Gunnarsdottir Holmfridur K, Rafnsdottir Gudbjoerg L, Helgadottir Berglind, Tomasson Kristinn
Department of Research and Occupational Health, Administration of Occupational Health, Iceland.
Am J Ind Med. 2003 Dec;44(6):679-84. doi: 10.1002/ajim.10279.
Nursing is a stressful, physically demanding occupation and a rush setting for musculoskeletal problems. The aim of this study is to explore the extent of the association between psychosocial work characteristics and musculoskeletal symptoms among women working in geriatric care.
The participants were female employees of all geriatric nursing homes and geriatric hospital wards in Iceland having a staff of 10 or more. A total of 1,886 questionnaires were distributed. The response rate was 80%.
Finding the job mentally difficult, mental exhaustion after one's shift, dissatisfaction with supervisors or the flow of information, insufficient influence at work, dissatisfaction with the hierarchy, intense time pressure, lack of solidarity, dissatisfaction with the job, harassment, violence or threats at work; all of the aforementioned gave crude odds ratios (OR) two or above for one or more musculoskeletal symptoms. Mental exhaustion and harassment, violence, and threats were the factors connected with symptoms from all the body regions studied.
The extent of the association of work-related psychosocial factors and musculoskeletal symptoms among the geriatric female nursing staff is substantial and needs to be taken into account by occupational health services and others involved in preventive work. Am. J. Ind. Med. 44:679-684, 2003.
护理工作压力大，对体力要求高，是导致肌肉骨骼问题的高发职业。本研究旨在探讨老年护理工作中女性员工的心理社会工作特征与肌肉骨骼症状之间的关联程度。
研究对象为冰岛所有员工人数在10人及以上的老年护理院和老年医院病房的女性员工。共发放问卷1886份，回复率为80%。
认为工作在精神上困难、轮班后精神疲惫、对上级或信息流通不满意、工作中影响力不足、对层级不满意、时间压力大、缺乏团结、对工作不满意、遭受骚扰、工作中的暴力或威胁；上述所有情况对于一种或多种肌肉骨骼症状的粗略比值比（OR）均在2或以上。精神疲惫以及骚扰、暴力和威胁是与所研究的身体所有部位症状相关的因素。
老年女性护理人员中与工作相关的心理社会因素和肌肉骨骼症状之间的关联程度很大，职业健康服务机构及其他从事预防工作的相关方需要予以考虑。《美国工业医学杂志》2003年第44卷，第679 - 684页。
