Cheung Kin, Ma Ka Yan, Cheung Hin Hei, Lee Chun Ho, Chan In Mink Mavis, Cheung Sin Ting, Chung Wing Yee, Yeung Sun Sun, Lo Wing Chi
School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong.
PeerJ. 2021 May 3;9:e11152. doi: 10.7717/peerj.11152. eCollection 2021.
Nursing assistants (NAs) working in nursing homes (NHs) are at higher risk for work-related musculoskeletal symptoms (WRMSs) than their counterparts working in other health care settings. Worldwide, NAs have ranked shoulders in the top three body parts at risk of WRMSs. However, factors associated with their shoulder WRMSs are currently unknown. The aim of this study was to identify these associated risk factors among NAs working in NHs. 440 NAs from 47 nursing homes (with 60-90% response rate from each nursing home), recruited by convenience sampling, participated in this cross-sectional study in 2014-2015. A validated and reliable questionnaire was used for data collection. Information on demographic, job content questionnaire (JCQ), perceived physical exertion (PE), workstyle, ergonomic and manual handling knowledge and other work-related factors was collected using a self-administered questionnaire. 53% of the participants reported experiencing with WRMSs in their shoulders. Nine associated factors of shoulder WRMSs were identified using bivariate analysis. With the adjustment of age and gender using multivariable logistic regression, body mass index (OR = .931, 95% CI [.874-.991]), job title of health workers (OR = 2.72, 95% CI [1.18-6.25]) and workstyle-working through pain (OR = 1.06, 95% CI [1.01-1.11]) remained as predictors. Effort should be directed at integrating "workstyle intervention" into lifestyle physical activity training for NAs.
在养老院工作的护理助理比在其他医疗环境中工作的同行面临更高的与工作相关的肌肉骨骼症状（WRMSs）风险。在全球范围内，护理助理的肩部是WRMSs风险最高的三个身体部位之一。然而，目前尚不清楚与他们肩部WRMSs相关的因素。本研究的目的是确定在养老院工作的护理助理中这些相关的风险因素。通过便利抽样从47家养老院招募了440名护理助理（每家养老院的回应率为60 - 90%），他们在2014 - 2015年参与了这项横断面研究。使用经过验证且可靠的问卷进行数据收集。通过自填问卷收集了有关人口统计学、工作内容问卷（JCQ）、感知体力消耗（PE）、工作方式、人体工程学和手动处理知识以及其他与工作相关因素的信息。53%的参与者报告肩部有WRMSs经历。使用双变量分析确定了肩部WRMSs的九个相关因素。在使用多变量逻辑回归对年龄和性别进行调整后，体重指数（OR = 0.931，95% CI [0.874 - 0.991]）、卫生工作者的职称（OR = 2.72，95% CI [1.18 - 6.25]）和忍痛工作的工作方式（OR = 1.06，95% CI [1.01 - 1.11]）仍然是预测因素。应努力将“工作方式干预”纳入护理助理的生活方式体育活动训练中。
