Gan L, Li X E, Lu Q, Zhang L C
Nursing Department of Peking University Stomatology Hospital, Beijing 100081, China.
Peking University Health Science Center School of Nursing, Beijing 100191, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Oct 20;40(10):756-760. doi: 10.3760/cma.j.cn121094-20210830-00432.
To investigate the prevalence and Influence factors of work-related musculoskeletal disorders (WMSDs) among dental nurses in tertiary stomatology hospitals. From June to July 2020, 1321 dental nurses from 18 tertiary stomatology hospitals in 18 provinces of China were enrolled as research subjects through a phased sampling method. The cross-sectional study was performed with validated instruments including the basic information questionnaire, Effort-Reward Imbalance Questionnaire, Nurse-Physician Collaboration Scale, and Chinese Musculoskeletal Questionnaire, so as to get the information about the social demography information, nursing-physician cooperation, work stress and the incidence of WMSDs. The influenang factors of WMSDs was analyzed. The past prevalence, annual prevalence, and weekly prevalence of WMSDs were 80.8% (1067/1321) , 68.7% and 43.7% (575/1321) . 58.4% (771/1321) of nurses had WMSDs in three or more body parts. Neck (51.4%) , waist (42.2%) and shoulder (41.6%) were the top three body regions in the past year. The absenteeism rate due to musculoskeletal disorders ranged from 3.5% to 9.0%, waist (8.9%) and neck (8.0%) were the top two body regions. Working more than 40 hours per week (=1.74, <0.001) and effect/reward>1 (=1.50, =0.002) were risk factors of WMSDs (=1.74, 95% : 1.322.30; =1.50, 95%: 1.171.92, <0.05) , while regular physical exercise every week (≥30 min per times) was the protective factor (=0.74, 95%: 0.56~0.97, =0.030) . The prevalence rate of WMSDs of dental nurses in China was high, and most of the nurses suffered with many body parts. Thus, we should reduce controllable occupational stresso, ensuring adequate rest and strengthening physical exercise to reduce the incidence of WMSDs.
调查口腔专科医院护士工作相关肌肉骨骼疾病(WMSDs)的患病率及影响因素。2020年6月至7月,采用分层抽样方法,选取中国18个省份18所口腔专科医院的1321名护士作为研究对象。采用基本信息问卷、付出-回报失衡问卷、医护合作量表、中文版肌肉骨骼问卷等经过验证的工具进行横断面研究,以获取社会人口学信息、医护合作、工作压力以及WMSDs发病率等信息,并分析WMSDs的影响因素。WMSDs的既往患病率、年患病率和周患病率分别为80.8%(1067/1321)、68.7%和43.7%(575/1321)。58.4%(771/1321)的护士在三个或以上身体部位患有WMSDs。过去一年中,颈部(51.4%)、腰部(42.2%)和肩部(41.6%)是患病最多的三个身体部位。因肌肉骨骼疾病导致的缺勤率在3.5%至9.0%之间,腰部(8.9%)和颈部(8.0%)是缺勤率最高的两个身体部位。每周工作超过40小时(β=1.74,P<0.001)和付出/回报>1(β=1.50,P=0.002)是WMSDs的危险因素(β=1.74,95%CI:1.322.30;β=1.50,95%CI:1.171.92,P<0.05),而每周定期进行体育锻炼(每次≥30分钟)是保护因素(β=0.74,95%CI:0.56~0.97,P=0.030)。我国口腔专科医院护士WMSDs患病率较高,且多数护士多个身体部位患病。因此,应减少可控的职业压力,保证充足休息,加强体育锻炼,以降低WMSDs的发病率。