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新冠疫情监测工作人员的肌肉骨骼疾病:患病率、风险因素及应对策略分析

Musculoskeletal Disorders in COVID-19 Surveillance Staff Members: An Analysis of Prevalence, Risk Factors, and Coping Strategies.

作者信息

Zhang Huiying, Liu Yanyan, Liu Yan, Luo Yan

机构信息

The Medical College, Xuchang University, Xuchang, Henan, China.

出版信息

Br J Hosp Med (Lond). 2024 Nov 30;85(11):1-17. doi: 10.12968/hmed.2024.0423. Epub 2024 Nov 18.

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, the COVID-19 surveillance staff members experienced an increased risk for musculoskeletal disorders. Thus, it is necessary to further investigate the causal factors stemming from COVID-19 surveillance work, especially nucleic acid testing, and establish their relationship with work-related musculoskeletal disorders (WMSDs) by building upon the previous research. This study aimed to determine the prevalence of WMSDs and the major risks faced by the COVID-19 surveillance staff members. This cross-sectional study was conducted in May 2022. The Quick Exposure Check (QEC), Nordic Musculoskeletal Questionnaire (NMQ), and Maslach Burnout Inventory (MBI) were used to evaluate ergonomic factors, musculoskeletal symptoms and pressure among 131 COVID-19 surveillance staff members in four hospitals in South-central Henan Province. Additionally, data regarding the coping strategies adopted by the respondents for lowing the risk of developing WMSDs were collected using a self-report questionnaire. The QEC results showed that the back, neck, and should/arm of the COVID-19 surveillance staff members bore high ergonomic loads, while the wrist suffered a medium load. The neck (75.6%), shoulder (66.4%), upper back (58%), and wrist (55.7%) were at higher risk for musculoskeletal disorder. Most of the respondents claimed a low sense of achievement (124, 94.7%) and slightly less than half of them had endured emotional exhaustion at work (61, 46.6%). Prolonged period of maintaining the same posture at work, awkward bending or twisting of back side, task repetition and so on were the perceived job risk factors precipitating WMSDs among the participants in this study. The top three coping strategies for lowering the risk of WMSDs included adjusting the plinth/bed height (49.6%), utilizing different parts of the body at work (47.3%), and taking short breaks when required (33.6%). Prolonged large-scale nucleic acid detection can aggravate the musculoskeletal injuries of the neck, shoulder, upper back, and wrist in COVID-19 surveillance staff members. Prevention measures for musculoskeletal injuries factors must be in place to deter such incidence at work.

摘要

在2019冠状病毒病(COVID-19)大流行期间,COVID-19监测工作人员患肌肉骨骼疾病的风险增加。因此,有必要进一步调查COVID-19监测工作,尤其是核酸检测工作中产生的因果因素,并在前人研究的基础上确定它们与工作相关肌肉骨骼疾病(WMSDs)的关系。本研究旨在确定WMSDs的患病率以及COVID-19监测工作人员面临的主要风险。这项横断面研究于2022年5月进行。采用快速暴露检查(QEC)、北欧肌肉骨骼问卷(NMQ)和马氏倦怠量表(MBI)对豫中南部四所医院的131名COVID-19监测工作人员的人体工程学因素、肌肉骨骼症状和压力进行评估。此外,通过自填问卷收集受访者为降低患WMSDs风险而采取的应对策略的数据。QEC结果显示,COVID-19监测工作人员的背部、颈部和肩部/手臂承受着较高的人体工程学负荷,而手腕承受着中等负荷。颈部(75.6%)、肩部(66.4%)、上背部(58%)和手腕(55.7%)患肌肉骨骼疾病的风险较高。大多数受访者成就感较低(124人,94.7%),略少于一半的受访者在工作中经历过情感耗竭(61人,46.6%)。工作时长时间保持同一姿势、背部不自然地弯曲或扭转、任务重复等都是本研究参与者认为会引发WMSDs的工作风险因素。降低WMSDs风险的前三大应对策略包括调整检查台/床的高度(49.6%)、在工作中使用身体的不同部位(47.3%)以及在需要时短暂休息(33.6%)。长时间大规模的核酸检测会加重COVID-19监测工作人员颈部、肩部、上背部和手腕的肌肉骨骼损伤。必须针对肌肉骨骼损伤因素制定预防措施,以防止此类工作中的发病情况。

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