论文部分内容阅读
[目的]了解唐山市某三甲医院护理人群的背部肌肉骨骼疾患流行状况,探讨其影响因素。[方法]采用整群抽样的方式,依据肌肉骨骼疾患调查表,对唐山市某三甲医院784名护理人员2013年1—12月背部工作相关肌肉骨骼疾患进行调查,调查指标主要包括症状及出现频率、对身体的影响、主观患病是否与工作有关、年龄、工作及休息时数、工作负荷、工作感受等。采用t检验、卡方检验、非参数检验、非条件logistic回归分析等方法进行统计分析。[结果]护理工作人员背部肌肉骨骼疾患的患病率为45.7%,症状以酸痛为主,且有半数人员症状几乎每天出现,80.4%的人员认为身体健康受到了影响。护理人员的背部肌肉骨骼疾患患病与年龄(OR=1.026,95%CI:1.002~1.051)、工作后体力劳累感(OR=1.515,95%CI:1.244~1.844)、工作满意度(OR=2.154,95%CI:1.534~3.026)、每小时重复同一动作次数(OR=1.042,95%CI:1.016~1.067)、日照顾患者数(OR=1.024,95%CI:1.010~1.039)呈正相关,与月休息天数(OR=0.911,95%CI:0.858~0.966)呈负相关。[结论]该三甲医院护理工作人员背部肌肉骨骼疾患患病率较高,可能与高劳动负荷、休息放松时间少、年龄增高带来的身体生理变化有关。
[Objective] To understand the epidemic situation of back musculoskeletal disorders in nursing population in a top-tier hospital in Tangshan and to explore its influencing factors. [Methods] According to the questionnaire of musculoskeletal disorders, 784 nursing staffs in Tangshan from January to December 2013 were investigated for musculoskeletal problems related to back work. The survey indicators mainly included the symptoms and frequency of occurrence , The impact on the body, subjective illness is related to work, age, work and rest hours, work load, work experience and so on. T-test, Chi-square test, non-parametric test, non-conditional logistic regression analysis and other methods for statistical analysis. [Results] The prevalence rate of back musculoskeletal disorders in nursing staff was 45.7%. The main symptom was soreness. Half of the symptoms occurred almost daily, and 80.4% of the respondents thought that their health was affected. (OR = 1.515, 95% CI: 1.244-1.844) and job satisfaction (OR = 1.515, 95% CI: 1.002 ~ 1.051) (OR = 1.024, 95% CI: 1.016-1.067), the number of daily care patients (OR = 1.024,95% CI: 1.010-1.0339) was positively correlated with the number of patients taking care of each other (OR = 1.024,95% CI: 1.534-3.026) , And was negatively correlated with the number of days of rest (OR = 0.911, 95% CI: 0.858-0.966). [Conclusion] The prevalence of musculoskeletal disorders in the back of nursing staff in the top three hospitals is high, which may be related to the physical and physiological changes caused by high labor load, less relaxation time and higher age.