Ren Zhenhui, Yang Jiaxin, Huang Chongmei, Yu Qiang, Li Xuting, Chen Zengyu, Zhang Dan, Bin Chunhui, Ning Meng, Liu Yiting, Yuan Jianghao, Li Yamin, Tian Yusheng
Hunan Provincial People's Hospital and The first-affiliated hospital of Hunan normal university, Changsha, Hunan, China.
Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
BMC Nurs. 2025 Jul 28;24(1):979. doi: 10.1186/s12912-025-03605-9.
Musculoskeletal pain is common among nurses and can lead to absenteeism, reduced productivity and impaired physical and mental health. Long-term pain may develop into chronic pain, which is a more serious and longer-lasting condition that will cause further harm to nurses' health. Therefore, this study aims to investigate the prevalence and characteristics of chronic pain and its associated factors among nurses in tertiary hospitals in China.
This was a multicentre cross-sectional study of 147,832 nurses from 67 tertiary hospitals in China between December 2023 and January 2024, using cluster sampling and online methods. This study was a secondary analysis of the Nurses' Mental Health Study. The variables included sociodemographic information (sex, age, ethnicity, etc.), work-related information (professional title, years of working, department, etc.), and chronic pain characteristics (presence of chronic pain and site of pain). The study followed the STROBE guidelines. Statistical analyses included descriptive, chi-square test and binary logistic regression.
The prevalence of chronic pain among the participants was 8.2%, with the most common sites of pain being the low back (55.8%), neck and shoulder (40.0%), and head (37.6%). Factors associated with chronic pain in nurses included sex, age, ethnicity, education level, marital status, body mass index, weekly working hours, years of working, night shift, and exercise habit. Additionally, we analysed subgroups by different groups of sex, age, type of work, and night shifts. After comparing all binary logistic regression analyses, it was found that age > 40 years [odds ratio (OR) = 3.01], marital status (separated, widowed, or divorced) [OR = 1.64], body mass index ≥ 24 [OR = 1.27], working over 48 h per week [OR = 1.32], and no exercise habits [OR = 1.21] were stable risk factors for chronic pain in the nurse population.
Nurses' occupational health is vital for the quality and safety of patient care. This study underscores the need for targeted interventions (e.g., ergonomics training and education, work environment enhancement, shift optimization, healthy lifestyle promotion) to reduce chronic pain in nurses. Our findings may help provide a foundation for the prevention and management of chronic pain in nurses.
Not applicable. This study was not a clinical trial.
肌肉骨骼疼痛在护士中很常见，可能导致旷工、生产力下降以及身心健康受损。长期疼痛可能发展为慢性疼痛，这是一种更严重、持续时间更长的状况，会对护士的健康造成进一步损害。因此，本研究旨在调查中国三级医院护士中慢性疼痛的患病率、特征及其相关因素。
这是一项多中心横断面研究，于2023年12月至2024年1月期间，采用整群抽样和在线方法，对来自中国67家三级医院的147,832名护士进行了调查。本研究是护士心理健康研究的二次分析。变量包括社会人口学信息（性别、年龄、种族等）、工作相关信息（职称、工作年限、科室等）以及慢性疼痛特征（慢性疼痛的存在情况和疼痛部位）。该研究遵循STROBE指南。统计分析包括描述性分析、卡方检验和二元逻辑回归。
参与者中慢性疼痛的患病率为8.2%，最常见的疼痛部位是下背部（55.8%）、颈部和肩部（40.0%）以及头部（37.6%）。与护士慢性疼痛相关的因素包括性别、年龄、种族、教育水平、婚姻状况、体重指数、每周工作时长、工作年限、夜班和运动习惯。此外，我们按不同的性别、年龄、工作类型和夜班分组分析了亚组。在比较所有二元逻辑回归分析后发现，年龄>40岁[比值比（OR）=3.01]、婚姻状况（分居、丧偶或离婚）[OR=1.64]、体重指数≥24[OR=1.27]、每周工作超过48小时[OR=1.32]以及没有运动习惯[OR=1.21]是护士群体中慢性疼痛的稳定危险因素。
护士的职业健康对患者护理的质量和安全至关重要。本研究强调需要采取有针对性的干预措施（如人体工程学培训与教育、改善工作环境、优化轮班、促进健康生活方式）来减少护士的慢性疼痛。我们的研究结果可能有助于为护士慢性疼痛的预防和管理提供基础。
不适用。本研究不是临床试验。
