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班加罗尔一家三级护理医院的护士工作人员的工作相关肌肉骨骼疾病与生活质量

Work-related Musculoskeletal Disorders and Quality of Life Among Staff Nurses in a Tertiary Care Hospital of Bangalore.

作者信息

Chandralekha Kona, Joseph Merlyn, Joseph Bobby

机构信息

Department of Community and Family Medicine, AIIMS, Bibinagar, Telangana, India.

Department of Community Health, St. Johns Medical College and Hospital, Bengaluru, Karnataka, India.

出版信息

Indian J Occup Environ Med. 2022 Jul-Sep;26(3):178-182. doi: 10.4103/ijoem.ijoem_25_22. Epub 2022 Sep 26.

Abstract

BACKGROUND

Work-related musculoskeletal disorder (WMSD) is a collective and descriptive term used for the symptoms caused or aggravated by work. Significant WMSDs can affect the productivity and Quality of Life (QOL) of nurses. This study was undertaken to estimate the prevalence of WMSDs, identify their risk factors, and find the association, if any. This study also assessed the quality of life of nurses and its association with WMSDs.

METHODS

This cross-sectional study was conducted among 207 staff nurses at a tertiary care hospital in Bangalore for a period of 7 months (June-2018 to Dec-2018). The nurses were stratified based on their parent department into three broad categories - Medical, Surgical, and Operation Theatre. Stratified random sampling was followed to obtain the required number of nurses from each stratum. Data was collected using a pre-tested semi-structured questionnaire, Nordic Musculoskeletal Questionnaire (NMQ), clinical examination tests, and WHOQOL-BREF.

RESULTS

The annual prevalence of WMSDs among the study subjects using NMQ was 168 (81.2%). The prevalence of WMSDs based on clinical examination tests was 67 (32.4%). Repetitive movements at work (OR 9.3, 95% CI 3.4-25.7), working in abnormal postures for prolonged periods (OR 4.7, 95% CI 1.7-12.9), and working even when sick (OR 5.3, 95% CI 2.0-14.1) were the risk factors for WMSDs ( < 0.05). No significant association was found between reported WMSDs (according to NMQ) and QOL.

CONCLUSION

Our study found that the prevalence of WMSDs was high among the staff nurses and it did not affect their QOL significantly. Workshops and training sessions on ergonomics should be regularly conducted at the workplace to prevent WMSDs.

摘要

背景

工作相关肌肉骨骼疾病(WMSD)是一个统称,用于描述由工作引起或加重的症状。严重的WMSD会影响护士的工作效率和生活质量(QOL)。本研究旨在估计WMSD的患病率,确定其风险因素,并找出它们之间的关联(如果存在)。本研究还评估了护士的生活质量及其与WMSD的关联。

方法

本横断面研究在班加罗尔一家三级护理医院的207名在职护士中进行,为期7个月(2018年6月至2018年12月)。护士们根据其所属科室分为三大类——内科、外科和手术室。采用分层随机抽样从每个层次中获取所需数量的护士。数据通过预先测试的半结构化问卷、北欧肌肉骨骼问卷(NMQ)、临床检查测试和世界卫生组织生活质量简表(WHOQOL-BREF)收集。

结果

使用NMQ的研究对象中WMSD的年患病率为168例(81.2%)。根据临床检查测试,WMSD的患病率为67例(32.4%)。工作中的重复动作(比值比9.3,95%置信区间3.4 - 25.7)、长时间保持异常姿势工作(比值比4.7,95%置信区间1.7 - 12.9)以及生病时仍工作(比值比5.3,95%置信区间2.0 - 14.1)是WMSD的风险因素(P < 0.05)。在报告的WMSD(根据NMQ)与生活质量之间未发现显著关联。

结论

我们的研究发现,在职护士中WMSD的患病率较高,但它对他们的生活质量没有显著影响。应在工作场所定期举办人体工程学研讨会和培训课程,以预防WMSD。

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