理因素 |
中图分类号: R68
文献标识码:
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基金项目: 国家“十二·五”科技支撑项目——职业性噪声聋与骨骼肌肉损伤防治关键技术研究(编号:2014BAI12B03); |
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Analysis of the influence of social psychological factors on WMSDs in the medical staff of obstetrics and gynecology |
CUI Ya, YUAN Zhi⁃wei, XV Xiang⁃rong, CAO Yang, LI Zhi⁃min, HE Li⁃hua, REN Li⁃rong,ZHANG Quan⁃fu, WU Xiao⁃xia, TANG Li⁃xia, SU Fang⁃ming, JIANG Yan⁃hua
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Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen 518001, China
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Abstract: Objective To analyse the influence of social psychological factors on work⁃related musculoskeletal disorders (WMSDs) of the medical staff of obstetrics and gynecology and reduce the load to improve the staff health. Methods Research on the 679 people of the medical staff of obstetrics and gynecology in the hospitals, mainly including gynecologists, obstetricians and midwives. We used the Musculoskeletal Questionnaire developed by our study group to investigate the status of WMSDs and then analysed the possible risk factors by binary Logistic regression. Results There are three risk factors which affect the WMSDs of the medical staff of obstetrics and gynecology: feeling bad health (OR = 11.063, 95%CI = 2.680 ~ 45.666, P =0.001), thinking try their best to finish their work (OR =2.762, 95%CI =1.285~5.935, P =0.009) and single work posture(OR =1.862, 95%CI =1.174~2.953, P =0.0080). Conclusion There is a certain degree on which social psychological factors affect the WMSDs of the medical staff of obstetrics and gynecology. We might need to find some effective measures to improve the staff occupational health. |
Keywords: medical staff of obstetrics and gynecology work⁃related musculoskeletal disorders (WMSDs) social psychological factors |