海口市医务人员颈椎不适现状及其影响因素研究

目的 分析医务人员颈椎不适现状及其影响因素,为医务人员颈椎不适防治提供参考。方法 2020年8月23—30日采用简单抽样方法分别抽取2所三级医院和2所二级医院的医生、护士、技术员及行政管理人员等医院工作人员进行颈椎不适情况调查,并采用单、多因素分析方法对医务人员颈椎不适的状况及其影响因素进行分析。结果 1 058名医务人员中,有颈椎不适416名,发生率为39.3%。多因素Logistic回归分析结果显示,女性（OR=3.684）、年龄越大（OR=4.522）、体育锻炼越少（OR =4.221）、失眠情况较多（OR=3.706）、非手术科室和手术科室（OR=2.782、4.323）、工作年限越长（OR =4.655）、夜班情况越多（OR=3.740）、加班情况越多（OR=4.559）、工作时强迫体位情况越多（OR=4.865）的医务人员颈椎不适发生风险越高。结论 医务人员颈椎不适发生率高,其发生受到性别、年龄、体育锻炼、失眠、科室、工作年限、夜班情况、加班情况、工作时强迫体位多因素影响,应当综合各方面因素的影响采取有效的干预措施,促进医务人员健康状况。

Status of cervical vertebra discomforts and its influencing factors among medical staff in Haikou

Objective To analyze the status and influencing factors of cervical vertebra discomfort in medical staff,so as to provide reference for its prevention and treatment. Methods Simple sampling method was used to select medical staff such as doctors,nurses,technicians and administrators in 2 tertiary hospitals and 2 secondary hospitals on August 23-30,2020. The status of cervical vertebra discomfort among medical staff and its influencing factors were analyzed by the univariate and multivariate analysis. Results Among 1 058 medical staffs,there were 416 cases of cervical vertebra discomfort,the incidence rate was 39.3%. Multivariate Logistic regression analysis showed that female(OR=3.684),age(OR=4.522),less physical exercise(OR=4.221),more insomnia(OR=3.706),working at non-operating departments and operating departments(OR=2.782,4.323),the longer the working years(OR=4.655),the more night shifts(OR=3.740),the more overtime(OR=4.559),the more forced postures at work(OR=4.865),the higher the risk of cervical vertebra discomfort among medical staff. Conclusion The incidence rate of cervical vertebra discomfort in medical staff is high,which is affected by gender,age,physical exercise,insomnia,work unit,years of working,night shift,overtime,and forced posture at work. Effective intervention measures should be taken to promote the health status of medical staff by integrating the influence of various factors.