临床护士职业性颈肩痛现状调查  

Investigation of occupational neck and shoulder pain of clinical nurses

作　　者：马俊[1] 樊玲[1] 肖怀芳 殷立士[1] 淦代容 卢德练 MA Jun;FAN Ling;XIAO Huai-fang;YIN Li-shi;GAN Dai-rong;LU De-lian(Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China)

机构地区：[1]重庆市中医院

出　　处：《工业卫生与职业病》2019年第6期429-431,435,共4页Industrial Health and Occupational Diseases

摘　　要：目的调查分析临床护士的职业性颈肩痛发病现状,探讨计划行为训练对其的防治效果。方法采用整群抽样法抽取340名该院临床护士,采用问卷调查法调查其近1a和近1周内职业性颈肩痛患病情况。对近1周内报告颈腰痛护士随机分为观察组与对照组,对照组实施常规健康教育,观察组采取计划行为训练干预。比较两组颈腰痛情况、疼痛视觉模拟量表(VAS)评分、职业性肌肉骨骼损伤(OMSI)防护情况。结果护士近1a和近1周内职业性颈肩痛发病率分别为77.06%和60.29%;观察组防治依从性明显优于对照组,差异有统计学意义(P<0.05)。干预后观察组颈肩痛及OMSI检出率和VAS评分明显低于对照组,差异有统计学意义(P<0.05)。干预后观察组评分均明显高于对照组,差异有统计学意义(P<0.05)。结论计划行为训练有效提高临床护士的颈肩痛防护训练依从性及OMSI防护能力,降低颈肩痛及OMSI发病风险。Objective To investigate and analyze present situation of occupational neck and shoulder pain of clinical nurses. Methods A total of 340 clinical nurses in a hospital were selected by cluster sampling method,and the prevalence of occupational neck and shoulder pain in the past 1 year and 1 week was investigated by questionnaire survey. Nurses who reported neck and lumbago in the past 1 week were randomly divided into the observation group and the control group. The control group received routine health education,while the observation group received planned behavior training. Cervical and lower back pain,VAS score and occupational musculoskeletal injury(OMSI)protection were compared between the two groups. Results The prevalence of occupational neck and shoulder pain in nurses was 77.06% and 60.29% in the past 1 year and 1 week respectively. The compliance of prevention and treatment in the observation group was significantly better than that in the control group,and the difference was statistically significant(P<0.05). After the intervention,neck and shoulder pain,OMSI detection rate and VAS score in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05). After the intervention,the scores of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05). Conclusions Planned behavior training can effectively improve clinical nurses’ compliance with neck and shoulder pain protection training and OMSI protection ability,and reduce the risk of neck and shoulder pain and OMSI.

关 键 词：职业性肌肉骨骼损伤 颈肩痛 计划行为训练 防治 

分 类 号：R473[医药卫生—护理学]