新疆9所三级综合医院护理人员职业性肌肉骨骼疾患现状及影响因素研究

发布时间：2018-04-30 01:32

本文选题：护理人员 + 职业性肌肉骨骼疾患　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:1.了解新疆9所三级综合医院护理人员职业性肌肉骨骼疾患(OMD)的流行病学特征。2.了解职业性肌肉骨骼疾患(OMD)对护理人员工作和生活的影响程度。3.探讨新疆地区三级综合医院护理人员职业性肌肉骨骼疾患(OMD)的影响因素。方法:采用分层随机整群抽样的方法,随机抽取南疆和北疆地区9所三级综合医院2573名临床护理人员作为研究对象,进行问卷调查,内容包括:1.护理人员基本情况调查表;2.标准化北欧国家肌肉骨骼系统症状分析量表(Nordic量表)评价职业性肌肉骨骼疾患(OMD)发生或不适情况;3.工作能力指数(WAI)量表评价护理人员工作能力情况;4.护理人员职业性肌肉骨骼疾患影响因素调查表分析OMD的影响因素。结果:1.OMD患病情况:(1)护理人员OMD曾患病率、年患病率和周患病率分别为80.45%、78.74%和38.32%;(2)以年患病率为例,其中腰部患病率最高,为65.33%,其次为颈(60.90%)、肩(48.85%)、背(38.44%)、膝(32.37%)、踝足(28.33%)、手腕(19.63%)、髋臀(18.19%)和肘部(10.34%);(3)职业性肌肉骨骼疾患(OMD)在不同年龄和工龄段年患病率的差异均具有统计学意义(P0.05);(4)重症急诊科室护理人员OMD患病率最高(88.77%),其次为手术麻醉科、外科和供应室。2.职业性肌肉骨骼疾患(OMD)对护理人员工作和生活的影响程度:(1)近一年内,发生职业性肌肉骨骼疾患(OMD)的2026名护理人员中,缺勤占15.89%;(2)28.97%的护理人员因职业性肌肉骨骼疾患(OMD)到医疗机构就诊;(3)因职业性肌肉骨骼疾患(OMD)对工作产生影响的占83.96%。3.护理人员OMD影响因素分析结果:(1)单因素Logistic分析:年龄、工龄、文化程度、职称、能级、婚姻状况、生育状况、编制、BMI、既往病史、每天弯腰累计工作时间、每小时弯腰工作次数、每天坐姿累计工作时间、每天低头累计工作时间、每天搬动病人次数、搬举最大重量、科室、工间休息、工间休息累计时间、工间休息次数、每月加班次数、每天工作时间、轮晚夜班、工作劳累度、工作紧张度、工作满意度、工作舒适度、身体锻炼、家务劳动和WAI分级共30个因素为OMD的影响因素(2)非条件逐步Logistic回归分析:工龄、职称、BMI、文化程度、婚姻状况、有既往病史、每天弯腰累计工作时间、搬动重物重量、科室、工作间歇次数、轮晚夜班、工作紧张、身体锻炼和WAI分级共14个因素为OMD的影响因素。结论:1.新疆9所三级综合医院护理人员职业性肌肉骨骼疾患(OMD)较严重;腰、颈、肩和背部为好发部位;年龄越大、工龄越长职业性肌肉骨骼疾患(OMD)发生可能性越大;重症急诊科和手术麻醉科是护理人员职业性肌肉骨骼疾患(OMD)的高发科室。2.职业性肌肉骨骼疾患(OMD)对护理人员的工作和生活产生严重影响,但未引起护理人员的重视,就医率低。3.职业性肌肉骨骼疾患的发生是多种因素共同作用的结果,建议医院管理者可以从增加科室人员配备、合理排班、纠正劳动姿势、减轻劳动负荷、改善工作环境等措施出发,护理人员自身注重加强体育锻炼、保持良好的心态等从而达到预防OMD发生的结果。
[Abstract]:Objective: 1. to understand the epidemiological characteristics of professional musculoskeletal disorders (OMD) of nurses in 9 grade three general hospitals in Xinjiang..2. understand the impact of occupational musculoskeletal disease (OMD) on the work and life of nursing staff.3. to explore the influencing factors of occupational musculoskeletal disorders (OMD) of nurses in the three level general hospitals. The method of stratified random cluster sampling was used to randomly select 2573 clinical nurses from 9 three level hospitals in southern Xinjiang and Northern Xinjiang as research subjects. The contents included: 1. basic situation questionnaire of nursing staff and 2. standardized Nordic national musculoskeletal system symptom analysis scale (Nordic scale) to evaluate the occupational muscle. Meoskeletoskeletal disease (OMD) occurred or discomfort; 3. the work ability index (WAI) scale evaluated the working ability of nursing staff; 4. the influencing factors of occupational musculoskeletal disorders influencing factors of OMD were analyzed. Results: (1) the incidence of OMD in the nursing staff was 80.45%, and the annual prevalence rate and weekly prevalence rate were 80.45%, 78. respectively. 74% and 38.32%; (2) taking the annual prevalence rate as an example, of which the prevalence rate of the waist was the highest, 65.33%, followed by neck (60.90%), shoulder (48.85%), back (38.44%), knee (32.37%), ankle foot (28.33%), wrist (19.63%), hip hip (18.19%) and elbow (10.34%), and (3) occupational musculoskeletal disease (OMD) had statistical differences at different age and working age. (4) (4) the prevalence of OMD was the highest in the critical emergency department (88.77%), followed by the surgical department of anesthesia, and the impact of.2. occupational musculoskeletal disease (OMD) on the work and life of the nurses in the surgery and supply rooms: (1) in the last year, among the 2026 nurses of occupational musculoskeletal disease (OMD), 15.89% were absent; (2) 28.97 % of the nurses were treated for professional musculoskeletal disease (OMD) to medical institutions; (3) the impact of occupational musculoskeletal disease (OMD) on the work of 83.96%.3. nursing staff OMD factors analysis results: (1) single factor Logistic analysis: age, age, education, professional title, level, marital status, reproductive status, compilation, BMI, past Medical history, bending down the working hours every day, stooping times per hour, working hours per day, accumulative working hours per day, working hours per day, moving the number of patients every day, lifting the maximum weight of the patients, the Department, the rest of the workers, the time for the rest of the workers, the number of work rest, the working hours a month, the night shift, work tired. Degree, job stress, job satisfaction, work comfort, physical exercise, housework and WAI classification were 30 factors (2) unconditional stepwise Logistic regression analysis: work age, title, BMI, education, marital status, past medical history, cumulative working time, moving weight, Department, and work interval, every day. 14 factors such as late night shift, work stress, physical exercise and WAI classification are OMD factors. Conclusion: 1. occupational musculoskeletal disorders (OMD) of nursing staff in 9 grade three general hospitals in Xinjiang are more serious; the greater the waist, neck, shoulder and back are, the greater the age and the longer the working age, the more likely the occupational musculoskeletal disease (OMD) is to occur; the more severe the age is, the more severe the occurrence of the occupational musculoskeletal disease (OMD); The emergency department and the surgical department of anesthesia are the high incidence of OMD..2. occupational musculoskeletal disease (OMD) has a serious impact on the work and life of the nursing staff, but it does not arouse the attention of the nurses. The occurrence of the low medical rate of occupational muscle bone disease with low medical rate is the result of a variety of factors. It is suggested that the administrators of the hospital can start from the measures of increasing the staffing of the Department, rationally scheduling, correcting the working posture, reducing the labor load and improving the working environment. The nursing staff should pay more attention to the physical exercise and maintain a good mental attitude so as to prevent the results of the OMD.

【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

【参考文献】