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儿科长期通气护理单元护士中与工作相关的肌肉骨骼疾病的患病率:描述性横断面研究。

Prevalence of work-related musculoskeletal disorders among pediatric long-term ventilatory care unit nurses: Descriptive cross-sectional study.

机构信息

Occupational Therapy Department, Qatar Rehabilitation Institute, Hamad Medical Corporation, Doha, Qatar.

Pediatric Long Term Ventilatory Care Unit, Almaha Center for Children and Young Adults, Wakra, Qatar.

出版信息

J Pediatr Nurs. 2023 Mar-Apr;69:e114-e119. doi: 10.1016/j.pedn.2022.12.015. Epub 2022 Dec 29.

Abstract

PURPOSE

Prevalence of musculoskeletal disorders (MSD) is widely reported among nurses but not specific to nurses working in pediatric long-term ventilatory care (PLTVC) units. The purpose of this study is to determine the prevalence of MSD among nurses working in PLTVC settings.

DESIGN AND METHODS

Cross-sectional descriptive design. Using the Extended Nordic Musculoskeletal Questionnaire, 127 nurses working in PLTVC units were recruited to examine the prevalence of single-site, two-site, and multi-site MSDs in nine body parts.

RESULTS

90.6% of participants reported a lifetime prevalence of MSD in single site, 95% CI [84.21, 94.51]; 53.5% in two-sites, 95% CI [44.89, 61.99]; 46% in multi-sites, CI [28.38, 44.87]. The most common pain site was lower back (55.1%) followed by neck (35.4%), shoulder (33.9%), upper back (29.1%), wrist/hand (17.3%), ankle/ft (15.7%), knee (15%), hips/thighs (11.8%), and elbow (7.9%). There was a statistically significant difference in participants' years of experience in PLTVC among those reporting multi-site pain (M = 6.10, SD = 5.58) and the rest (M = 3.77, SD = 3.84) of the group reporting no pain or pain in one or two sites; t = (2.77), p = .006, 95% CI [0.66, 3.98].

CONCLUSIONS

There is a high prevalence of MSD among PLTVC nurses. There seems to be a relationship between years of experience in PLTVC settings and multi-site pain.

PRACTICE IMPLICATIONS

PLTVC nurses must take additional precautions, since working in this environment increases the possibility of developing pain in multiple sites, particularly if they have been working for more than six years.

摘要

目的

肌肉骨骼疾病(MSD)在护士中广泛报道,但专门针对在儿科长期通气治疗(PLTVC)单位工作的护士的报道却很少。本研究的目的是确定在 PLTVC 环境中工作的护士中 MSD 的患病率。

设计和方法

横断面描述性设计。使用扩展的北欧肌肉骨骼问卷,招募了 127 名在 PLTVC 单位工作的护士,以检查 9 个身体部位的单部位、双部位和多部位 MSD 的患病率。

结果

90.6%的参与者报告在单部位有终生 MSD 患病率,95%CI [84.21, 94.51];53.5%在双部位,95%CI [44.89, 61.99];46%在多部位,CI [28.38, 44.87]。最常见的疼痛部位是下背部(55.1%),其次是颈部(35.4%)、肩部(33.9%)、上背部(29.1%)、手腕/手部(17.3%)、脚踝/足部(15.7%)、膝盖(15%)、臀部/大腿(11.8%)和肘部(7.9%)。在报告多部位疼痛的参与者中,他们在 PLTVC 中的工作年限有统计学上的显著差异(M = 6.10,SD = 5.58)和报告无疼痛或一两个部位疼痛的其余参与者(M = 3.77,SD = 3.84);t =(2.77),p =.006,95%CI [0.66, 3.98]。

结论

PLTVC 护士的 MSD 患病率很高。在 PLTVC 环境中工作的年限与多部位疼痛之间似乎存在关系。

实践意义

PLTVC 护士必须采取额外的预防措施,因为在这种环境中工作会增加多个部位疼痛的可能性,特别是如果他们已经工作了六年以上。

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