某医院医务人员肌肉骨骼疾患与睡眠质量、职业紧张相关性分析  

Analysis of the association of musculoskeletal disorder,sleep quality and occupational stress among medical staffs in a hospital

作　　者：宁丽[1] 张勇[2] 关素珍[1] 刘继文[1] 

机构地区：[1]新疆医科大学公共卫生学院,新疆乌鲁木齐830011 [2]乌鲁木齐市疾病预防控制中心,830002

出　　处：《中国职业医学》2017年第6期740-744,共5页China Occupational Medicine

基　　金：新疆维吾尔自治区自然科学基金面上项目(2015211C013)

摘　　要：目的了解医务人员肌肉骨骼疾患(MSDS)的发生现状,分析其与睡眠质量、职业紧张的关系。方法采用判断抽样方法,选择某三级甲等医院的414名医务人员为研究对象,采用《北欧国家肌肉骨骼疾患标准调查表》《匹兹堡睡眠质量指数量表》以及《职业应激核心问卷》对其MSDS、睡眠质量和职业紧张状况进行问卷调查。结果研究对象MSDS年患病率为67.9%(281/414),周患病率为58.5%(242/414),其中,颈、腰、肩均为医务人员MSDS高发部位,其年患病率依次为67.9%、67.6%和54.6%,周患病率依次为56.5%、58.5%和47.8%。58.9%(244/414)的医务人员存在睡眠问题;睡眠质量差组医务人员颈、肩MSDS年患病率和周患病率均高于睡眠质量好组(P<0.05)。30.2%(125/414)的医务人员存在职业紧张;职业紧张组医务人员颈、肩MSDS年患病率和周患病率均高于非职业紧张组(P<0.05)。多因素Logistic回归分析结果显示,工龄、睡眠时间、睡眠质量以及工作要求均是MSDS患病的危险因素(P<0.05)。结论睡眠质量差、职业紧张程度高的医务人员发生MSDS的可能性较大。Objective To study the current status of musculoskeletal disorders （MSDS） among medical staffs, and to analyze the relationship of MSDS, sleep quality and occupational stress. Methods Four hundred and fourteen medical staffs from a tertiary hospital were selected as research subjects by using judgment sampling method. The questionnaires of Nordic Museuloskeletal Questionnaire, Pittsburgh Sleep Quality Index and Core Questionnaire of Occupational Stress were answered and analyzed. Results The annual prevalence and week prevalence of MSDS were 67.9% （281/414） and 58.5% （242/414） in the study group. The neck, waist and shoulder were areas of high incidence of MSDS in the medical staffs, and the annual prevalence was 67.9% , 67. 6% and 54. 6% , while the week prevalence was 56. 5% , 58.5% and 47.8% respectively. There were 58.9% （244/414） medical staffs who had sleep problems. The MSDS annual prevalence, week prevalence of neck and shoulder for poor sleep quality in medical staffs were higher than that of good sleep quality group （P 〈 0. 05）. There were 30. 2% （125/414） medical staffs who had occupation stress. The annual prevalence, week prevalence of neck and shoulder MSDS in the occupation stress group of medical staffs were higher than the non-occupation stress group （ P 〈 0.05 ）. Multivariate logistic regression analysis showed that length of service, sleep duration, sleep quality and work requirements were the risk factors of MSDS （ P 〈 0. 05 ）. Conclusion The incidence of MSDS is higher in medical staffs with poor sleep quality and high occupational stress.

关 键 词：医务人员 肌肉骨骼疾患 睡眠质量 职业紧张 

分 类 号：R135[医药卫生—劳动卫生]