Park Myung-Sook, Yu Mi, Yu Su-Jeong, Kang Kyung-Ja, Seo Hyun-Mi
Department of Nursing, Konkook University, Chungju, South Korea.
Jpn J Nurs Sci. 2014 Jul;11(3):211-22. doi: 10.1111/jjns.12023. Epub 2014 Jan 9.
The purpose of this study was to investigate the degree and influencing factors of musculoskeletal disease symptoms among care workers in long-term care facilities in South Korea.
Participants in this cross-sectional study were 265 care workers in 15 long-term care facilities. Data were collected between 1 and 27 August 2011, using the Korea Occupational Safety and Health Agency (KOSHA) code H-30-2003 and analyzed using logistic regression with SPSS ver. 18.0.
Of the care workers, 88.7% had pain in at least one of the six body parts. The highest prevalence of musculoskeletal disease symptoms was in the lower back and legs. Among the organizational factors, there were significant differences in neck pain by work shift and patient grade. Neck pain was more severe in the 8 h shift group than 12-24 h shift group. Care workers caring for patients who were classified in the first patient grade of long-term care insurance had 4.73 times more complaints of musculoskeletal symptoms in the neck, 9.54 times (95% confidence interval [CI] = 3.37-27.02) in the hand and wrist, 4.37 times (95% CI = 1.59-12.03) in the lower back, and 2.96 times (95% CI: 1.17-7.51) in the leg and foot.
To prevent and manage musculoskeletal disease symptoms, activities and the intensity of work should be arranged systematically and planned, and the improvement of organizational factors such as appropriate assignment by patients' severity is considered.
本研究旨在调查韩国长期护理机构护理人员肌肉骨骼疾病症状的程度及影响因素。
本横断面研究的参与者为15家长期护理机构的265名护理人员。2011年8月1日至27日期间,使用韩国职业安全与健康局(KOSHA)代码H-30-2003收集数据,并使用SPSS 18.0版进行逻辑回归分析。
在护理人员中,88.7%的人在六个身体部位中的至少一个部位有疼痛。肌肉骨骼疾病症状的最高患病率出现在下背部和腿部。在组织因素中,工作班次和患者等级在颈部疼痛方面存在显著差异。8小时轮班组的颈部疼痛比12 - 24小时轮班组更严重。照顾长期护理保险一级患者的护理人员颈部肌肉骨骼症状的投诉次数多出4.73倍,手部和腕部多出9.54倍(95%置信区间[CI]=3.37 - 27.02),下背部多出4.37倍(95% CI = 1.59 - 12.03),腿部和脚部多出2.96倍(95% CI:1.17 - 7.51)。
为预防和管理肌肉骨骼疾病症状,应系统地安排工作活动和强度,并进行规划,同时考虑改善组织因素,如根据患者严重程度进行适当分配。