运动干预对护理人员肌肉骨骼疾患作用的评价  

Effect of exercise intervention on musculoskeletal disorders in nursing staff

作　　者：蒋昕 郑双峰[2] 杨璇璇 热孜万古丽·艾尼瓦 车雅洁 颜萍 Jiang Xin;Zheng Shuangfeng;Yang Xuanxuan;Rezi Wanguli·Anniwa;Che Yajie;Yan Ping(School of Nursing,Xinjiang Medical University,Urumqi 830017,China;Operating Room of the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学护理学院,乌鲁木齐830017 [2]新疆医科大学第一附属医院手术室,乌鲁木齐830054

出　　处：《中华劳动卫生职业病杂志》2022年第9期677-681,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：新疆医科大学博士(后)科研启动项目(2019-20);中国卫生人才培养项目护理研究子项目(2019-HLYJ-01)。

摘　　要：目的评价不同运动干预方式对护理人员肌肉骨骼疾患(MSD)的作用。方法于2021年9月,通过Embase、PubMed、Clinical Trails、万方、中国知网等数据库,对患有MSD的护理人员实施运动干预的文献进行检索,检索时间为建库至2021年8月,文献质量评价采用Cochrane偏倚风险评估工具和MINORS条目,采用描述性系统评价对研究结果进行分析和评价。结果共纳入7篇文献,包括6篇随机对照试验和1篇非随机对照试验。文献研究结果分析发现,共产生肌力训练、肌力训练+拉伸/灵活度训练、Back School项目3种运动干预,均可降低护理人员MSD症状的疼痛程度。肌力训练可改善护理人员肌肉功能、提升生活质量;肌力训练+拉伸/灵活度训练可提高肌力、身体活动范围及运动自我效能;Back School项目对于改善护理人员身体不良姿态成效明显。结论运动干预对控制护理人员MSD症状有一定效果,管理者可针对不同MSD症状制定相应运动策略。Objective To evaluate the effects of exercise intervention on musculoskeletal disorders(MSD)in nursing staff.Methods In september 2021,we searched the articles on exercise intervention for nurses with musculoskeletal diseases in Embase,PubMed,ClinicalTrails,Wanfang,CNKI and other databases in September 2021,and the search period was from database creation to August 2021.The quality of article was evaluated by Cochrane bias risk assessment tool and MINORS.The systematic review method with narrative synthesis was used to analyze the research results.Results A total of 7 studies were included,including 6 randomized controlled trials and 1 quasi-experiment.The sample size of the experimental group was 276,and the control group was 273.Depending on the type of exercise intervention,muscle strength training,muscle strength training+stretch/flexibility training,Back School program can reduce the local pain of nursing staff.Among them,muscle strength training can improve the nursing staff's muscle function and quality of life,muscle strength training+stretching/flexibility training can increase muscle strength,range of physical activity and self-efficacy,the Back School program is effective for improving poor posture.Conclusion Exercise intervention is effective on controlling musculoskeletal disorder symptoms in nursing staff,managers can develop exercise strategies for different MSD symptoms.

关 键 词：干预 护理人员 肌肉骨骼疾患 运动干预 肌力训练 系统评价 

分 类 号：R192.6[医药卫生—卫生事业管理]