Zhang Danying, Huang Hanlin
Department of Occupational Health and Occupational Medicine, School of Public Health, Southern Medical University.
Department of Physical Factors and Occupational Health, Guangdong Province Hospital for Occupational Disease Prevention and Treatment.
J Occup Health. 2017 Nov 25;59(6):529-541. doi: 10.1539/joh.17-0057-OA. Epub 2017 Sep 13.
The aims of present study were to determine the prevalence of work-related musculoskeletal disorders (WRMSDs) among sonographers in China and to provide evidence for appropriate intervention measures to be taken.
A self-reported questionnaire was used to screen WRMSDs experienced by sonographers during the past 12 months. This questionnaire survey was created and hosted on the WeChat official account platform for sonographers.
In the present study, 567 sonographers from 521 medical institutions completed the questionnaire. The vast majority (99.3%) of respondents reported experiencing symptoms of WRMSDs for at least one body region during the past 12 months. Work-related musculoskeletal pain or discomfort was most frequently reported for the neck (95.1%), right shoulder (84.1%), lower back (82.4%), right wrist/hand (81.0%), upper back (78.1%), right forearm/elbow (72.0%), and left shoulder (66.1%). Scanning hours per day, number of patients per day, and years of experience were positively associated with the occurrence and frequency of experiencing WRMSDs of some common and specific anatomical regions. Taking a regular rest break during the scanning working day was associated with a reduction of WRMSDs of the right shoulder and right wrist/hand. Adopting a sitting posture while performing scanning was associated with a reduction of WRMSDs, particularly for the lower back and the neck. Performing regular physical activity during leisure time was associated with a reduction of WRMSDs of the neck.
The prevalence of WRMSDs among sonographers in China was extremely high. It is necessary and essential to reduce the number of scanning hours and patients per day, adopt a sitting posture while performing scanning, schedule regular rest breaks during the scanning working day, and encourage performance of regular physical activity during leisure time to alleviate this WRMSD issue experienced by sonographers.
本研究旨在确定中国超声检查医师中与工作相关的肌肉骨骼疾病(WRMSDs)的患病率,并为采取适当的干预措施提供依据。
采用自填式问卷筛查超声检查医师在过去12个月内经历的WRMSDs。该问卷调查在超声检查医师的微信公众号平台上创建并进行。
在本研究中,来自521家医疗机构的567名超声检查医师完成了问卷。绝大多数(99.3%)受访者报告在过去12个月内至少有一个身体部位出现WRMSDs症状。与工作相关的肌肉骨骼疼痛或不适最常出现在颈部(95.1%)、右肩(84.1%)、下背部(82.4%)、右手腕/手(81.0%)、上背部(78.1%)、右前臂/肘部(72.0%)和左肩(66.1%)。每天的扫描时间、每天的患者数量和工作年限与一些常见和特定解剖区域WRMSDs的发生和频率呈正相关。在扫描工作日定期休息与右肩和右手腕/手的WRMSDs减少有关。在进行扫描时采用坐姿与WRMSDs的减少有关,特别是对于下背部和颈部。在休闲时间进行定期体育活动与颈部WRMSDs的减少有关。
中国超声检查医师中WRMSDs的患病率极高。减少每天的扫描时间和患者数量、在进行扫描时采用坐姿、在扫描工作日安排定期休息以及鼓励在休闲时间进行定期体育活动对于缓解超声检查医师所经历的这种WRMSD问题是必要且至关重要的。