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医院工作人员患肌肉骨骼疾病的风险,尤其是下背痛。

Hospital Staff's Risk of Developing Musculoskeletal Disorders, Especially Low Back Pain.

作者信息

Hafner Nataša Dernovšček, Milek Damjana Miklič, Fikfak Metoda Dodič

机构信息

University Medical Centre Ljubljana, Clinical Institute of Occupational, Traffic and Sports Medicine, Poljanski nasip 58, 1525 Ljubljana, Slovenia.

出版信息

Zdr Varst. 2018 Jun 21;57(3):133-139. doi: 10.2478/sjph-2018-0017. eCollection 2018 Jun.

Abstract

INTRODUCTION

Health-related absenteeism impacts individuals, companies, and society. Its consequences are reflected in the cost of benefits, substitutes, and reduced productivity. Research shows that musculoskeletal disorders (MSDs) are the most common work-related health problem reported by hospital staff. This study determines the groups at the Ljubljana University Medical Centre that are most susceptible to MSDs, especially low back pain.

METHODS

Using data from the Health Data Centre of the Slovenian National Public Health Institute and the medical centre, this cross-sectional study analysed absenteeism among medical centre employees. The correlation between MSD / low-back pain risk factors and incidence was determined using logistic regression. An odds ratio was calculated to determine the probability of MSDs, most especially low back pain via sex, age, occupation, and education.

RESULTS

Sick leave at the medical centre is higher than 5%, exceeding the Slovenian healthcare sector average. MSDs, as the main reason for absence, is significantly more frequent in women, non-medical staff, and employees with a maximum secondary school education. Among the MSDs, low back pain predominates as a reason for absence and is most frequent among nurses, midwives, and employees of 20 to 44.9 years old.

CONCLUSION

This study offers insight into the health status of medical centre employees. The high percentage of sick leave is mainly due to musculoskeletal disorders, including low back pain. This is an important basis for further monitoring and analysis of sick leave indicators and for planning systematic and continuous workplace health-promoting measures to manage ergonomic risk factors and reduce health-related absenteeism.

摘要

引言

与健康相关的缺勤会影响个人、公司和社会。其后果体现在福利成本、替代成本和生产力下降上。研究表明,肌肉骨骼疾病(MSD)是医院工作人员报告的最常见的与工作相关的健康问题。本研究确定了卢布尔雅那大学医学中心最易患MSD的群体,尤其是下背痛。

方法

本横断面研究利用斯洛文尼亚国家公共卫生研究所健康数据中心和医学中心的数据,分析了医学中心员工的缺勤情况。使用逻辑回归确定MSD/下背痛风险因素与发病率之间的相关性。计算优势比以确定通过性别、年龄、职业和教育患MSD尤其是下背痛的概率。

结果

医学中心的病假率高于5%,超过了斯洛文尼亚医疗部门的平均水平。作为缺勤的主要原因,MSD在女性、非医务人员和最高学历为中学的员工中更为常见。在MSD中,下背痛是缺勤的主要原因,在护士、助产士以及20至44.9岁的员工中最为常见。

结论

本研究深入了解了医学中心员工的健康状况。病假率高主要是由于肌肉骨骼疾病,包括下背痛。这是进一步监测和分析病假指标以及规划系统和持续的工作场所健康促进措施以管理人体工程学风险因素和减少与健康相关的缺勤的重要依据。

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