Thongkum Wisit, Tudpor Kukiat, Yoosook Wittaya, Nghiep Le Ke, Thronsao Chollada
Faculty of Public Health, Mahasarakham University, Maha Sarakham, Thailand.
Public Health and Environmental Policy in Southeast Asia Research Unit (PHEP-SEA), Mahasarakham University, Maha Sarakham, Thailand.
Stud Health Technol Inform. 2025 Jun 26;328:525-529. doi: 10.3233/SHTI250775.
Emergency medical services are at high risk of musculoskeletal disorders (MSDs). However, no study has examined the prevalence and impact of these disorders on EMS personnel.
This study aimed to determine the prevalence of work-related musculoskeletal disorders (WMSDs) among EMS personnel in Maha Sarakham Province and its associated factors.
This cross-sectional design was conducted during the period when 614 EMS personnel responded to a survey. There were 430 in the Presence of WMSDs Symptoms group and 184 in the Non-Presence of WMSDs Symptoms group. Thus, the incidence of WMSDs accounted for 70%. The result that male EMS personnel were significantly more likely to experience WMSDs (OR = 5.18, 95% CI: 3.20- 8.40). Personnel with 9 years or less of work experience had a lower risk of WMSDs compared to those with more experience (OR = 0.43, 95% CI: 0.26-0.70). Those who had not received refresher training in patient lifting and handling were at a much higher risk (OR = 5.75, 95% CI: 3.20-10.40). Working more than 13 hours per day also increased the likelihood of WMSDs (OR = 2.40, 95% CI: 1.50-3.78), as did lifting more than 23 kgs. per instance (OR = 5.13, 95% CI: 2.61-10.06). Interestingly, Spending more than 57 minutes per emergency response was associated with a higher risk (OR = 0.26, 95% CI: 0.15-0.43). WMSDs among EMS personnel are caused by a mix of personal, job-related, and ergonomic factors, highlighting the importance of well-rounded prevention strategies like adequate training, workload control, and ergonomic improvements.
紧急医疗服务人员面临肌肉骨骼疾病（MSD）的高风险。然而，尚无研究调查这些疾病在紧急医疗服务人员中的患病率及其影响。
本研究旨在确定玛哈沙拉堪府紧急医疗服务人员中与工作相关的肌肉骨骼疾病（WMSD）的患病率及其相关因素。
本横断面研究在614名紧急医疗服务人员回应调查期间进行。有WMSD症状组430人，无WMSD症状组184人。因此，WMSD的发生率为70%。结果显示，男性紧急医疗服务人员患WMSD的可能性显著更高（OR = 5.18，95%CI：3.20 - 8.40）。工作经验9年及以下的人员患WMSD的风险低于经验更丰富的人员（OR = 0.43，95%CI：0.26 - 0.70）。未接受过患者搬运和处理进修培训的人员风险高得多（OR = 5.75，95%CI：3.20 - 10.40）。每天工作超过13小时也会增加患WMSD的可能性（OR = 2.40，95%CI：1.50 - 3.78），每次搬运超过23公斤也是如此（OR = 5.13，95%CI：2.61 - 10.06）。有趣的是，每次应急响应花费超过57分钟与更高风险相关（OR = 0.26，95%CI：0.15 - 0.43）。紧急医疗服务人员的WMSD是由个人、工作相关和人体工程学因素共同导致的，这凸显了全面预防策略的重要性，如充分培训、工作量控制和人体工程学改进。
