Almogbil Ismail H, Alrashidi Lana R, Alhajlah Rahaf S, Alqasim Abdullah K, Alharbi Nader S, Alghamdi Mohammed A, Alshahrani Abdullah H
Surgery, Unaizah College of Medicine and Medical Sciences, Qassim University, Buraidah, SAU.
Medical Affairs, Majmaah University, Al Majma'ah, SAU.
Cureus. 2023 Jul 22;15(7):e42286. doi: 10.7759/cureus.42286. eCollection 2023 Jul.
Introduction Musculoskeletal disorders (MSDs) have a tremendous impact on working people and are becoming a serious problem in the modern society. The healthcare system is regarded as having one of the most physically demanding jobs, and the risk of musculoskeletal injuries is high. Irrespective of their age, healthcare workers (HCWs) worldwide frequently experience shoulder and neck pain. In our study, we sought to understand what initiates shoulder and neck pain, such as stress or environmental factors, and what causes shoulder and neck discomfort among Saudi Arabian healthcare professionals. Methods A descriptive, cross-sectional study was conducted from 2022 to 2023, assessing shoulder and neck pain among healthcare workers in the central region of Saudi Arabia. An online survey was used, with 409 participants aged 20 or older. The questionnaire included socio-demographic data, Shoulder Pain and Disability Index (SPADI) questionnaire to measure shoulder pain and disability, neck Bournemouth questionnaire (NBQ) to assess neck pain, and quadruple visual analogue scale (QVAS) to measure the intensity of pain. Results Of the 409 HCWs, 56% were males, and 56.5% belonged to the age group of 20-30 years. The prevalence of high-intensity pain based on QVAS criteria was 29.3%. The mean percentage of neck pain (32.3%) was slightly higher than shoulder pain (31.8%). There was a significant association between the level of pain intensity in terms of the total score of NBQ, SPADI score, and its dimensions. It is interesting to know that HCWs with associated chronic diseases had higher scores in all three questionnaires (NBQ, SPADI, and QVAS). Conclusion High-intensity musculoskeletal pain was relatively high among HCWs. It was found that neck pain affected HCWs more than shoulder pain. Furthermore, an increased pain intensity in the shoulder and neck was more frequently seen in HCWs with chronic diseases. More studies are needed to determine the causes and risk factors for neck and shoulder pain to help improve the healthcare system and patient care.
引言
肌肉骨骼疾病（MSDs）对劳动者有着巨大影响，正成为现代社会的一个严重问题。医疗系统被认为是身体要求最高的工作之一，肌肉骨骼损伤风险很高。无论年龄大小，全球医护人员（HCWs）经常经历肩部和颈部疼痛。在我们的研究中，我们试图了解是什么引发了肩部和颈部疼痛，如压力或环境因素，以及沙特阿拉伯医护专业人员中肩部和颈部不适的原因。
方法
2022年至2023年进行了一项描述性横断面研究，评估沙特阿拉伯中部地区医护人员的肩部和颈部疼痛情况。采用在线调查，有409名年龄在20岁及以上的参与者。问卷包括社会人口统计学数据、用于测量肩部疼痛和残疾的肩部疼痛与残疾指数（SPADI）问卷、用于评估颈部疼痛的颈部伯恩茅斯问卷（NBQ）以及用于测量疼痛强度的四重视觉模拟量表（QVAS）。
结果
在409名医护人员中，56%为男性，56.5%属于20 - 30岁年龄组。根据QVAS标准，高强度疼痛的患病率为29.3%。颈部疼痛的平均百分比（32.3%）略高于肩部疼痛（31.8%）。在NBQ总分、SPADI评分及其维度方面，疼痛强度水平之间存在显著关联。有趣的是，患有相关慢性病的医护人员在所有三份问卷（NBQ、SPADI和QVAS）中的得分都更高。
结论
医护人员中高强度肌肉骨骼疼痛的发生率相对较高。发现颈部疼痛对医护人员的影响大于肩部疼痛。此外，患有慢性病的医护人员肩部和颈部疼痛强度增加的情况更为常见。需要更多研究来确定颈部和肩部疼痛的原因及风险因素，以帮助改善医疗系统和患者护理。
