Sun Weige, Yin Lishi, Zhang Tianqiao, Zhang Huixin, Zhang Ran, Cai Weixin
Nursing Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Department of Hepatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Iran J Public Health. 2023 Mar;52(3):463-475. doi: 10.18502/ijph.v52i3.12130.
Work-related musculoskeletal diseases (WMSDs) have a greater negative impact on nurses' physical and mental health. However, the epidemiologic characteristics of nurse WMSDs are unclear, and the reported prevalence of WMSDs varies widely. The aim of this meta-analysis was to provide a quantitative synthesis of WMSDs' prevalence in nurses and estimate the pooled prevalence of its.
The PubMed, ScienceDirect, Web of Science, Cochrane Library, EMBASE, CINAHL, Ovid, WANFANG, VIP, China Knowledge Integrated, and CBM databases were searched for relevant studies. The retrieval period extended from database initiation to Mar 2022. After data extraction and quality assessment, a meta-analysis was performed using the Stata 16.0 software package.
Overall, 42 articles were included, yielding a total sample size of 36,934. The annual prevalence of WMSDs among nurses was found to be 77.2% (95% confidence interval: 0.725-0.819). The three anatomical areas with the highest prevalence of WMSDs among nurses were the lower back (at 59.5%), neck (at 53.0%) and shoulder (at 46.8%). Nurses in developed countries have a higher prevalence of WMSDs than those in developing countries.
There was currently moderate evidence to suggest a high prevalence of WMSDs in nurses. National policies should aim to reduce their prevalence in this population.
工作相关肌肉骨骼疾病（WMSDs）对护士的身心健康有较大负面影响。然而，护士工作相关肌肉骨骼疾病的流行病学特征尚不清楚，且所报告的工作相关肌肉骨骼疾病患病率差异很大。本荟萃分析的目的是对护士中工作相关肌肉骨骼疾病的患病率进行定量综合分析，并估计其合并患病率。
检索了PubMed、ScienceDirect、Web of Science、Cochrane图书馆、EMBASE、CINAHL、Ovid、万方、维普、中国知网和中国生物医学文献数据库（CBM）中的相关研究。检索期从数据库建立至2022年3月。在进行数据提取和质量评估后，使用Stata 16.0软件包进行荟萃分析。
总体而言，纳入了42篇文章，总样本量为36934。发现护士中工作相关肌肉骨骼疾病的年患病率为77.2%（95%置信区间：0.725 - 0.819）。护士中工作相关肌肉骨骼疾病患病率最高的三个解剖部位是下背部（59.5%）、颈部（53.0%）和肩部（46.8%）。发达国家护士的工作相关肌肉骨骼疾病患病率高于发展中国家。
目前有中等证据表明护士中工作相关肌肉骨骼疾病患病率较高。国家政策应旨在降低该人群中工作相关肌肉骨骼疾病的患病率。
