Amin Nur Azma, Quek Kia Fatt, Oxley Jennifer Anne, Noah Rahim, Nordin Rusli
Universiti Kuala Lumpur-Institute of Medical Science Technology, Malaysia.
Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Malaysia.
Int J Occup Environ Med. 2018 Apr;9(2):69-78. doi: 10.15171/ijoem.2018.1158.
Emotional distress is becoming a great concern and is more common in both developed and developing countries. It is associated with several disease conditions.
To determine the prevalence of self-perceived emotional distress and its relation to work-related musculoskeletal disorders (WRMSDs) in nurses.
A self-administered questionnaire survey was carried out on 660 female nurses working in public hospitals in the Klang Valley, Malaysia. The validated Malay version of the standardized Nordic musculoskeletal questionnaire (M-SNMQ) was used to identify the annual prevalence of WRMSDs; perceived emotional distress was assessed using the validated Malay short version, depression, anxiety, and stress (M-DASS) instrument. In addition, socio-demographic and occupational profiles of the participants were considered. Factors associated with WRMSDs were identified using logistic regression analysis.
A total of 376 nurses completed the survey (response rate 83.3%). 73.1% of the nursing staffs experienced WRMSDs in at least one anatomical site 12 months prior to the study. 75% of nurses expressed emotional distress. Of these, over half also reported anxiety and stress. Multiple logistic regression analysis showed that stress and anxiety significantly increased the risk of WRMSDs by approximately twofold.
There were significant associations between emotional distress and WRMSDs. Future longitudinal studies are therefore needed to investigate and identify the sources of emotional distress (non-occupational and occupational) to be used to establish preventive strategies to reduce the risk of WRMSDs.
情绪困扰正日益引起人们的高度关注，在发达国家和发展中国家都更为常见。它与多种疾病状况相关。
确定护士自我感知的情绪困扰患病率及其与工作相关肌肉骨骼疾病（WRMSDs）的关系。
对马来西亚巴生谷公立医院的660名女护士进行了一项自填式问卷调查。使用经过验证的马来语版标准化北欧肌肉骨骼问卷（M-SNMQ）来确定WRMSDs的年患病率；使用经过验证的马来语简短版抑郁、焦虑和压力量表（M-DASS）评估感知到的情绪困扰。此外，还考虑了参与者的社会人口统计学和职业概况。使用逻辑回归分析确定与WRMSDs相关的因素。
共有376名护士完成了调查（回复率83.3%）。73.1%的护理人员在研究前12个月内至少在一个解剖部位经历过WRMSDs。75%的护士表示有情绪困扰。其中，超过一半的人还报告有焦虑和压力。多元逻辑回归分析表明，压力和焦虑显著增加了WRMSDs的风险，约为两倍。
情绪困扰与WRMSDs之间存在显著关联。因此，未来需要进行纵向研究，以调查和确定情绪困扰的来源（非职业性和职业性），用于制定预防策略，以降低WRMSDs的风险。
