Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Vietnam.
Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail)-UMR_S 1085, F-49000 Angers, France.
Biomed Res Int. 2020 May 29;2020:3254605. doi: 10.1155/2020/3254605. eCollection 2020.
Musculoskeletal disorders (MSDs) are commonly observed among workers around the world. These diseases not only affect the health of workers, their quality of life, and their performance, but the effects of such diseases also represent a great burden for the health and social systems. These issues are even more prevalent in developing countries, and nurses are no exception. Many studies worldwide have shown a high prevalence of work-related MSDs in each body position among nurses. However, there are very few studies that have mentioned multisite musculoskeletal symptoms (MMS).
To describe the prevalence and characteristics of MMS among district hospital nurses in Haiphong, Vietnam. . A cross-sectional study was carried out on 1179 nurses working in all 15 district hospitals using the Modified Nordic Questionnaire at 9 anatomical sites on the body (neck, shoulder/upper arm, elbow/forearm, wrist/hand, upper back, lower back, hip/thigh, knee/lower leg, and ankle/foot). The following main indicators were calculated: the prevalence of musculoskeletal symptoms (MS) (at least 1 of 9 sites), MMS (two or more sites), and widespread musculoskeletal symptoms (WMS) (MS of the upper limb, the lower limb, and the back or the neck).
The prevalence of MS during the past 12 months and symptoms lasting for at least 30 days was 60.6% and 17.2% in men and 77.6% and 21.5% in women, respectively. The lower back, neck, upper back, and shoulder/upper arm were the most common sites affected. In terms of MMS, the prevalence was 37.6% in men and 57.1% in women during the past 12 months while 8.6% of men and 11.3% of women reported that symptoms lasted for at least 30 days. The prevalence of MMS tended to increase with age, seniority, having a history of musculoskeletal diseases, and in nurses working in district hospitals located in urban areas. Nearly 90% of MMS concerned two or three anatomical regions during the past 12 months, and almost 80% of MMS lasting at least 30 days involved two or three anatomical regions. The prevalence of WMS was 10.4% in men and 18.6% in women during the past 12 months and 0.9% in men and 2.1% in women lasting at least 30 days.
This study showed the high prevalence of MMS and WMS among nursing staff. Further and more extensive research is needed to improve our understanding of multisite musculoskeletal symptoms and act as the foundation for developing preventive measures for nurses.
肌肉骨骼疾病（MSD）在全世界的工人中很常见。这些疾病不仅影响工人的健康、生活质量和工作表现，而且这些疾病的影响对卫生和社会系统也是一个巨大的负担。在发展中国家，这些问题更为普遍，护士也不例外。世界上许多研究表明，护士在每个身体姿势中都存在与工作相关的 MSD 高患病率。然而，很少有研究提到多部位肌肉骨骼症状（MMS）。
描述越南海防地区医院护士的多部位肌肉骨骼症状（MMS）的患病率和特征。采用改良北欧问卷对所有 15 家地区医院的 1179 名护士进行横断面研究，共涉及 9 个身体部位（颈部、肩部/上臂、肘部/前臂、腕部/手部、上背部、下背部、臀部/大腿、膝盖/小腿和脚踝/脚）。计算了以下主要指标：过去 12 个月肌肉骨骼症状（MS）的患病率（9 个部位中至少有 1 个部位）、MMS（两个或更多部位）和广泛肌肉骨骼症状（WMS）（上肢、下肢和背部或颈部的 MS）。
在过去 12 个月中，男性的 MS 患病率为 60.6%，持续至少 30 天的症状患病率为 17.2%；女性的患病率分别为 77.6%和 21.5%。下背部、颈部、上背部和肩部/上臂是最常见的受影响部位。在 MMS 方面，过去 12 个月中，男性的患病率为 37.6%，女性为 57.1%，而男性有症状持续至少 30 天的比例为 8.6%，女性为 11.3%。MMS 的患病率随着年龄、工龄、肌肉骨骼疾病史以及在位于城区的地区医院工作的护士而增加。在过去 12 个月中，近 90%的 MMS 涉及两个或三个解剖区域，而几乎 80%持续至少 30 天的 MMS 涉及两个或三个解剖区域。过去 12 个月中，男性和女性的 WMS 患病率分别为 10.4%和 18.6%，持续至少 30 天的患病率分别为 0.9%和 2.1%。
本研究表明，护理人员中 MMS 和 WMS 的患病率很高。需要进一步开展更广泛的研究，以加深对多部位肌肉骨骼症状的认识，并为护士制定预防措施奠定基础。
