Hubei Provincial Hospital of Integrated Chinese and Western Medicine (Hubei Provincial Hospital of Occupational Diseases), Wuhan, China.
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China.
Ergonomics. 2023 Dec;66(12):2212-2222. doi: 10.1080/00140139.2023.2193868. Epub 2023 Apr 4.
We investigated the prevalence of work-related musculoskeletal symptoms (WMSs) among medical staff and evaluated the associations of different levels of adverse ergonomic factors with WMSs. A total of 6099 Chinese medical staff were asked to complete a self-reported questionnaire to assess the prevalence and risk factors of WMSs from June 2018 to December 2020. A prevalence rate of 57.5% was observed for WMSs among overall medical staffs, which mainly affected the neck (41.7%) and shoulder (33.5%). 'Keeping sitting for long hours very frequently' (OR = 1.26, 95% CI: 1.04, 1.53) was positively associated with WMSs in doctors, while 'keeping sitting for long hours occasionally' (OR = 0.91, 95% CI: 0.85, 0.97) was identified as a protective factor of WMSs in nurses. The associations of adverse ergonomic factors, organisational factors, and environmental factors with WMSs were different among medical staff in different positions. We conducted a multi-city study concerning the risk factors of WMSs by carrying out a face-to-face one-to-multiple questionnaire survey among medical staff in China. As a risk factor of WMSs in medical staff, adverse ergonomic factors should be paid more attention by the standard setting department and policy makers. WMSDs: work-related musculoskeletal disorders; WMSs: work-related musculoskeletal symptoms; MSDs: musculoskeletal disorders; NMQ: Nordic Musculoskeletal Questionnaires; DMQ: Dutch Musculoskeletal Questionnaires; NIOSH: National Institute for Occupational Safety and Health; ORs: odds ratios.
我们调查了医务人员职业相关肌肉骨骼症状(WMSs)的流行情况,并评估了不同程度的不良工效学因素与 WMSs 的关系。2018 年 6 月至 2020 年 12 月,我们共邀请 6099 名中国医务人员填写一份自我报告问卷,以评估 WMSs 的流行率和危险因素。结果显示,总体医务人员的 WMSs 流行率为 57.5%,主要影响颈部(41.7%)和肩部(33.5%)。对于医生,“经常长时间保持坐姿”(OR=1.26,95%CI:1.04,1.53)与 WMSs 呈正相关,而对于护士,“偶尔长时间保持坐姿”(OR=0.91,95%CI:0.85,0.97)则是 WMSs 的保护因素。不同岗位医务人员的不良工效学因素、组织因素和环境因素与 WMSs 的关系不同。我们通过在中国医务人员中进行面对面的一对一多项问卷调查,开展了一项关于 WMSs 危险因素的多城市研究。不良工效学因素是医务人员 WMSs 的一个危险因素,应引起标准制定部门和决策者的重视。WMSDs:职业相关肌肉骨骼疾病;WMSs:职业相关肌肉骨骼症状;MSDs:肌肉骨骼疾病;NMQ:北欧肌肉骨骼问卷;DMQ:荷兰肌肉骨骼问卷;NIOSH:美国国家职业安全卫生研究所;ORs:比值比。