院前急救工作人员工作相关心血管疾病和肌肉骨骼疾病的危险因素：一项系统综述
Risk factors for work-related cardiovascularand musculoskeletal diseasesamong prehospital urgent care workers: a systematic review.
作者信息
Sedrez Juliana Adami, Kasten Ana Paula da Silva, Chaise Fabiana de Oliveira, Candotti Cláudia Tarragô
机构信息
Exercise Research Laboratory, Federal University of Rio Grande do Sul (Universidade Federal do Rio Grande do Sul - UFRGS) - Porto Alegre (RS), Brazil.
出版信息
Rev Bras Med Trab. 2017 Dec 1;15(4):355-363. doi: 10.5327/Z1679443520170050. eCollection 2017.
BACKGROUND
Studies conducted with prehospital urgent care workers investigated work-related stress and its repercussions on the workers' mental and physical health.
OBJECTIVE
To identify risk factors for development of work-related cardiovascular (CVD) and musculoskeletal (MSD) diseases among prehospital emergency care workers.
METHODS
We conducted a systematic search on databases PubMed, EBSCO, EMBASE and Science Direct. The inclusion criteria were: risk factors for CVD and MSD among prehospital emergency care workers.
RESULTS
From 370 articles, 11 were included for review. The included studies identified risk factors for CVD, such as body mass index and sedentary lifestyle, however, with limited level of evidence. For MSD, age and working as first responder were shown to behave as risk factors, with high level of evidence. We were not able to determine the cardiovascular risk factors due to lack of studies that analyzed this aspect.
CONCLUSION
The most evident musculoskeletal risk factors reported in the literature are age and working as first responder. Registration PROSPERO: CRD42016042390.
背景
针对院前急救人员开展的研究调查了工作相关压力及其对工作人员身心健康的影响。
目的
确定院前急救人员发生工作相关心血管疾病（CVD）和肌肉骨骼疾病（MSD）的风险因素。
方法
我们在PubMed、EBSCO、EMBASE和Science Direct数据库中进行了系统检索。纳入标准为：院前急救人员中CVD和MSD的风险因素。
结果
从370篇文章中，纳入11篇进行综述。纳入的研究确定了CVD的风险因素，如体重指数和久坐不动的生活方式，然而，证据水平有限。对于MSD，年龄和作为第一响应者工作被证明是风险因素，证据水平较高。由于缺乏分析这方面的研究，我们无法确定心血管风险因素。
结论
文献中报道的最明显的肌肉骨骼风险因素是年龄和作为第一响应者工作。注册PROSPERO：CRD42016042390。
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