Occupational Medicine Department, Dokuz Eylul University, Izmir 35220, Turkey.
Physical Therapy and Rehabilitation Department, Dokuz Eylul University, Izmir 35220, Turkey.
Int J Environ Res Public Health. 2020 May 25;17(10):3719. doi: 10.3390/ijerph17103719.
Working at intensive care units (ICUs) is considered a risk factor for developing musculoskeletal complaints (MSC). This study was conducted between January 2017 and June 2019 in two ICUs of a university hospital. It was designed as a pre- and post-assessment of the intervention group (IG) (N = 27) compared with a control group (CG) (N = 23) to determine the effects of a multifaceted ergonomics intervention program in reducing MSC. The IG (N: 35) received a multifaceted ergonomic intervention program, which was implemented by an ERGO team over an 18 month period. Four ergonomic interventions were planned as follows: individual level interventions such as training; stretching exercises and motivation meetings; administrative intervention such as a daily 10 min stretching exercises break; engineering interventions such as lifting and usage of auxiliary devices. The CG (N:29) did not receive any intervention. Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) was used to assess MSC in both groups. At the start of the intervention, both groups were similar concerning the number of visits to doctors due to MSC, the number of sick leave days, and total CMDQ scores ( > 0.05 for all). Two factor repeated ANOVA measures were performed for between-groups and within-group analyses. The mean of the initial CMSDQ total scores in both groups increased significantly in the 18th month ( < 0.001). However, the interaction effect of group and time (between and within factors) was not significant ( = 0.992). Work-related MSC is a common occupational health problem among nurses. This study showed that individual-level interventions are not likely to succeed in eliminating manual patient lifting by nurses. Our results suggested that interventions without administrative measures might have limited success.
在重症监护病房（ICU）工作被认为是发生肌肉骨骼疾病（MSC）的一个危险因素。本研究于 2017 年 1 月至 2019 年 6 月在一家大学医院的两个 ICU 进行，设计为干预组（IG）（N=27）与对照组（CG）（N=23）的预-后评估，以确定多方面的人体工程学干预方案在减少 MSC 方面的效果。IG（N：35）接受了多方面的人体工程学干预方案，由 ERGO 团队在 18 个月内实施。计划了四项人体工程学干预措施，如下所示：个体层面的干预措施，如培训、拉伸运动和激励会议；管理干预措施，如每天 10 分钟的拉伸运动休息；工程干预措施，如提升和使用辅助设备。CG（N：29）未接受任何干预。采用康奈尔肌肉骨骼不适问卷（CMDQ）评估两组的 MSC。在干预开始时，由于 MSC，两组因就诊、病假天数和总 CMDQ 评分（均>0.05）相似。进行了组间和组内两因素重复方差分析。两组的初始 CMSDQ 总分在第 18 个月均显著增加（<0.001）。然而，组间和时间（组间和组内因素）的交互效应不显著（=0.992）。与工作相关的 MSC 是护士常见的职业健康问题。本研究表明，个体层面的干预措施不太可能成功消除护士手动搬运患者。我们的结果表明，没有行政措施的干预可能收效有限。
