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医疗辐射环境中医护人员工作相关肌肉骨骼疾病的患病率及危险因素

Prevalence and risk factors of work-related musculoskeletal disorders among healthcare workers in medical radiation environments.

作者信息

Li Yan, Xu Haijuan, Li Rongzong, Cheng Muxiang, Wen Cuiju

机构信息

College of Public Health, Shanxi Medical University, Jinzhong, Shanxi, China.

Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, China.

出版信息

Work. 2024;79(4):1867-1877. doi: 10.3233/WOR-230552.

DOI:10.3233/WOR-230552
PMID:39670983
Abstract

BACKGROUND

Work-related musculoskeletal disorders (WMSDs) are among the most commonly reported occupational diseases worldwide. Healthcare workers, such as medical radiation staff, are susceptible to WMSDs.

OBJECTIVE

To analyze the prevalence of work-related musculoskeletal disorders (WMSDs) and their influencing factors among professionals working in medical radiation institutions.

METHODS

This study employed cluster random sampling and included 1669 medical radiation staff members from medical units and institutions in Guangdong Province, China. The modified Nordic Musculoskeletal Questionnaire was used to analyze musculoskeletal symptoms in nine body regions over the previous 12 months. The chi-square test was used to analyze the association between WMSDs and these factors. Logistic regression was used to identify potential influencing factors.

RESULTS

This study collected 1669 complete and valid questionnaires. The overall self-reported prevalence of WMSDs among medical radiation staff was 15.3%. Multivariate logistic regression showed that gender, alcohol consumption, senior rank hospital, repetitive motions at work, overtime work, and prolonged maintenance of the same posture increased the risk of WMSDs (P < 0.05). Adjustable work chairs and comfortable workplace temperatures were protective factors against WMSDs (P < 0.05).

CONCLUSION

Being female, alcohol consumption, higher hospital level, repetitive motions, working overtime, and maintaining a single posture contributed to the risk of neck, shoulder, and lower back WMSDs among medical radiation staff. Prevention and management strategies to facilitate reduction in adverse health effects on the occupational health of the medical radiation staff should be considered.

摘要

背景

工作相关肌肉骨骼疾病(WMSDs)是全球报告最常见的职业病之一。医护人员,如医学放射工作人员,易患WMSDs。

目的

分析医学放射机构专业人员中工作相关肌肉骨骼疾病(WMSDs)的患病率及其影响因素。

方法

本研究采用整群随机抽样,纳入了来自中国广东省医疗单位和机构的1669名医学放射工作人员。采用改良的北欧肌肉骨骼问卷分析过去12个月中九个身体区域的肌肉骨骼症状。采用卡方检验分析WMSDs与这些因素之间的关联。采用逻辑回归确定潜在影响因素。

结果

本研究收集了1669份完整有效的问卷。医学放射工作人员中WMSDs的总体自我报告患病率为15.3%。多因素逻辑回归显示,性别、饮酒、医院级别高、工作中的重复动作、加班以及长时间保持同一姿势会增加患WMSDs的风险(P<0.05)。可调节工作椅和舒适的工作场所温度是预防WMSDs的保护因素(P<0.05)。

结论

女性、饮酒、医院级别高、重复动作、加班以及保持单一姿势会增加医学放射工作人员颈部、肩部和下背部患WMSDs的风险。应考虑采取预防和管理策略,以减少对医学放射工作人员职业健康的不良健康影响。

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