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

发布时间：2017-12-31 21:14

本文关键词：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　出处：《环境与职业医学》2016年02期 　论文类型：期刊论文

【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 investigate the prevalence of back musculoskeletal diseases in nursing population of a third class hospital in Tangshan City, and to explore its influencing factors. [Methods: according to the questionnaire of musculoskeletal diseases, 784 nurses in a third class hospital in Tangshan City were investigated by cluster sampling from 2013 to December. The survey indicators mainly included symptoms and frequency of occurrence, the effect on the body, whether the subjective illness was related to work, age, working and rest hours, workload, work experience, etc. T test and chi-square test were used. Non-parametric test, non-conditional logistic regression analysis and other methods for statistical analysis. [Results: the prevalence rate of back musculoskeletal diseases in nursing staff was 45.7, and the symptoms were mainly pain and soreness, and half of them had symptoms almost every day. 80.4% of the staff thought their health was affected. The nurses' back musculoskeletal disease and age were 1.02695 CI: 1.002and 1.051). After work, I felt tired and tired. I got 1.2441.244 and 1.844, and my job satisfaction was 2.154. 95 I will repeat the same movements every hour at 1.534 and 3.026, and I will repeat the same action every hour with 1.042% CI: 1.016 / 1.067). There was a positive correlation between the number of patients in Rizhao and the number of patients (CI: 1.01010 / 1.039), which was positively correlated with the number of days of rest per month (0.911). There was a negative correlation between 95 CI: 0. 858 and 0. 966. [Conclusion: the prevalence of back musculoskeletal diseases in the nursing staff of the third Class A Hospital is high, which may be related to the physical physiological changes caused by high labor load, less relaxation time and higher age.
【作者单位】：华北理工大学公共卫生学院河北省煤矿卫生安全实验室;华北理工大学附属医院;唐山市工人医院;
【分类号】：R47
【正文快照】： 肌肉骨骼疾患是以骨关节和肌肉系统的疼痛和活动受限为主要临床表现的一组疾病[1]。工作相关肌肉骨骼疾患(work-related musculoskeletal disorders,WMSDs)是以职业危险因素造成或加重的肌肉、骨骼、关节或循环系统的不适、损伤或者持续疼痛[2];最常累及颈、肩、上肢、下肢、

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