三级甲等医院护理人员职业性肌肉骨骼疾病损伤及其防护知识、态度、行为现状

发布时间：2018-02-28 07:37

本文关键词： 职业性肌肉骨骼疾病护理人员防护知识防护态度防护行为　出处：《护理研究》2017年03期 　论文类型：期刊论文

【摘要】：[目的]了解三级甲等医院护理人员职业性肌肉骨骼疾病损伤现状以及防护知识、态度、行为情况,为护理人员职业性肌肉骨骼疾病的防治提供科学的理论依据。[方法]采用分层整群抽样的方法,从乌鲁木齐市三级甲等医院中随机抽取2所综合医院和2所专科医院的1 342名护理人员,应用护理人员职业性肌肉骨骼疾病症状自评量表和自行设计的护理人员职业性肌肉骨骼疾病防护相关知识、态度、行为和组织支持调查问卷对1 342名护理人员进行调查。[结果]自参加护理工作至今,护理人员职业性肌肉骨骼疾病的患病率为87.93%,不同身体部位患病率由高到低分别为腰部(74.74%)、颈部(70.64%)、肩部(61.55%)、背部(51.04%)、膝部(41.88%)、踝足部(37.41%)、手腕部(26.53%)、髋臀部(26.53%)和肘部(18.55%);护理人员防护知识总分为(38.41±13.33)分,防护态度总分为(31.84±6.27)分,防护行为总分为(43.45±9.68)分。护理人员职业性肌肉骨骼疾病防护知识主要来源于书本、杂志和报纸,占42.92%,20.42%的护理人员从未接触过职业性肌肉骨骼疾病防护相关知识。90.24%的医院或科室无职业性肌肉骨骼疾病防护的体检制度,11.69%有协助病人搬运或移动的机械装置,15.35%的医院或科室组织过职业性肌肉骨骼疾病防护技能的岗前或在岗培训。[结论]三级甲等医院护理人员职业性肌肉骨骼疾病患病率高,主要以腰部、颈部、肩部和背部患病为主,但护理人员缺乏职业性肌肉骨骼疾病的防护知识,防护行为不足,且医院及科室支持不足,建议医院相关部门及护理管理者加强对护理人员职业性肌肉骨骼疾病防护知识的培训,引导护理人员形成正确的防护行为,促进其职业健康。
[Abstract]:[objective] to understand the present situation of occupational musculoskeletal disease injury and the knowledge, attitude and behavior of nurses in Grade 3A Hospital. To provide a scientific theoretical basis for the prevention and treatment of occupational musculoskeletal diseases among nurses. [methods] stratified cluster sampling was used. A total of 1 342 nurses from 2 general hospitals and 2 specialized hospitals were randomly selected from Grade 3A Hospital in Urumqi. Using the symptom Checklist of Occupational Musculoskeletal Diseases of Nurses and the knowledge and attitude of Nursing staff on the Prevention of Occupational Musculoskeletal Diseases, The Behavioral and organizational support questionnaire surveyed 1,342 nursing staff. [results] from the time of participation in nursing work, The prevalence rate of occupational musculoskeletal diseases among nurses was 87.93.The prevalence of musculoskeletal diseases in different parts of the body was 74.74 in the waist, 70.64 in the neck, 61.5545 in the shoulder, 51.04 in the back, 41.88 in the knee, 37.41 in the ankle and foot, 26.53 in the wrist, 26.53 in the hip and 26.53 in the hip, and 18.5555 in the elbow. The total score of protective knowledge was 38.41 卤13.33). The total score of protective attitude was 31.84 卤6.27, and the total score of protective behavior was 43.45 卤9.68. The nurses' knowledge of occupational musculoskeletal diseases mainly came from books, magazines and newspapers. Accounting for 42.92% of nurses have never come into contact with the knowledge of occupational musculoskeletal diseases. 90.24% of hospitals or departments have no medical examination system for occupational musculoskeletal diseases. 11.69% have mechanical devices to assist patients in handling or moving. 15.35% of doctors have medical equipment to assist patients in handling or moving occupational musculoskeletal diseases. The nursing staff of Grade 3A Hospital had a high prevalence rate of occupational musculoskeletal disease, and trained them in the post or on the job in order to protect themselves from occupational musculoskeletal diseases. [conclusion] the prevalence of occupational musculoskeletal diseases in nurses of Grade 3A Hospital was high. The main diseases were waist, neck, shoulder and back, but the nursing staff lacked the knowledge of occupational musculoskeletal disease, the protective behavior was insufficient, and the hospital and the department had insufficient support. It is suggested that hospital departments and nursing administrators should strengthen the training of nurses' knowledge of occupational musculoskeletal diseases, guide nurses to form correct protective behaviors and promote their occupational health.
【作者单位】：新疆医科大学护理学院;新疆医科大学第一附属医院;
【基金】：新疆维吾尔自治区科学技术厅自然科学基金项目,编号:2015211C075
【分类号】：R47

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