Tezel Ayfer
Health College of Erzurum, Ataturk University, Turkey.
Int J Neurosci. 2005 Jun;115(6):871-80. doi: 10.1080/00207450590897941.
The aim of the present study was to describe the prevalence and distribution of symptoms of musculoskeletal complaints among Turkish nurses who are practicing general nursing. The study population consisted of 120 nursing staff from four large general hospitals in Erzurum, Turkey. In every hospital six departments (surgery, medical, obstetric and gynecology, psychiatry, pediatric, and neurology) were selected. A Nordic standardized questionnaire described by Kuorinka et al. (1987) about complaints of the musculoskeletal system and a self-administered questionnaire involved information on the respondent's job and employment history, individual characteristics, physical and psychosocial risk factors at work, and general health status, were used by the researchers. Test data were analyzed for the difference between two population proportion and percentage. In the total population, 90% of all nurses reported at least one musculoskeletal complaint, 60% reported at least two, and 36% reported spells of three complaints in the past 6 months. Low back complaints were the most prevalent of musculoskeletal complaints, reported by 69% of the nurses. Neck complaints were less prevalent than shoulder (46% and 54%, respectively). Nurses with back complaint more often reported neck (28%) and shoulder (34%) complaints. Chronic low back, neck, and shoulder complaints were experienced by 41%, 25%, and 33% nurses, respectively. On the other hand, chronic complaints showed a correlation with working departments. The nurses working in surgery and obstetric and gynecology departments have more chronic complaints than the nurses working in other department (p<.05). The article's findings do not differ from those of other countries. Despite its limitations, this study points to the importance of perceived worked-related physical demands in relation to reported neck, shoulder, and back musculoskeletal complaints in Turkish nurses. But, further inquiries are needed to identify other physical exposures that may be related to musculoskeletal complaints.
本研究的目的是描述从事普通护理工作的土耳其护士中肌肉骨骼不适症状的患病率和分布情况。研究对象包括来自土耳其埃尔祖鲁姆市四家大型综合医院的120名护理人员。每家医院选取了六个科室(外科、内科、妇产科、精神病科、儿科和神经科)。研究人员使用了Kuorinka等人(1987年)描述的关于肌肉骨骼系统不适的北欧标准化问卷以及一份自填式问卷,后者涉及受访者的工作和就业史、个人特征、工作中的身体和心理社会风险因素以及总体健康状况。对测试数据进行了两个人口比例和百分比差异的分析。在总人群中,90%的护士报告至少有一处肌肉骨骼不适,60%报告至少有两处,36%报告在过去6个月中有三次不适发作。下背部不适是最常见的肌肉骨骼不适,69%的护士报告有此症状。颈部不适的患病率低于肩部不适(分别为46%和54%)。有下背部不适的护士更常报告颈部(28%)和肩部(34%)不适。分别有41%、25%和33%的护士经历过慢性下背部、颈部和肩部不适。另一方面,慢性不适与工作科室存在相关性。在外科、妇产科工作的护士比在其他科室工作的护士有更多慢性不适(p<0.05)。本文的研究结果与其他国家的研究结果没有差异。尽管存在局限性,但本研究指出了感知到的与工作相关的身体需求对于土耳其护士报告的颈部、肩部和背部肌肉骨骼不适的重要性。但是,需要进一步调查以确定可能与肌肉骨骼不适相关的其他身体暴露因素。