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医护人员感知的工作需求与手术室护士肌肉骨骼失调:来自设拉子市医院的报告

Perceived demands and musculoskeletal disorders in operating room nurses of Shiraz city hospitals.

机构信息

Occupational Health Department, Research Center for Health Sciences, School of Health and Nutrition, Shiraz University of Medical Sciences, P.O. Box 71645-111 Shiraz, Iran.

出版信息

Ind Health. 2010;48(1):74-84. doi: 10.2486/indhealth.48.74.

DOI:10.2486/indhealth.48.74
PMID:20160411
Abstract

Excessive demands on Operation Room (OR) nurses may result in high rates of Musculoskeletal Disorders (MSDs). This study was conducted among Shiraz city hospital OR nurses to determine the prevalence of MSDs and to examine the relationship between perceived demands and reported MSDs. In this cross-sectional study, 375 OR nurses participated (response rate: 80%). The Nordic Musculoskeletal Disorders Questionnaire and the Job Content Questionnaire were used as collecting data tools. Lower back symptoms were found to be the most prevalent problem in the OR nurses studied with a past year prevalence of 60.6%. Perceived physical demands were significantly associated with musculoskeletal symptoms (odds ratio ranged from 2.04 to 7.24). Manual material handling (MMH) activities were most frequently associated with reported symptoms. Association was also found between perceived psychological demands and reported symptoms (odds ratio>1.68). Based on the findings of this study, it could be concluded that operation room was not only a physically but also psychologically demanding environment. Any interventional program for preventing or reducing MSDs among OR nurses had to focus on reducing physical demands, particularly excessive MMH demands as well as considering psychological aspect of working environment.

摘要

手术室护士的工作负荷过高可能导致肌肉骨骼疾病(MSD)的高发率。本研究旨在调查设拉子市医院手术室护士的 MSD 患病率,并探讨感知到的工作需求与报告 MSD 之间的关系。在这项横断面研究中,共有 375 名手术室护士参与(应答率:80%)。使用北欧肌肉骨骼疾病问卷和工作内容问卷作为收集数据的工具。研究发现,手术室护士最常见的问题是下背部症状,过去一年的患病率为 60.6%。感知到的身体需求与肌肉骨骼症状显著相关(比值比范围为 2.04 至 7.24)。手动搬运物料(MMH)活动与报告的症状最相关。感知到的心理需求与报告的症状之间也存在关联(比值比>1.68)。根据这项研究的结果,可以得出结论,手术室不仅是一个体力劳动强度大的环境,也是一个心理压力大的环境。任何预防或减少手术室护士 MSD 的干预计划都必须注重减少身体需求,特别是过度的 MMH 需求,并考虑工作环境的心理方面。

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