Wang Ansu, Zhou Yufeng, Li Xuyan, Wang Weiqun, Zhao Xu, Chen Ping, Liao Wenbo
Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou Province, China.
BMC Musculoskelet Disord. 2024 Apr 23;25(1):316. doi: 10.1186/s12891-024-07425-x.
Chronic shoulder and neck pain is one of the most common chronic occupational disorders, with an average incidence rate of 48.5%, severely affecting patients' quality of life and ability to work. According to epidemiological research, the prevalence of chronic neck, shoulder, and low back pain in adults over the age of 45 ranges from 40 to 80%. According to reports, medical staff have a higher incidence rate than other populations, and there is a positive correlation between the grade of the medical institution and the incidence rate, making medical staff a priority group for the prevention of chronic neck, shoulder, and low back pain. By the end of 2022, China has been fully opened to epidemic prevention and control, the total number of patients in domestic hospitals has increased significantly, and resulting in medical personnel shoulting great pressure, which seriously affects the physical and mental health of medical personnel. The aim of this study was to explore the risk factors of chronic neck, shoulder and lumbar back pain in medical staff. To provide guidelines for medical staff to improve cervical and lumbar subacute pain and reduce the emergence of spinal lesions.
From January to February 2023, 602 staff members of a third-grade hospital in Zunyi City were studied by Questionnaire star. Univariate and multivariate Logistic regression were used to analyze the independent risk factors of chronic neck, shoulder and lumbar back pain in medical staff, with stepwise regression utilized to choose the optimum model. The model was selected using Akaike's information criterion (AIC) and the Hosmer-Lemeshow goodness-of-fit test.
A total of 602 medical staff were polled, and the findings revealed that 588 cases of chronic neck, shoulder, and low back pain of varied severity had occurred in the previous 1 to 2 years, with a 97.7% incidence rate; logistic regression analysis revealed that anxiety level, frequency of bending over in the previous 1 to 2 years, whether related preventive measures were taken at work, gender, positive senior title, daily ambulation time, and whether the department they worked in organized independent influencing factors.
The incidence of chronic neck, shoulder, and lumbar back pain among medical staff is high; its influencing factors are different and have not been systematically identified. Hospitals should take effective measures tailored to local conditions to improve the physical and mental health of medical staff.
慢性肩颈痛是最常见的慢性职业疾病之一，平均发病率为48.5%，严重影响患者的生活质量和工作能力。根据流行病学研究，45岁以上成年人慢性颈肩腰背痛的患病率在40%至80%之间。据报道，医务人员的发病率高于其他人群，且医疗机构级别与发病率呈正相关，这使得医务人员成为预防慢性颈肩腰背痛的重点人群。到2022年底，中国全面放开疫情防控，国内医院患者总数大幅增加，导致医务人员承受巨大压力，严重影响医务人员的身心健康。本研究旨在探讨医务人员慢性颈肩腰背痛的危险因素，为医务人员改善颈腰椎亚急性疼痛、减少脊柱病变的发生提供指导。
2023年1月至2月，通过问卷星对遵义市某三级医院的602名工作人员进行研究。采用单因素和多因素Logistic回归分析医务人员慢性颈肩腰背痛的独立危险因素，利用逐步回归选择最优模型。使用赤池信息准则（AIC）和Hosmer-Lemeshow拟合优度检验选择模型。
共对602名医务人员进行了调查，结果显示在过去1至2年内共发生了588例不同严重程度的慢性颈肩腰背痛，发病率为97.7%；Logistic回归分析显示，焦虑水平、过去1至2年内弯腰频率、工作中是否采取相关预防措施、性别、正高级职称、每日行走时间以及所在科室是否组织等为独立影响因素。
医务人员慢性颈肩腰背痛的发病率较高；其影响因素各异且尚未得到系统识别。医院应因地制宜采取有效措施，改善医务人员的身心健康。
