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医院护士肌肉骨骼疾病与生产力损失之间的关系:一项基于二次数据分析的分析性横断面研究

Relationship Between Musculoskeletal Disorders and Productivity Loss Among Hospital Nurses: An Analytical Cross-Sectional Study With Secondary Data Analysis.

作者信息

Kang Minkyung, Kim Inah, Park Chang, Min Ari

机构信息

College of Nursing, Research Institute of Nursing Science, Ajou University, Suwon, South Korea.

College of Nursing, Keimyung University, Daegu, South Korea.

出版信息

J Nurs Scholarsh. 2025 Sep;57(5):789-798. doi: 10.1111/jnu.70020. Epub 2025 May 21.

Abstract

AIM

To identify the prevalence of musculoskeletal disorders among hospital nurses and explore their effects on productivity loss.

DESIGN

An analytical cross-sectional study with secondary data analysis was conducted.

METHODS

Data were collected via an online survey of 607 registered nurses working in general and tertiary hospitals in South Korea. Multivariate logistic regression analysis was performed to examine the association between musculoskeletal disorders and four productivity loss indicators: absenteeism, presenteeism, perceived productivity loss, and work limitations.

RESULTS

Musculoskeletal disorders were highly prevalent among hospital nurses, with 83.9% of participants reporting musculoskeletal disorder symptoms in the past week. Lower back complaints had the highest prevalence. Nurses with musculoskeletal disorders were 3.74 times more likely to experience presenteeism than those without musculoskeletal disorders. They were also 3.00 times more likely to report perceived productivity loss and 2.24 times more likely to experience work limitations. However, no significant relationship was observed between musculoskeletal disorders and absenteeism.

CONCLUSION

Musculoskeletal disorders contribute to presenteeism, productivity loss, and work limitations among hospital nurses. Targeted interventions for preventing and managing musculoskeletal disorders are essential to mitigate productivity losses and improve nurses' health and job performance. Strategies such as ergonomic workplace modifications, early detection, and effective management of musculoskeletal disorders can help maintain nurses' productivity and well-being.

CLINICAL RELEVANCE

Addressing musculoskeletal disorders is critical for enhancing nurse productivity and for ensuring the delivery of high-quality patient care. Healthcare organizations can safeguard nurses' health and patient outcomes by reducing presenteeism and work limitations.

摘要

目的

确定医院护士中肌肉骨骼疾病的患病率,并探讨其对生产力损失的影响。

设计

开展一项采用二次数据分析的分析性横断面研究。

方法

通过对韩国综合医院和三级医院的607名注册护士进行在线调查收集数据。进行多变量逻辑回归分析,以检验肌肉骨骼疾病与四个生产力损失指标之间的关联:旷工、出勤主义、感知到的生产力损失和工作限制。

结果

肌肉骨骼疾病在医院护士中非常普遍,83.9%的参与者报告在过去一周有肌肉骨骼疾病症状。下背部疼痛的患病率最高。患有肌肉骨骼疾病的护士出现出勤主义的可能性是未患肌肉骨骼疾病护士的3.74倍。他们报告感知到生产力损失的可能性也高3.00倍,出现工作限制的可能性高2.24倍。然而,未观察到肌肉骨骼疾病与旷工之间存在显著关系。

结论

肌肉骨骼疾病导致医院护士出现出勤主义、生产力损失和工作限制。针对性地预防和管理肌肉骨骼疾病的干预措施对于减轻生产力损失以及改善护士的健康和工作表现至关重要。诸如对工作场所进行符合人体工程学的改造、早期发现和有效管理肌肉骨骼疾病等策略有助于维持护士的生产力和幸福感。

临床意义

解决肌肉骨骼疾病对于提高护士生产力和确保提供高质量的患者护理至关重要。医疗保健机构可以通过减少出勤主义和工作限制来保障护士的健康和患者的治疗结果。

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