我国护士职业性肌肉骨骼疾患影响因素的meta分析  

Meta analysis of the influencing factors of work-related musculoskeletal disorders among nurses in China

作　　者：边佳 赵灵芝 朱娴琼 陶艳玲[2] BIAN Jia;ZHAO Lingzhi;ZHU Xianqiong;TAO Yanling(Shenzhen Clinical College,Guangzhou University of Chinese Medicine,Shenzhen,Guangdong 518116,China;Department of Nursing,Shenzhen Longgang Center Hospital,Shenzhen,Guangdong 518116,China;Department of Head and Neck Tumor Surgey,Hospital of Stomatology,Xi'an Jiaotong University,Xi'an,Shaanxi 710004,China)

机构地区：[1]广州中医药大学深圳临床医学院,广东深圳518116 [2]深圳市龙岗中心医院护理部,广东深圳518116 [3]西安交通大学口腔医院头颈肿瘤外科,陕西西安710004

出　　处：《职业与健康》2024年第18期2564-2568,共5页Occupation and Health

摘　　要：目的了解我国临床护士职业性肌肉骨骼疾患的影响因素,为预防和干预临床护士职业性肌肉骨骼疾患提供参考依据。方法计算机检索Pubmed、Web of Science、Cochrane Library、Embase、中国知网数据库(CNKI)、中国生物医学文献数据库(CBM)、万方全文数据库、维普中文科技期刊数据库(VIP),搜集建库至2023年9月发表的关于我国临床护士职业性肌肉骨骼疾患影响因素的相关研究,所有文献的筛选、相关资料的提取和质量评价均由2名研究人员独立完成,并采用RevMan 5.4软件进行meta分析。结果共纳入26篇文献,总样本量21069例,提取8个相关的影响因素。Meta分析结果显示,年龄(OR=1.49,95%CI:1.24~1.79,P<0.01)、工龄(OR=1.82,95%CI:1.57~2.11,P<0.01)、工间休息(OR=0.68,95%CI:0.56~0.83,P<0.01)、体育锻炼(OR=0.71,95%CI:0.63~0.80,P<0.01)、工作时弯腰(OR=1.42,95%CI:1.25~1.62,P<0.01)、工作疲劳(OR=1.88,95%CI:1.56~2.26,P<0.01)是临床护士职业性肌肉骨骼疾患的影响因素,差异均有统计学意义(均P<0.05)。结论年龄、工龄、工间休息、体育锻炼、工作时弯腰、工作疲劳是临床护士职业性肌肉骨骼疾患发生的影响因素,工作时弯腰、年龄≥35岁、工龄≥11年及工作疲劳是临床护士职业性肌肉骨骼疾患发生的危险因素,保护因素是工间休息时间充足及经常体育锻炼,可以针对上述因素做好早期防范工作,降低临床护士职业性肌肉骨骼疾患的发生。Objective To understand the influencing factors of work-related musculoskeletal disorders among nursing staff in China,and to provide reference basis for the prevention and intervention of work-related musculoskeletal disorders in clinical nurses.Methods Computer retrieval of Web of Science,Pubmed,Cochrane Library,Embase,China Knowledge Network Database(CNKI),China Biomedical Literature Database(CBM),Wanfang Full Text Database and Weipu Chinese Science and Technology Journal Database(VIP)were used to collect relevant studies on the influencing factors of occupational musculoskeletal disorders in clinical nurses in China published from the establishment of the database to September 2023.The screening of all literature,extraction of relevant information,and quality evaluation were independently completed by two researchers,and meta-analysis was conducted using RevMan 5.4 software.Results A total of 26 papers were included,with a total sample size of 21069 cases,and 8 relevant influencing factors were extracted.Meta-analysis results showed that age(OR=1.49,95%CI:1.24-1.79,P<0.01),length of service(OR=1.82,95%CI:1.57-2.11,P<0.01),workplace breaks(OR=0.68,95%CI:0.56-0.83,P<0.01),physical exercise(OR=0.71,95%CI:0.63-0.80,P<0.01),bending at work(OR=1.42,95%CI:1.25-1.62,P<0.01),and work fatigue(OR=1.88,95%CI:1.56-2.26,P<0.01)were the influencing factors in occupational musculoskeletal disorders in clinical nurses,and the difference were statistically significant(all P<0.05).Conclusion Age,length of service,workplace breaks,physical exercise,bending at work,and work fatigue are the factors influencing the occurrence of occupational musculoskeletal disorders in nursing staff.Bending at work,age≥35 years,length of service≥11 years,and work fatigue are the risk factors for the occurrence of occupational musculoskeletal disorders in clinical nurses,and protective factors are adequate work breaks and regular physical exercise.Early prevention measures can be taken to reduce the occurrence of occupational musculoskeletal di

关 键 词：临床护士 职业性肌肉骨骼疾患 影响因素 META分析 

分 类 号：R181.2[医药卫生—流行病学]