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人体工程学训练及设备对医护人员肌肉骨骼系统疾病和生活质量的影响。

Effects of ergonomic training and equipment on musculoskeletal system disorders and quality of life in healthcare professionals.

作者信息

Kersu Ozlem, Kosgeroglu Nedime

机构信息

Department of Surgical Disease Nursing, Eskisehir Osmangazi University, Eskisehir.

Department of Nursing, Eskisehir Osmangazi University, Eskisehir, Turkiye.

出版信息

J Pak Med Assoc. 2025 Feb;75(2):213-218. doi: 10.47391/JPMA.11180.

Abstract

OBJECTIVES

To determine the association of musculoskeletal disorders with ergonomic training and equipment with respect to the quality of life of nurses working in the intensive care unit.

METHODS

The experimental study was conducted at Eskisehir Osmangazi University Health, Practice and Research Eskisehir, Turkiye from November 2018 to December 2019, and comprised adult intensive care unit nurses. The nurses were provided with ergonomic equipment (rollboards) to facilitate the transfer patients from bed to stretcher and from stretcher to bed. The nurses were trained on the use of rollboards for a month. Data was collected at baseline and after the training using a personal data collection form, Cornell Musculoskeletal Discomfort Questionnaire, Rapid Entire Body Assessment, and Short Form-36. Data was analysed using SPSS 21.

RESULTS

Of the 103 nurses, 71(58.9%) were females and 32(31.1%) were males. There were 30(29.1%) subjects aged 25-29 years, and body mass index was <25kg/m2 in 62(60.2%). Median risk score for lower back was 3.50 (interquartile range: 1.50-14.00; Z=-2.58, p=0.01) and for risky working posture it was 5.00 (interquartile range: 5.00- 7.00; Z=-8.39, p<0.001) of nurses which decreased after training and the use of equipment. The sub-dimension scores of the quality of life for the physical function, mental health, social function, general health perception and pain decreased post-intervention, but the difference was not significant (p>0.05).

CONCLUSION

Nurses' musculoskeletal symptoms decreased as a result of ergonomic training and equipment use. Although ergonomic training and equipment use did not affect nurses' quality of life, the ergonomic workplace increased their awareness of ergonomic risk assessment.

摘要

目的

确定肌肉骨骼疾病与人体工程学培训及设备之间的关联,以及其对重症监护病房护士生活质量的影响。

方法

2018年11月至2019年12月在土耳其埃斯基谢希尔奥斯曼加齐大学健康、实践与研究中心进行了一项实验研究,研究对象为成年重症监护病房护士。为护士们提供了人体工程学设备(滚动板),以方便将患者从病床转移到担架以及从担架转移到病床。对护士进行了为期一个月的滚动板使用培训。在基线和培训后,使用个人数据收集表、康奈尔肌肉骨骼不适问卷、快速全身评估和简短健康调查问卷-36收集数据。使用SPSS 21进行数据分析。

结果

103名护士中,71名(58.9%)为女性,32名(31.1%)为男性。年龄在25 - 29岁的有30名(29.1%),62名(60.2%)的体重指数<25kg/m²。护士的下背部中位风险评分为3.50(四分位间距:1.50 - 14.00;Z = -2.58,p = 0.01),危险工作姿势的中位风险评分为5.00(四分位间距:5.00 - 7.00;Z = -8.39,p < 0.001),在培训和使用设备后有所下降。干预后,身体功能、心理健康、社会功能、总体健康感知和疼痛方面的生活质量子维度得分有所下降,但差异不显著(p > 0.05)。

结论

人体工程学培训和设备使用使护士的肌肉骨骼症状有所减轻……虽然人体工程学培训和设备使用并未影响护士的生活质量,但符合人体工程学的工作场所提高了他们对人体工程学风险评估的意识。 (注:原文最后结论部分翻译时少了“as a result of ergonomic training and equipment use”,根据前文补充完整)

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