Smith Derek Richard, Sato Mitsuko, Miyajima Taeko, Mizutani Takashi, Yamagata Zentaro
Department of Health Sciences, Faculty of Medicine, University of Yamanashi, Tamaho, Yamanashi 409-3898, Japan.
Int J Nurs Stud. 2003 Sep;40(7):725-9. doi: 10.1016/s0020-7489(03)00012-9.
We conducted an epidemiological investigation of musculoskeletal disorders (MSD) among a complete cohort of 222 female nursing students in Yamanashi prefecture, central Japan. This study involved a retrospective analysis of data gathered by means of a self-reported, anonymous questionnaire. Symptom descriptions and evaluation criteria were drawn from previously validated studies. Slightly more than one-third of all nursing students (36.9%) reported a current MSD at some body site. By location, shoulder MSD was the most common condition; affecting 14.9% of them. This was followed by MSD of the lower back (13.5%), neck (9.5%), knee (5.0%), forearm (2.7%), legs (2.3%) and feet (1.8%). Headache was also reported by 4.5%. There were no statistically significant differences between MSD prevalence and year of study in the nursing course (P for trend=0.9534). However, previous hospital work was found to increase the risk of shoulder MSD by a factor of 4.4 (OR 4.4, 95%CI 1.3-13.3, P=0.0107) among the students within this study. Overall, our investigation showed that MSD was less common among a Japanese cohort than in previous reports of nursing students and working nurses.
我们对日本中部山梨县222名全体女性护理专业学生进行了肌肉骨骼疾病（MSD）的流行病学调查。本研究涉及对通过自我报告的匿名问卷收集的数据进行回顾性分析。症状描述和评估标准取自先前经验证的研究。略超过三分之一的护理专业学生（36.9%）报告目前在身体某些部位患有MSD。按部位来看，肩部MSD是最常见的病症，14.9%的学生受其影响。其次是下背部MSD（13.5%）、颈部MSD（9.5%）、膝盖MSD（5.0%）、前臂MSD（2.7%）、腿部MSD（2.3%）和足部MSD（1.8%）。4.5%的学生还报告有头痛症状。在护理课程中，MSD患病率与学习年份之间无统计学显著差异（趋势检验P值 = 0.9534）。然而，在本研究的学生中，发现既往医院工作会使肩部MSD风险增加4.4倍（比值比4.4，95%置信区间1.3 - 13.3，P = 0.0107）。总体而言，我们的调查表明，日本这一队列中的MSD比先前护理专业学生和在职护士的报告更为少见。
