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墨西哥城一家三级保健医院护士的肌肉骨骼疾病和职业要求。

Musculoskeletal disorders and occupational demands in nurses at a tertiary care hospital in Mexico City.

机构信息

Universidad Autónoma Metropolitana, Unidad Xochimilco, Coyacan, Mexico.

Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.

出版信息

J Nurs Manag. 2019 Sep;27(6):1084-1090. doi: 10.1111/jonm.12776. Epub 2019 May 9.

Abstract

OBJECTIVE

Identify the association between working conditions, musculoskeletal symptoms and ergonomic demands on nurses.

BACKGROUND

The physical demands of nursing often require repetitive and forced movements that increase the likelihood of developing musculoskeletal disorders, which are the main occupational diseases in this working population.

METHODOLOGY

Cross-sectional study of 329 nurses chosen at random. Initial symptoms of musculoskeletal disorders (MSDs) were evaluated using Kuorinka's Nordic questionnaire; occupational demands and domestic activities were evaluated using the Individual Survey for Workers' Health, PROESSAT. Logistic regression models were fit to identify associations between musculoskeletal symptoms and occupational activities.

RESULTS

A prevalence of 87% and 83% of musculoskeletal disorders was found in the neck and dorsal/lumbar regions, respectively. Using logistic models, associations were identified between ergonomic requirements, exposure time, domestic work, supervision and discomfort in various regions of the body.

CONCLUSIONS

Postural demands are closely associated with the development of musculoskeletal disorders. Early identification and timely intervention are fundamental.

IMPLICATIONS FOR NURSING MANAGEMENT

Musculoskeletal disorders are very common among nurses and are closely associated with occupational tasks.

摘要

目的

确定护士工作条件、肌肉骨骼症状和人体工程学需求之间的关联。

背景

护理工作的身体需求经常需要重复和强制运动,这增加了患肌肉骨骼疾病的可能性,而肌肉骨骼疾病是该工作人群中的主要职业病。

方法

对随机选择的 329 名护士进行横断面研究。使用 Kuorinka 的北欧问卷评估肌肉骨骼疾病(MSD)的初始症状;使用个人工人健康调查和 PROESSAT 评估职业需求和家庭活动。拟合逻辑回归模型以确定肌肉骨骼症状与职业活动之间的关联。

结果

在颈部和背部/腰部区域分别发现肌肉骨骼疾病的患病率为 87%和 83%。使用逻辑模型,在身体各个区域的人体工程学要求、暴露时间、家庭工作、监督和不适之间确定了关联。

结论

姿势要求与肌肉骨骼疾病的发展密切相关。早期识别和及时干预至关重要。

对护理管理的影响

肌肉骨骼疾病在护士中非常普遍,与职业任务密切相关。

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