手术室护士颈肩部工作相关肌肉骨骼疾患影响因素及归因危险度分析  

Analysis of influencing factors and population attributable risk percent of neck shoulder musculoskeletal disorders in opreating room nurse

作　　者：唐小贵 赵越 胡宁宁 甫凤 李博雅 杨梦茹 范晶晶 李映兰 TANG Xiaogui;ZHAO Yue;HU Ningning;FU Feng;LI Boya;YANG Mengru;FAN Jingjing;LI Yinglan(School of Nursing,Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830017,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830017

出　　处：《中国医药导报》2024年第33期98-104,共7页China Medical Herald

摘　　要：目的调查乌鲁木齐市三级医院手术室护士颈肩部工作相关肌肉骨骼疾患(WMSDs)影响因素及分析危险因素在人群归因危险度百分比(PAR%)。方法采用便利抽样法,于2024年1月至2月抽取乌鲁木齐市8家三级医院398名手术室护士作为研究对象,回顾性调查手术室护士颈肩部WMSDs过去1年内患病情况,采用一般资料调查表、手术室护士人体工效学评价问卷、中国肌肉骨骼疾患问卷进行调查,采用二元logistic回归分析三级医院手术室护士颈肩部WMSDs影响因素,采用PAR%分析影响因素对护士颈肩部WMSDs贡献度。结果398名三级医院手术室护士颈肩部WMSDs患病率为83.9%;单因素分析结果显示,不同性别、婚姻状况、生育状况、每日睡眠时间、职称、过去1年内是否患急慢性咽喉炎、吸烟情况、手术室工作年限、年龄、运动锻炼、手术室主要工作岗位、上班时维持的主要工作姿势、工作后疲劳程度、感知工作压力、工作紧张、工作环境是否涉及寒冷或寒风、医院是否将预防肌肉骨骼疾患培训纳入护理质量控制、手术室护士人体工效学负荷水平手术室护士颈肩部WMSDs患病率比较,差异均有统计学意义(P<0.05);二元logistic回归分析显示,经常运动锻炼、每日睡眠时间>7 h、手术室护士人体工效学中水平负荷、工作年限>15年、感知工作压力大、医院将预防肌肉骨骼疾患培训纳入护理质量控制、工作环境涉及寒冷或寒风,以及男性是手术室护士颈肩部WMSDs的影响因素(P<0.05);主要危险因素PAR%从大到小依次是手术室护士人体工效学中水平负荷为50.74%、工作环境涉及寒冷或寒风为45.17%、工作年限>15年为29.97%、感知工作压力大为27.05%。结论手术室护士颈肩部WMSDs症状患病率较高,建议医院和护理管理者重视三级医院手术室护士颈肩部WMSDs的问题,根据影响因素和RAR%制订有效干预措施,以减少手术室护�Objective To investigate the influencing factors of work-related musculoskeletal disorders(WMSDs)in operating room nurses of grade three hospitals in Urumqi and analyze the attributive percentage of risk factors in the population attributable risk percent(PAR%).Methods A total of 398 operating room nurses from 8 GradeⅢhospitals in Urumqi were selected as the research objects by convenient sampling method from January to February 2024.The incidence of neck and shoulder WMSDs among operating room nurses in the past one year was retrospectively investigated by general data questionnaire,ergonomics evaluation questionnaire for operating room nurses and Chinese Musculoskeletal Disorders Questionnaire.Binary logistic regression analysis was used to analyze the influencing factors of neck and shoulder WMSDs among nurses in the operating room of tertiary hospitals,and PAR%was used to analyze the contribution of influencing factors to the musculoskeletal disorders of nurses.Results The prevalence of neck and shoulder WMSDs among 398 operating room nurses in tertiary hospitals was 83.9%;single factor analysis showed that different gender,marital status,childbearing status,daily sleep duration,job title,whether acute or chronic pharyngolaryngitis had occurred in the past one year,smoking status,working experience,age,regular exercise,primary workstation in the operating room,primary work posture maintained while at work,fatigue level after work,perceived work stress,job strain,whether the work environment involved cold or winds,whether or not hospitals training on prevention of musculoskeletal disorders into nursing quality management evaluation system,the level of ergonomic loading of the nurses in the operating room,and the prevalence of WMSDs of the neck and shoulder in the nurses in the operating room were all compared,the differences were statistically significant(P<0.05).Binary logistic regression analysis showed,regular exercise,sleep duration>7 h,ergonomic medium level load for opreating room nurses,working years>

关 键 词：手术室护士 工作相关肌肉骨骼疾患 影响因素 人群归因危险度百分比 

分 类 号：R473[医药卫生—护理学]