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中国妇产科医务人员的工作相关肌肉骨骼疾病及其危险因素

Work-Related Musculoskeletal Disorders and Risk Factors among Chinese Medical Staff of Obstetrics and Gynecology.

作者信息

Wang Jingjing, Cui Ya, He Lihua, Xu Xiangrong, Yuan Zhiwei, Jin Xianning, Li Zhimin

机构信息

Department of Occupational and Environmental Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China.

Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen 518020, China.

出版信息

Int J Environ Res Public Health. 2017 May 26;14(6):562. doi: 10.3390/ijerph14060562.

Abstract

Medical staff in the department of obstetrics and gynecology are a group of professionals reportedly at high risk of work-related musculoskeletal disorders (WMSD), however, little is known about the current status of this problem in China. The aim of this study was to investigate prevalence and risk factors of work-related musculoskeletal disorders among this population in China. A self-developed questionnaire was distributed to 1017 obstetrics and gynecology practitioners to collect information on musculoskeletal symptoms and relevant factors. Prevalence and severity of work-related musculoskeletal disorders in different parts of the body were calculated and the relationship between personal and ergonomic factors and work-related musculoskeletal disorders was analyzed using Chi-square test and unconditional logistic regression models. The results indicated a high prevalence of 85.5% among the subjects, with the shoulder ( = 575, 62.0%), neck ( = 560, 60.3%) and lower back ( = 504, 54.3%) being the three most affected regions. Individual, postural, work-environmental as well as psychosocial factors were recognized to be associated with WMSDs in different body parts. Therefore, attention must be given to the problem of musculoskeletal disorders among Chinese obstetrics and gynecology staff. It is recommended to develop good life habits, improve work environment, adjust work organization as well as train on proper postures in their daily operation.

摘要

据报道,妇产科医护人员是一组与工作相关的肌肉骨骼疾病(WMSD)高风险的专业人员,然而,中国这一问题的现状鲜为人知。本研究的目的是调查中国该人群中与工作相关的肌肉骨骼疾病的患病率和危险因素。向1017名妇产科从业者发放了一份自行编制的问卷,以收集有关肌肉骨骼症状和相关因素的信息。计算身体不同部位与工作相关的肌肉骨骼疾病的患病率和严重程度,并使用卡方检验和无条件逻辑回归模型分析个人因素、工效学因素与工作相关的肌肉骨骼疾病之间的关系。结果显示,受试者的患病率高达85.5%,其中肩部(n = 575,62.0%)、颈部(n = 560,60.3%)和下背部(n = 504,54.3%)是受影响最严重的三个部位。个人、姿势、工作环境以及社会心理因素被认为与不同身体部位的WMSD相关。因此,必须关注中国妇产科医护人员的肌肉骨骼疾病问题。建议养成良好的生活习惯,改善工作环境,调整工作安排,并在日常操作中进行正确姿势的培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac4e/5486248/6e86e862bd76/ijerph-14-00562-g001.jpg

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