[中国某城市三级医院内科医师职业性肌肉骨骼疾病的现患率及预防]
[Current prevalence and prevention of work-related musculoskeletal disorders among physicians for internal medical examination in tertiary hospitals in a city of China].
作者信息
Liu Y M, Xie C J, Xiao L W, Zhou H, Huang L L, Liu Y M
机构信息
School of Public Health, Sun Yat-set University, Guangzhou 510080, China.
出版信息
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2017 Dec 20;35(12):929-932. doi: 10.3760/cma.j.issn.1001-9391.2017.12.012.
To investigate the current prevalence and prevention of work-related musculoskeletal disorders (WMSDs) among physicians for internal medical examination, and to provide a theoretical basis for the prevention and treatment of WMSDs in physicians for internal medical examination. In February 2017, 326 physicians for internal medical examination were randomly selected from 5 general tertiary hospitals and 2 specialized tertiary hospitals in a city of China. A questionnaire was designed according to the Nordic Musculoskeletal Questionnaire and the occupational features of doctors in China to investigate the prevalence of musculoskeletal pain over the past year, the cognitive attitude to WMSDs, the knowledge of WMSDs prevention, and ways to get the knowledge of WMSDs prevention. In the tertiary hospitals of this city, the symptoms of WMSDs were mainly seen in the wrist (75.78%) , neck (67.19%) , and lower back (58.59%) among male physicians, and in the wrist (73.74%) , lower back (70.95%) , and upper back (60.89%) among female physicians. Compared with the female physicians, the male physicians had a significantly increased detection rate of symptoms of WMSDs in the neck (<0.05) and significantly reduced detection rates of symptoms of WMSDs in the upper and lower back (<0.05). There were significant differences between the detection rates of symptoms of WMSDs in the neck, wrist, and lower back within the past 12 months, 7 days, and >1 month (<0.01). The rates of knowledge of the severity and prevention of WMSDs were significantly different between the physicians with different working years and professional titles (<0.01) . Among the physicians for internal medical examination in the tertiary hospitals of this city, WMSDs are mostly seen in the wrist, neck, and waist, and the knowledge of WMSDs prevention varies with different working years and professional titles.
调查内科体检医师工作相关肌肉骨骼疾病（WMSDs）的现状及预防情况，为内科体检医师WMSDs的防治提供理论依据。2017年2月，从中国某城市的5家综合性三甲医院和2家专科三甲医院中随机抽取326名内科体检医师。根据北欧肌肉骨骼问卷和中国医生职业特点设计问卷，调查过去一年肌肉骨骼疼痛的患病率、对WMSDs的认知态度、WMSDs预防知识以及获取WMSDs预防知识的途径。在该市的三甲医院中，男性内科体检医师WMSDs症状主要见于手腕（75.78%）、颈部（67.19%）和下背部（58.59%），女性内科体检医师主要见于手腕（73.74%）、下背部（70.95%）和上背部（60.89%）。与女性内科体检医师相比，男性内科体检医师颈部WMSDs症状检出率显著升高（<0.05），上、下背部WMSDs症状检出率显著降低（<0.05）。过去12个月、7天和>1个月内颈部、手腕和下背部WMSDs症状检出率存在显著差异（<0.01）。不同工作年限和职称的医师对WMSDs严重程度及预防知识的知晓率存在显著差异（<0.01）。在该市三甲医院的内科体检医师中，WMSDs多见于手腕、颈部和腰部，且WMSDs预防知识因工作年限和职称不同而有所差异。
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