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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 被引量:11

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。 [ Objective ] To understand the prevalence and influencing factors of museuloskeletal 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.
作者 安美静 王吉顺 王荣菊 崔立华 庞淑兰 关维俊 刘英宇 薛玲 AN Mei-jing, WANG Ji-shun, WANG Rong-ju, CUI Li-hua, PANG Shu-lan, GUAN Wei-jun, LIU Hng-yu, XUE Ling (1.Hebei Province Key Laboratory of Occupational Health and Safety for Coal Industry/School of Public Health, North China University of Science and Technology, Tangshan, Hebei 063000, China; 2.North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei 063000, China; 3.Tangshan Gongren Hospital, Tangshan, Hebei 063000, China)
出处 《环境与职业医学》 CSCD 北大核心 2016年第2期152-155,共4页 Journal of Labour Medicine
关键词 肌肉骨骼疾患 护理人员 背部 患病率 唐山 musculoskeletal disorder nurse back prevalence Yangshan
作者简介 安美静(1992-),女,本科生;研究方向:公共卫生与预防医学;E-mail:anmeijing_128@163.com [通信作者]薛玲,E-mail:xuel_heuu@163.com
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