Yan Ping, Yang Yi, Zhang Li, Li Fuye, Huang Amei, Wang Yanan, Dai Yali, Yao Hua
College of Nursing, Xinjiang Medical University Nursing Department Department of ICU, The First Affiliated Hospital of Xinjiang Medical University College of Public Health, Xinjiang Medical University Institute of Clinical Research, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Medicine (Baltimore). 2018 Mar;97(9):e0026. doi: 10.1097/MD.0000000000010026.
We aim to analyze the correlated influential factors between work-related musculoskeletal disorders (WMSDs) and nursing practice environment and quality of life and social support.From January 2015 to October 2015, cluster sampling was performed on the nurses from 12 hospitals in the 6 areas in Xinjiang. The questionnaires including the modified Nordic Musculoskeletal Questionnaire, Practice Environment Scale (PES), the Mos 36-item Short Form Health Survey, and Social Support Rating Scale were used to investigate. Multivariate logistic regression analysis was used to explore the influential factors of WMSDs.The total prevalence of WMSDs was 79.52% in the nurses ever since the working occupation, which was mainly involved waist (64.83%), neck (61.83%), and shoulder (52.36%). Multivariate logistic regression analysis indicated age (≥26 years), working in the Department of Surgery, Department of Critical Care, Outpatient Department, and Department of Anesthesia, working duration of >40 hours per week were the risk factors of WMSDs in the nurses. The physiological function (PF), body pain, total healthy condition, adequate working force and financial support, and social support were the protective factors of WMSDs.The prevalence of WMSDs in the nurses in Xinjiang Autonomous Region was high. PF, bodily pain, total healthy condition, having adequate staff and support resources to provide quality patient care, and social support were the protective factors of WMSDs in the nurses.
我们旨在分析工作相关肌肉骨骼疾病(WMSDs)与护理实践环境、生活质量和社会支持之间的相关影响因素。2015年1月至2015年10月,对新疆6个地区12所医院的护士进行整群抽样。采用包括改良的北欧肌肉骨骼问卷、实践环境量表(PES)、MOS 36项简短健康调查问卷和社会支持评定量表在内的问卷进行调查。采用多因素logistic回归分析探讨WMSDs的影响因素。护士自参加工作以来WMSDs的总患病率为79.52%,主要累及腰部(64.83%)、颈部(61.83%)和肩部(52.36%)。多因素logistic回归分析表明,年龄(≥26岁)、在外科、重症监护科、门诊部和麻醉科工作、每周工作时长>40小时是护士发生WMSDs的危险因素。生理功能(PF)、身体疼痛、总体健康状况、充足的劳动力和经济支持以及社会支持是WMSDs的保护因素。新疆自治区护士WMSDs的患病率较高。PF、身体疼痛、总体健康状况、拥有充足的人员和支持资源以提供优质患者护理以及社会支持是护士WMSDs的保护因素。