护理人员工作相关性肌肉骨骼疾患风险预测模型的系统评价  

Risk prediction model for work⁃related musculoskeletal disorders among nurses:a systematic evaluation

作　　者：卢俊玲 田文艳 王田 庞超远 LU Junling;TIAN Wenyan;WANG Tian;PANG Chaoyuan(School of Nursing,Gansu University of Chinese Medicine,Gansu 730050 China;The 940th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army)

机构地区：[1]甘肃中医药大学护理学院,甘肃730050 [2]联勤保障部队第九四〇医院

出　　处：《循证护理》2025年第6期1039-1044,共6页Chinese Evidence-Based Nursing

基　　金：甘肃省科技计划项目,编号:21CX6ZA119。

摘　　要：目的:对护理人员工作相关性肌肉骨骼疾患风险预测模型进行系统评价。方法:通过检索万方数据库、中国生物医学文献数据库、中国知网、EMbase、PubMed、Web of Science和the Cochrane Library,搜集自建库至2024年6月1日与护理人员工作相关性肌肉骨骼疾患风险预测模型的相关研究。由2名研究者独立查阅文献、收集数据并对其偏倚风险和适用性进行评价。结果:共纳入6篇文献,建立9个预测模型,整体适用性一般,偏倚风险较高。常见的预测因子为年龄、工作年限、身体姿势、重复性动作等,纳入模型的受试者工作特征曲线下面积为0.749~0.904。结论:护理人员工作相关性肌肉骨骼疾患风险预测模型整体预测性能一般,在数据来源、构建设计和统计分析方面有待进一步提升。未来应对现有模型开展外部验证或开发性能优良的高质量预测模型。Objective:To systematically evaluate the risk prediction model of work-related musculoskeletal disorders in nursing staff.Methods:WanFang Database,CBM,CNKI,EMbase,PubMed,Web of Science,and the Cochrane Library were searched for research on risk prediction models for musculoskeletal disorders related to nursing staff work.The retrieval time limit was from the establishment of the database to June 1,2024.Two researchers independently reviewed the literature,collected data,and evaluated the risk of bias and applicability.Results:A total of 6 articles were included and 9 prediction models were established.The overall applicability was general and the risk of bias was high.Common predictors were age,working years,body posture,repetitive movements,etc.The AUC included in the model ranged from 0.749 to 0.904.Conclusions:The overall prediction performance of the risk prediction model for work-related musculoskeletal disorders in nursing staff is generally moderate,and the data source,construction design and statistical analysis need to be further improved.In the future,external validation of existing models should be carried out or high-quality prediction models with good performance should be developed.

关 键 词：护理人员 工作相关性肌肉骨骼疾患 预测模型 系统评价 循证护理 

分 类 号：R47[医药卫生—护理学]