Karstad Kristina, Jørgensen Anette F B, Greiner Birgit A, Burdorf Alex, Søgaard Karen, Rugulies Reiner, Holtermann Andreas
National Research Centre for the Working Environment (NRCWE), Copenhagen, Denmark.
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
BMJ Open. 2018 Feb 28;8(2):e019670. doi: 10.1136/bmjopen-2017-019670.
Musculoskeletal disorders (MSDs), sickness absence and premature retirement are highly prevalent among eldercare workers. We conducted a prospective observational workplace study with the main purpose to investigate longitudinal associations between physical and psychosocial working conditions and occurrence of MSD and its consequences (pain-related interference with daily work activities and sickness absence) among Danish eldercare workers.
At 20 Danish nursing homes, a total of 941 eldercare workers employed in day and evening shifts were invited to the study. Of those, 553 participated in the baseline measurements, and 441 completed the total period of 12 months follow-up.
Data were collected from September 2013 to January 2016. Physical and psychosocial working conditions were assessed with multiple methods (observations, accelerometer measurements and work schedules), and multiple levels of information (nursing home, ward, resident and eldercare worker) were incorporated in the data collection. MSD and the consequences hereof were assessed monthly during a 1-year follow-up. Study participants and non-participants were comparable on most of the 27 sociodemographic, health and working condition characteristics at baseline. The exceptions were higher neck-shoulder pain intensity, less sickness absence, more exposure to negative behaviour from residents and a higher percentage of working day shifts and fewer evening shifts among participants compared with non-participants.
The first publications will report on the associations of physical and psychosocial working conditions with occurrence of MSD and its consequences. In addition, the cohort gives the opportunity to investigate the importance of organisational, management and team factors for distribution of physical work demands and development of MSD among the workers. This will provide important knowledge for future workplace interventions to reduce MSD and sickness absence.
肌肉骨骼疾病（MSD）、病假和提前退休在老年护理工作者中极为普遍。我们开展了一项前瞻性观察性工作场所研究，主要目的是调查丹麦老年护理工作者的身体和社会心理工作条件与MSD的发生及其后果（与疼痛相关的日常工作活动干扰和病假）之间的纵向关联。
在丹麦的20家养老院，共邀请了941名日班和夜班的老年护理工作者参与研究。其中，553人参与了基线测量，441人完成了为期12个月的随访。
数据收集时间为2013年9月至2016年1月。采用多种方法（观察、加速度计测量和工作时间表）评估身体和社会心理工作条件，并在数据收集中纳入多个层面的信息（养老院、病房、居民和老年护理工作者）。在1年的随访期间，每月评估MSD及其后果。在基线时，研究参与者和非参与者在27项社会人口统计学、健康和工作条件特征中的大多数方面具有可比性。例外情况是，与非参与者相比，参与者的颈肩疼痛强度更高、病假更少、更多地接触到居民的负面行为、日班工作百分比更高且夜班更少。
首批出版物将报告身体和社会心理工作条件与MSD的发生及其后果之间的关联。此外，该队列研究为调查组织、管理和团队因素对体力工作需求分布以及工人中MSD发展的重要性提供了机会。这将为未来减少MSD和病假的工作场所干预措施提供重要知识。
