大连市三甲医院ICU护士职业性肌肉骨骼损伤的调查研究  

Investigation on the occupational musculoskeletal injury of the ICU nurses in class A tertiary hospitals in Dalian

作　　者：孙健[1] 谷虹[1] 郑晓娜[2] 张军[1] SUN Jian;GU Hong;ZHENG Xiaona;ZHANG Jun(Department of Nursing,Dalian No.3 People′s Hospital,Dalian,Liaoning 116033,China;Department of Critical Medicine,Dalian No.3 People′s Hospital,Dalian,Liaoning 116033,China)

机构地区：[1]大连市第三人民医院护理部,辽宁大连116033 [2]大连市第三人民医院重症医学科,辽宁大连116033

出　　处：《现代医药卫生》2022年第14期2406-2410,共5页Journal of Modern Medicine & Health

基　　金：大连市医学科学研究计划项目(1711041)。

摘　　要：目的通过调查大连市三甲医院ICU护士职业性肌肉骨骼损伤(OMSI)的患病率,分析其相关因素,旨在提高对OMSI的认识和自我防护意识,改善其生活质量,为护理管理者制定预防、控制ICU护士OMSI的对策提供依据。方法2017年12月至2018年9月采用自行设计的护士一般状况调查表和北欧职业性肌肉骨骼症状自评量表对大连市三甲医院ICU工作1年以上共667名ICU护士进行调查。结果大连市三甲医院ICU工作1年以上的临床护士下背(腰部)OMSI患病率最高(年发生率67.3%),其次为颈部(年发生率45.7%)、肩部(年发生率40.5%)。每次提举抬物体最大重量(OR=1.284,P=0.033)、平均每天工作时间(OR=1.790,P=0.033)、工作是否累(OR=1.507,P=0.037)是影响ICU护士腰部OMSI发生的独立影响因素;每天低头工作时间(OR=1.537,P=0.002)、平均每天工作时间(OR=1.563,P=0.043)是影响ICU护士颈部OMSI发生的独立危险因素;每天低头工作时间(OR=1.313,P=0.024)、工作中是否感到紧张(OR=1.328,P=0.046)是影响ICU护士肩部OMSI发生的独立影响因素。结论建议医疗机构制定规范的职业防护措施,护理管理者可针对大连市三甲医院ICU护士OMSI的发病因素,加强ICU护士对OMSI的认识和自我防护意识,以降低ICU护士OMSI的发病率,提高其工作满意度和生活质量,稳定ICU护理队伍。Objective To investigate the prevalence rate of occupational musculoskeletal injury(OMSI)of the ICU nurses in Dalian class A tertiary hospitals,and analyze its related factors,so as to improve the awareness of OMSI and self-protection consciousness,improve their quality of life,and provide the basis for nursing managers to formulate the countermeasures to prevent and control the OMSI of ICU nurses.Methods From December 2017 to September 2018,a total of 667 ICU nurses who had worked in the ICU of class A tertiary hospitals in Dalian for more than one year were surveyed using a self-designed nurses′general status questionnaire and the Nordic Occupational Musculoskeletal Symptom Self-rating Scale.Results The prevalence rate of OMSI in the lower back(waist)of clinical nurses who had worked in the ICU for more than one year in class A tertiary hospitals in Dalian was the highest(annual incidence rate of 67.3%),followed by neck(annual incidence rate of 45.7%),shoulder(annual incidence rate of 40.5%).The maximum weight of the object lifted each time(OR=1.284,P=0.033),the average daily working time(OR=1.790,P=0.033),whether the job tired(OR=1.507,P=0.037)were the independent influencing factors affecting the occurrence of the neck OMSI in ICU nurses.The daily working hours with head bowed(OR=1.537,P=0.002)and average daily working hours(OR=1.563,P=0.043)were the independent risk factors affect the occurrence of the neck OMSI in ICU nurses.The daily working time with the head bowed(OR=1.313,P=0.024),whether you felt nervous at work(OR=1.328,P=0.046)were the independent influencing factors affect the occurrence of the shoulder OMSI in ICU nurses.Conclusion It is recommended that the medical institutions formulate the standardized occupational protection measures.The nursing managers can focus on the pathogenic factors of the OMSI among ICU nurses of in Dalian class A tertiary hospitals,and strengthen ICU nurses′awareness of OMSI and self-protection consciousness,so as to reduce the incidence of the OMSI among ICU nurse

关 键 词：职业性肌肉骨骼损伤 三甲医院 ICU护士 

分 类 号：R47[医药卫生—护理学]