急诊医疗服务人员的肌肉骨骼疾病：系统评价和荟萃分析。

Musculoskeletal disorders in emergency medical services personnel: a systematic review and meta-analysis.

机构信息

Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Public Health. 2024 Dec;237:107-115. doi: 10.1016/j.puhe.2024.08.020. Epub 2024 Oct 4.

DOI:10.1016/j.puhe.2024.08.020

PMID:39366277

Abstract

OBJECTIVES

Emergency medical services personnel are frequently subjected to strenuous physical tasks, such as lifting and moving patients, as well as working in awkward postures. These activities can result in a variety of debilitating injuries, including musculoskeletal disorders (MSDs). As a result, this systematic review and meta-analysis study aimed to examine the frequency of MSDs among emergency medical services personnel.

STUDY DESIGN

Systematic review and meta-analysis.

METHODS

This systematic review and meta-analysis study was conducted based on the PRISMA guidelines. The protocol of this work is registered in PROSPERO with the code CRD42024506958. Searches were conducted without time limits in several databases including PubMed, Scopus, Web of Science, Science Direct, SID, ISC, and Google Scholar until February 12, 2024. The I index was used to assess heterogeneity, and random effects model was used for meta-analysis. Data were analyzed using STATA version 14.

RESULTS

A total of 709 articles were obtained by initial search in the mentioned databases. Following a thorough screening and quality assessment, 27 articles were chosen for meta-analysis. The findings revealed that the overall prevalence of MSDs among emergency medical services personnel is 56.52% (95% CI: 35-78.04, I = 99.8%, P < 0.001) and the prevalence in different areas of the body are as follows: the low back (47.38%), upper back (35.15%), neck (31.19%), shoulder (30%), knee (27.07%), hand (20.70%), hip/thigh (19.48%), feet (19.11%), and elbow (17.36%).

CONCLUSION

The prevalence of MSDs among emergency medical services personnel is very high. Considering the importance of the role of these employees and the specific risk factors of their jobs, it is recommended that periodic screening is prioritized. In addition, attention should be paid to the ergonomic evaluation of the work environment and the design of appropriate ergonomic interventions.

摘要

目的

急救医疗服务人员经常需要进行繁重的体力任务，例如搬运和移动患者，以及保持不舒适的姿势工作。这些活动可能导致各种使人虚弱的损伤，包括肌肉骨骼疾病（MSD）。因此，本系统评价和荟萃分析旨在研究急救医疗服务人员中 MSD 的频率。

研究设计

系统评价和荟萃分析。

方法

本系统评价和荟萃分析研究基于 PRISMA 指南进行。本工作的方案已在 PROSPERO 中注册，注册号为 CRD42024506958。研究无时间限制地在多个数据库中进行了检索，包括 PubMed、Scopus、Web of Science、Science Direct、SID、ISC 和 Google Scholar，直至 2024 年 2 月 12 日。I 指数用于评估异质性，使用随机效应模型进行荟萃分析。数据使用 STATA 版本 14 进行分析。

结果

通过在上述数据库中进行初步搜索，共获得 709 篇文章。经过彻底筛选和质量评估，选择了 27 篇文章进行荟萃分析。结果显示，急救医疗服务人员中 MSD 的总体患病率为 56.52%（95%CI：35-78.04，I=99.8%，P<0.001），不同身体部位的患病率如下：下背部（47.38%）、上背部（35.15%）、颈部（31.19%）、肩部（30%）、膝盖（27.07%）、手（20.70%）、臀部/大腿（19.48%）、脚（19.11%）和肘部（17.36%）。