Arsalani Narges, Fallahi-Khoshknab Masoud, Josephson Malin, Lagerström Monica
Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden. Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Int J Occup Saf Ergon. 2014;20(4):671-80. doi: 10.1080/10803548.2014.11077073.
This study investigated the prevalence of musculoskeletal disorders (MSDs) and associations with organizational, physical and psychosocial working conditions among 520 nursing personnel in Tehran, Iran. The results of the cross-sectional study on aids and different educational levels of nurses showed that the participants experienced 88% of MSDs in at least one body region during the past 12 months. The 3 most prevalent body regions were the low back (65.3%), knee (56.2%) and neck (49.8%). The participants reported inflexible work schedule, poor quality of devices for transferring patients, overexertion and job dissatisfaction. Physical and psychosocial exposure revealed an elevated odds ratio (95% confidence interval) of MSDs. The results showed a combination of high physical and psychosocial work demands along with low control over the work which increased work-related stress and enhanced the risk of MSDs. This study findings could help to understand work-related MSDs among nursing personnel in a developing country where the work situation and sociocultural context differ from other countries.
本研究调查了伊朗德黑兰520名护理人员肌肉骨骼疾病（MSD）的患病率及其与组织、身体和社会心理工作条件的关联。这项针对护士助手及不同教育水平的横断面研究结果显示，在过去12个月中，参与者至少在一个身体部位经历过88%的肌肉骨骼疾病。3个最常出现问题的身体部位是下背部（65.3%）、膝盖（56.2%）和颈部（49.8%）。参与者报告了工作时间表不灵活、转运患者的设备质量差、过度劳累和工作不满意等情况。身体和社会心理暴露显示肌肉骨骼疾病的优势比（95%置信区间）有所升高。结果表明，高身体和社会心理工作需求与对工作的低控制相结合，增加了与工作相关的压力，并提高了患肌肉骨骼疾病的风险。本研究结果有助于了解一个工作情况和社会文化背景与其他国家不同的发展中国家护理人员中与工作相关的肌肉骨骼疾病。
