医务人员肌肉骨骼疾患调查及危险因素分析  

Prevalence of musculoskeletal disorders and associated risk factors of medical staff

作　　者：王红[1] 任森森 梁守沛[1] 张晓非 王贺[1] 汤丽霞 张育红 王守英[4] 姚永成[4] WANG Hong;REN Sensen;LIANG Shoupei;ZHANG Xiaofei;WANG He;TANG Lixia;ZHANG Yuhong;WANG Shouying;YAO Yongcheng(Zhengzhou People＇s Hospital,Zhengzhou,Henan450053,China)

机构地区：[1]郑州人民医院,河南郑州450053 [2]郑州图书馆 [3]郑州市职业病防治院 [4]新乡医学院公共卫生学院

出　　处：《河南预防医学杂志》2018年第10期724-728,F0003,共6页Henan Journal of Preventive Medicine

基　　金：郑州市科技局科技发展计划项目(20150063;20130472);河南省高等学校重点科研项目(18A630044);河南科技智库调研项目(HNKJZK-07B);河南省医学科技攻关计划项目(201303241);河南省科技厅科技攻关项目(162102310495);河南省博士后科研资助(2017);河南省教育厅科研项目(15A330004)

摘　　要：目的了解内科医务人员肌肉骨骼疾患(WMSDs)的患病现状,分析内科医务人员肌肉骨骼疾患的分布特征和相关危险因素,为改善内科医务人员的肌肉骨骼疾患状况提供参考依据。方法采用横断面调查方法,应用中文版肌肉骨骼疾患调查表,于2016年7月对某市3家市级医院的342内科医务人员进行问卷调查,调查内容包括:个体信息、人格类型、各部位WMSDs的患病情况,采用χ2检验、logistic回归识别WMSDs患病的影响因素。结果共发放问卷400份,收集有效问卷342份,有效应答率85.5%。该院内科医务人员过去一年中身体任一部位的WMSDS患病率为82.1%,各部位患病率最高是颈部(65.6%),其次为腰(64.9%),患病率最低的为肘部(16.4%)。非条件logistic回归分析显示,颈部疼痛与性格外向稳定(OR=4.02,95%CI:1.81~8.93)有关,且有统计学意义。腰部疼痛与有时熬夜(OR=8.54,95%CI:2.3~31.58)、经常熬夜(OR=7.09,95%CI:2.29~21.96)总是熬夜(OR=3.29,95%CI:1.31~8.24)有关,且有统计学意义。任一部位疼痛与性格外向稳定(OR=2.75,95%CI:1.04~7.39)、有时熬夜(OR=17.73,95%CI:2.55~123.25)和经常熬夜(OR=6.95,95%CI:1.16~41.84)有关,且有统计学意义。结论该市级医院护理工作人员肌肉骨骼疾患患病率较高,其中以颈部的患病率最高,生活作息规律的内科医务人员颈部疼痛的患病率最低,随着经常倒班和熬夜增高。性格外向稳定是颈部疼痛和任一部位疼痛患病的危险因素,经常熬夜是腰部疼痛和任一部位疼痛患病的危险因素。Aim：To investigate the prevalence of musculoskeletal disorders（WMSDs） in medical staff, and explore the relevant risk factors of the disease. So to provide reference for improving the musculoskeletal disorders of medical staff.Methods： A questionnaire survey was conducted on 342 medical staff of three municipal hospitals in July, 2016 by using the cross-sectional survey method. The survey included individual information, personality type, and the prevalence of WMSDs. Chi-square test and logistic regression were used to identify the influencing factors of WMSDs. Results： A total of 400 questionnaires were distributed, 342 valid questionnaires were collected and the effective response rate was 85.5 %. The prevalence of WMSDs in any part of the body was 82.1 % in the past year, and the highest prevalence was the neck（65.6 %）, followed by the waist（64.9 %）. The lowest prevalence rate was elbow（16.4 %）.Logistic regression analysis showed that the neck pain was associated with Extrovert and Stable（OR=4.02, 95 % CI：1.81-8.93）and was statistically significant. Waist pain was associated with sometimes staying up（OR=8.54, 95 % CI：2.31-31.58）,frequently staying up（OR=7.09, 95 % CI： 2.29-21.96）, always staying up（OR=3.29, 95 % CI：1.31 ~ 8.24）,and it is statistically significance.Any part of the pain was associated with Extrovert and Stable（OR=2.78, 95 % CI：1.04-7.39）,and sometimes stay up（OR=17.73, 95 % CI：2.55-123.25）, frequently staying up（OR=6.95, 95 % CI：1.16-41.84）, and it is statistically significance. Conclusion： The prevalence of musculoskeletal disorders in the municipal hospital medical staff is higher, with the highest prevalence of the neck. The prevalence of cervical pain is the lowest of regular living and rest, increased with frequent shift and stay up. Extrovert and Stable is the risk of cervical pain and any part of the pain. Stay up is the risk factors of the waist and any part of the pain.

关 键 词：医务人员 肌肉骨骼疾患 危险因素 

分 类 号：R135.99[医药卫生—劳动卫生]