Lagerström M, Wenemark M, Hagberg M, Hjelm E W
Division of Work and Environmental Physiology, National Institute of Occupational Health, Solna, Sweden.
Int Arch Occup Environ Health. 1995;68(1):27-35. doi: 10.1007/BF01831630.
The relationship between individual factors, physical and psychosocial exposure at work, and musculoskeletal symptoms in the neck, shoulders, low back, hands, and knees was studied among female nursing personnel working at a Swedish hospital. The personnel had participated in a course in work technique (patient transfer and handling principles). Prior to the course, the subjects had filled in a questionnaire (n = 688). The aim of this cross-sectional study was to elucidate whether different individual and work factors are related to musculoskeletal symptoms in a specific body region. Due to the cross-sectional design, however, causality cannot be discussed. Univariate analyses and multiple logistic regression analyses were performed and yielded similar results. The latter analyses showed that in the present hospital setting, individual factors together with physical and psychosocial work factors were related to symptoms in the neck, low back, and hands; individual factors and psychosocial work factors were related to symptoms in the shoulders; while only individual factors were related to symptoms in the knees. The results of the present study showed that various individual factors and physical and psychosocial work factors were related to musculoskeletal symptoms in the different body regions. Thus, the identification of risk factors might have far-reaching implications for the way in which effective health programs for prevention should be designed in the hospital setting.
在一家瑞典医院工作的女性护理人员中,研究了个体因素、工作中的身体和心理社会暴露与颈部、肩部、下背部、手部和膝盖的肌肉骨骼症状之间的关系。这些人员参加了一门工作技术课程(患者转移和处理原则)。在课程之前,受试者填写了一份问卷(n = 688)。这项横断面研究的目的是阐明不同的个体和工作因素是否与特定身体部位的肌肉骨骼症状相关。然而,由于横断面设计,无法讨论因果关系。进行了单变量分析和多元逻辑回归分析,结果相似。后者的分析表明,在目前的医院环境中,个体因素以及身体和心理社会工作因素与颈部、下背部和手部的症状有关;个体因素和心理社会工作因素与肩部的症状有关;而只有个体因素与膝盖的症状有关。本研究结果表明,各种个体因素以及身体和心理社会工作因素与不同身体部位的肌肉骨骼症状有关。因此,识别风险因素可能对在医院环境中设计有效的预防健康计划的方式产生深远影响。