摘 要: 探讨大型医院护理工作人员肩颈肌肉骨骼疾患患病情况及影响因素。方法 对某三甲医院护理工作人员的肩颈肌肉骨骼疾患的患病情况、一般人口学信息、工作背景、工作负荷及工作感受等进行横断面调查,运用非条件Logistic回归分析对护理人员肩颈肌肉骨骼疾患的影响因素进行分析。结果 在784名调查对象中,有608名护理人员患有肩颈肌肉骨骼疾患,患病率为77.6%,主要为酸痛的症状。多因素Logistic回归分析结果显示,重复同一动作次数/时(OR=1.827,OR 95%CI 1.290~2.586)、工作疲劳感(OR=1.749,OR 95%CI 1.286~2.379)、已育子女(OR=1.596,OR 95%CI 1.115~2.284)、乘公交车上班(OR=1.543,OR 95%CI 1.073~2.221)、工作待遇(OR=1.506,OR 95%CI 1.061~2.137)为护理人员肩颈肌肉骨骼疾患的的危险因素;体育锻炼频度(OR=0.781,OR 95%CI 0.617~0.988)是护理工作人员肩颈肌肉骨骼疾患的保护因素。结论 医院护理人员肩颈肌肉骨骼疾患的患病率较高;因此,医院应考量护理人员的生理及心理特点,制定更为合理的工作制度,并提供护理人员健身和锻炼的设施和场地,以促进护理人员的身心健康,提高工作效率。 |
关键词: 肩颈部 肌肉骨骼疾患 护理人员 影响因素 |
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Survey of shoulder neck musculoskeletal disorders and their influencing factors among paramedics |
HAO Xiao-wei*, WANG Ji-shun, LIU Yang,LI Zheng-yao, CHEN Li-juan,WANG Rui-gang, WU Jian-hui, XUE Ling
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Zunhua Municipal People’s Hospital ,Zuhua 064200, China
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Abstract: To explore the prevalence of shoulder and neck musculoskeletal disorders in paramedics of major hospital and their influencing factors. Methods A cross-sectional survey was performed at a certain third-grade class-A hospital, the informations including prevalence of shoulder and neck musculoskeletal disorders, general demographic information, work background, work load, work feeling, etc. of the paramedics were obtained, and the influencing factors of the musculoskeletal disorders were also analyzed with unconditional logistic regression. Results The results showed that among 784 respondents, 608 had shoulder and neck musculoskeletal disorders, the main symptom was soreness of shoulder or neck, the incidence rate was 77.6%. The logistic regression analysis suggested that the number of repeat same actions/hour (OR=1.827,OR 95%CI:1.290~2.586), work fatigue (OR=1.749,OR 95%CI:1.286~2.379), child bearing (OR=1.596,OR 95%CI:1.115~2.284), go to work by public transport (OR=1.543,OR 95%CI:1.073~2.221) and working conditions (OR=1.506,OR 95%CI:1.061~2.137) were the risk factors of influencing shoulder and neck musculoskeletal disorders of nursing staff. While physical exercise frequency (OR=0.781,OR 95%CI:0.617~0.988) was the protective factor. Conclusions The incidence rate of shoulder and neck musculoskeletal disorders in paramedics of major hospital was quite high. Therefore,it is necessary that hospital should fully consider the physiological and psychological characteristics of paramedics, developing a more reasonable working system, and providing fitness and exercise facilities and venues, thereby promoting the physical and mental health of paramedics, improve their work efficiency. |
Keywords: shoulder/neck musculoskeletal disorders paramedics influencing factors |