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中国医院护士的肌肉骨骼疾病主诉与社会心理风险因素

Musculoskeletal complaints and psychosocial risk factors among Chinese hospital nurses.

作者信息

Smith Derek R, Wei Ning, Zhao Li, Wang Rui-Sheng

机构信息

Department of Hazard Assessment, National Institute of Industrial Health, Kawasaki, Japan.

出版信息

Occup Med (Lond). 2004 Dec;54(8):579-82. doi: 10.1093/occmed/kqh117.

Abstract

BACKGROUND

Musculoskeletal complaints represent a common occupational problem for health care workers throughout the world. Despite their sizeable numbers, however, few epidemiological studies have investigated musculoskeletal complaints among Chinese hospital nurses. Objective To assess the prevalence of, and risk factors for, musculoskeletal complaints among hospital nurses in mainland China.

METHODS

A total of 282 female, registered nurses were surveyed (92% response rate) using a modified Chinese-language version of the Standardized Nordic Questionnaire. Body sites were divided into the neck, shoulder, upper back and lower back regions.

RESULTS

The 12 month period-prevalence of musculoskeletal complaints at any of the four regions was 70%. The lower back was the most commonly reported body site (56%), followed by the neck (45%), shoulder (40%) and upper back (37%). High mental pressure, boring or tedious tasks and limited work support were identified as significant risk factors (adjusted odds ratios: 1.79-2.52). No correlations were found between manual handling or perceived physical exertion and increased reporting of musculoskeletal complaints.

CONCLUSION

This study has shown that musculoskeletal complaints are prevalent among Chinese hospital nurses. The correlation with various psychosocial factors is also consistent with evidence from other countries.

摘要

背景

肌肉骨骼问题是全球医护人员常见的职业问题。然而,尽管医护人员数量众多,但很少有流行病学研究调查中国医院护士的肌肉骨骼问题。目的评估中国大陆医院护士肌肉骨骼问题的患病率及其危险因素。

方法

采用改良中文版标准化北欧问卷对282名女性注册护士进行调查(应答率为92%)。身体部位分为颈部、肩部、上背部和下背部区域。

结果

四个区域中任何一个区域的肌肉骨骼问题12个月期间患病率为70%。下背部是最常报告的身体部位(56%),其次是颈部(45%)、肩部(40%)和上背部(37%)。高精神压力、枯燥或乏味的任务以及有限的工作支持被确定为显著危险因素(调整比值比:1.79 - 2.52)。未发现体力处理或感知到的体力消耗与肌肉骨骼问题报告增加之间存在相关性。

结论

本研究表明,中国医院护士中肌肉骨骼问题普遍存在。与各种社会心理因素的相关性也与其他国家的证据一致。

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