急性医院工作人员工作时间锻炼的可行性及效果——一项非随机对照试验
Feasibility and Effects of Exercise During Working Hours in Acute Hospital Staff - A Non-Randomized Controlled Trial.
作者信息
Nielsen S G, Pedersen M, Toftager-Oster J U, Saervoll C A, Fischer T K, Lindegaard B, Molsted S
机构信息
Department of Clinical Research, Copenhagen University Hospital- North Zealand, Hillerød, Denmark.
Emergency Medical Services, Ballerup, Denmark.
出版信息
J Occup Rehabil. 2025 Feb 18. doi: 10.1007/s10926-025-10275-6.
PURPOSE
Workplace health interventions with exercise have positive effects on musculoskeletal pain and well-being at work, however, effectiveness is questioned due to low adherence. In hospitals participation is challenged by shiftwork and unpredictable workload. Our aim was to investigate the feasibility of exercise during working hours in an acute hospital, herein to estimate the health impact to guide management decisions on implementation.
METHODS
A clinical trial in a public hospital, offering staff supervised group-based individualized exercise with combined aerobic and strength training during working hours twice weekly for 20 weeks. Delivery, acceptance, and adherence were investigated. Subjective outcomes were social capital, well-being, quality of life, and musculoskeletal pain were assessed. Objective outcomes were blood pressure, body composition, and cardiorespiratory fitness.
RESULTS
Twenty-three percent of the employees (n = 617) accepted participation (92% female, median age was 50 years, 38% nurses). Adherence was 29% with no difference between employees with clinical versus non-clinical functions. Non-clinicians participated during working hours, while clinicians participated outside of working hours in 50% (IQR 5-87) of the sessions. Positive changes were seen in systolic and diastolic blood pressure (decreased 2.0 [0.9; 2.2] and 0.9 [0.1; 1.7] mmHG, respectively), aerobic capacity 2.3 ml/O2/min/kg [1.7; 2.9], and in waist-hip ratio, social capital, well-being, quality of life, and musculoskeletal pain.
CONCLUSION
Exercise during working hours in an acute hospital staff was feasible, but strategies to increase acceptance and adherence are necessary for a successful implementation. Despite low adherence, the intervention was associated with improvements of physical and mental health.
REGISTRATION
The study protocol has been uploaded on www.
CLINICALTRIALS
gov (NCT04988724).
目的
职场健康干预中的运动对肌肉骨骼疼痛和工作时的幸福感有积极影响，然而，由于依从性低，其有效性受到质疑。在医院中，轮班工作和不可预测的工作量对参与度构成挑战。我们的目的是调查急症医院在工作时间进行运动的可行性，在此评估其对健康的影响，以指导关于实施的管理决策。
方法
在一家公立医院进行一项临床试验，为员工提供在工作时间每周两次、为期20周的有监督的基于小组的个性化运动，包括有氧训练和力量训练。调查运动的提供、接受情况和依从性。评估主观结果，包括社会资本、幸福感、生活质量和肌肉骨骼疼痛。评估客观结果，包括血压、身体成分和心肺适能。
结果
23%的员工（n = 617）接受了参与（92%为女性，中位年龄为50岁，38%为护士）。依从率为29%，临床和非临床职能的员工之间无差异。非临床人员在工作时间参与，而临床人员在50%（四分位距5 - 87）的课程中在工作时间之外参与。收缩压和舒张压出现了积极变化（分别下降2.0 [0.9; 2.2]和0.9 [0.1; 1.7] mmHg）、有氧能力提高2.3 ml/O2/min/kg [1.7; 2.9]，以及腰臀比、社会资本、幸福感、生活质量和肌肉骨骼疼痛方面的变化。
结论
急症医院员工在工作时间进行运动是可行的，但要成功实施，需要采取提高接受度和依从性的策略。尽管依从性低，但该干预与身心健康的改善相关。
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