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沙特阿拉伯北部医护人员肌肉骨骼疾病的患病率、模式及相关因素:一项多中心横断面研究

Prevalence, Patterns, and Associated Factors for Musculoskeletal Disorders Among the Healthcare Workers of Northern Saudi Arabia: A Multicenter Cross-Sectional Study.

作者信息

Alruwaili Sager Holyl, Thirunavukkarasu Ashokkumar, Alanazi Raghdah Muharib, Alsharari Amani Yasr, Alruwaili Danah Khalid, Alenzi Hanaa Abdalkreem, Alruwaili Aryam Nafea, Alruwaili Ghadah Qasem

机构信息

Department of Surgery, Division of Orthopedic Surgery, College of Medicine, Jouf University, Sakaka, Al-Jouf, Saudi Arabia.

Department of Family and Community Medicine, College of Medicine, Jouf University, Sakaka, Al-Jouf, Saudi Arabia.

出版信息

J Pain Res. 2023 Nov 7;16:3735-3746. doi: 10.2147/JPR.S415919. eCollection 2023.

Abstract

BACKGROUND

Musculoskeletal disorders (MSDs) have emerged as a pressing concern among healthcare workers (HCWs), gaining significant attention, particularly in the aftermath of the COVID-19 pandemic. This study evaluated the prevalence, pattern, and associated factors for MSDs among HCWs in northern Saudi Arabia.

PARTICIPANTS AND METHODS

Employing a cross-sectional study design, the standardized Nordic Musculoskeletal Questionnaire (NMQ) was used to collect data from participants. Systematic sampling method was employed to select 384 HCWs from diverse healthcare settings. Multivariate logistic regression analysis was conducted to identify factors associated with MSDs.

RESULTS

Among the participants, 72.4% reported one or more NMQ-listed MSDs. The most commonly affected body regions were the neck, shoulder, and lower back. MSDs showed significant associations with physical activity (adjusted odds ratio [AOR]= 0.72, 95% confidence interval [CI] = 0.53-0.93, p = 0.024), obesity status (AOR = 3.08, 95% CI = 1.56-4.71, p = 0.003), and ergonomic training (AOR = 0.38, 95% CI = 0.23-0.55, p < 0.001).

CONCLUSION

Implementing preplacement and periodic ergonomic training for HCWs is recommended. This proactive measure holds the potential to alleviate MSD-related discomfort, reduce sickness absenteeism, and enhance overall productivity. Future longitudinal studies across different regions of Saudi Arabia are essential to establish causal links between risk factors and MSDs.

摘要

背景

肌肉骨骼疾病(MSD)已成为医护人员(HCW)中一个紧迫的问题,受到了广泛关注,尤其是在新冠疫情之后。本研究评估了沙特阿拉伯北部医护人员中MSD的患病率、模式及相关因素。

参与者与方法

采用横断面研究设计,使用标准化的北欧肌肉骨骼问卷(NMQ)从参与者中收集数据。采用系统抽样方法从不同医疗机构中选取384名医护人员。进行多因素逻辑回归分析以确定与MSD相关的因素。

结果

在参与者中,72.4%报告有一项或多项NMQ列出的MSD。最常受影响的身体部位是颈部、肩部和下背部。MSD与身体活动(调整后的优势比[AOR]=0.72,95%置信区间[CI]=0.53 - 0.93,p = 0.024)、肥胖状况(AOR = 3.08,95% CI = 1.56 - 4.71,p = 0.003)和人体工程学培训(AOR = 0.38,95% CI = 0.23 - 0.55,p < 0.001)显著相关。

结论

建议为医护人员实施上岗前和定期的人体工程学培训。这一积极措施有可能减轻与MSD相关的不适,减少病假缺勤,并提高整体生产力。未来在沙特阿拉伯不同地区开展纵向研究对于确定风险因素与MSD之间的因果关系至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f51/10638934/80bd096b5d8c/JPR-16-3735-g0001.jpg

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