Wang Kun, Zeng Xiang, Li Junwen, Guo Yale, Wang Zhaolan
Qionglai Medical Center Hospital, Chengdu, China; School of Nursing, Chengdu Medical College, Chengdu, China.
School of Nursing, Chengdu Medical College, Chengdu, China.
Int J Nurs Stud. 2024 Sep;157:104826. doi: 10.1016/j.ijnurstu.2024.104826. Epub 2024 May 25.
Work-related musculoskeletal disorders significantly impact the job performance and quality of life of nursing personnel in China, necessitating an understanding of their prevalence and risk factors to enhance occupational health and improve medical safety.
To systematically evaluate the prevalence and risk factors of work-related musculoskeletal disorders among clinical nurses in China.
Systematic literature review and meta-analysis.
A computerized search was conducted on databases, including the China Knowledge Resource Integrated Database, Wanfang Database, China Biomedical Literature Database, Weipu Database, Embase, PubMed, Web of Science, the Cochrane Library, and CINAHL, covering studies from inception to February 28, 2024, addressing the risk factors for work-related musculoskeletal disorders among clinical nursing professionals in China. The meta-analysis was performed using Review Manager 5.4 and Stata 14 software.
The analysis included 23 articles, involving a total of 21,042 cases, and revealed a prevalence rate of 79 % (95 % CI: 73 %-84 %) for work-related musculoskeletal disorders among clinical nursing staff in China. Subgroup analysis revealed that the prevalence of work-related musculoskeletal disorders was highest among those with length of service >15 years, at 87 %; the 31-40 age group had a higher prevalence than other age groups, at 85 %; female nurses exhibited a prevalence rate of 80 %, surpassing male nurses at 77 %, while surgical nurses had a higher prevalence rate (83 %) than those in other departments. The most affected body parts were the neck (58 %), waist (57 %), shoulders (49 %), and back (35 %). Identified risk factors for work-related musculoskeletal disorders among clinical nurses in China included age >35 years (OR = 1.69, 95 % CI: 1.16-2.45), length of service ≥10 years (OR = 3.30, 95 % CI: 1.84-5.92), marital status (married) (OR = 2.19, 95 % CI: 1.91-2.50), heavy workload (OR = 2.46, 95 % CI: 1.25-4.83), weekly work hours >40 h (OR = 1.50, 95 % CI: 1.34-1.67), daily work hours >8 h (OR = 1.71, 95 % CI: 1.32-2.21), strong sense of work fatigue (OR = 1.47, 95 % CI: 1.22-1.76), and high night shift frequency (OR = 1.81, 95 % CI: 1.62-2.02). Regular physical exercise was found to be a protective factor (OR = 0.68, 95 % CI: 0.56-0.82).
The overall prevalence of work-related musculoskeletal disorders among clinical nursing staff in China was 79 %. Age >35 years, length of service ≥10 years, marital status (married), heavy workload, weekly work hours >40 h, daily work hours >8 h, strong sense of work fatigue, and night shift frequency were identified as risk factors. Nursing administrators and staff can take proactive measures against the aforementioned factors to reduce the risk of illness and ensure the safety of medical care.
PROSPERO: CRD42023479433.
工作相关肌肉骨骼疾病对中国护理人员的工作表现和生活质量有显著影响，有必要了解其患病率和风险因素，以加强职业健康并提高医疗安全。
系统评价中国临床护士工作相关肌肉骨骼疾病的患病率及风险因素。
系统文献综述和荟萃分析。
通过计算机检索中国知网、万方数据库、中国生物医学文献数据库、维普数据库、Embase、PubMed、Web of Science、Cochrane图书馆和CINAHL等数据库，检索时间从建库至2024年2月28日，纳入关于中国临床护理专业人员工作相关肌肉骨骼疾病风险因素的研究。采用Review Manager 5.4和Stata 14软件进行荟萃分析。
分析纳入23篇文章，共涉及21042例，结果显示中国临床护理人员工作相关肌肉骨骼疾病的患病率为79%（95%CI：73% - 84%）。亚组分析显示，工作年限>15年的人群中工作相关肌肉骨骼疾病患病率最高，为87%；31 - 40岁年龄组患病率高于其他年龄组，为85%；女性护士患病率为80%，高于男性护士的77%，而外科护士患病率（83%）高于其他科室护士。受影响最严重的身体部位是颈部（58%）、腰部（57%）、肩部（49%）和背部（35%）。中国临床护士工作相关肌肉骨骼疾病的已识别风险因素包括年龄>35岁（OR = 1.69，95%CI：1.16 - 2.45）、工作年限≥10年（OR = 3.30，95%CI：1.84 - 5.92）、婚姻状况（已婚）（OR = 2.19，95%CI：1.91 - 2.50）、工作量大（OR = 2.46，95%CI：1.25 - 4.83）、每周工作时长>40小时（OR = 1.50，95%CI：1.34 - 1.67）、每日工作时长>8小时（OR = 1.71，95%CI：1.32 - 2.21）、工作疲劳感强烈（OR = 1.47，95%CI：1.22 - 1.76）以及夜班频率高（OR = 1.81，95%CI：1.62 - 2.02）。规律体育锻炼被发现是一个保护因素（OR = 0.68，95%CI：0.56 - 0.82）。
中国临床护理人员工作相关肌肉骨骼疾病的总体患病率为79%。年龄>35岁、工作年限≥10年、婚姻状况（已婚）、工作量大、每周工作时长>40小时、每日工作时长>8小时、工作疲劳感强烈以及夜班频率被确定为风险因素。护理管理人员和工作人员可针对上述因素采取积极措施，以降低患病风险并确保医疗护理安全。
PROSPERO：CRD42023479433。
