达州市妇产科护理人员职业性骨骼疾患现状调查

目的调查分析达州市妇产科护理人员职业性骨骼疾患的现状。方法采用便利抽样法对达州市6家三甲医院妇产科护理人员400名进行调查,采用职业性肌肉骨骼疾患(work-related musculoskeletal disorders,WRMDs)调查一般情况,分析影响妇产科护理人员WRMDs患病率的因素。结果WRMDs年患病率为89.5%。WRMDs患病率由高到低为颈部、肩部、腰部、背部、踝足、膝部、手腕、肘部、髋臀。WRMDs的影响因素中经常加班(79.89%)、经常值夜班(85.20%)、消极应对工作(70.39%)、经常搬重物(72.07%)的比例较高,且经常加班、经常值夜班、消极应对工作、经常搬重物在是否导致WRMDs年患病率比较,差异有统计学意义(P<0.05)。采用logistic分析,结果显示,经常加班、经常值夜班、消极应对工作、经常搬重物是妇产科护理人员WRMDs患病率的危险因素。结论妇产科护理人员WRMDs患病率较高,经常加班、经常值夜班、消极应对工作、经常搬重物是危险因素,应采取措施积极预防。

Investigation of occupational skeletal diseases among obstetrics and gynecology nurses in Dazhou City

Objective To investigate and analyze the present situation of occupational skeletal diseases of obstetrics and gynecology nurses in Dazhou City.Methods Convenience sampling method was used to investigate 400 obstetrics and gynecology nursing personnel from 6 hospitals at First-class/Grade 3 in Dazhou City,and work-related musculoskeletal disorders(WRMDs)was used to investigate the general situation and analyze the factors influencing the prevalence of WRMDs among obstetrics and gynecology nursing personnel.Results The annual prevalence of WRMDs was 89.5%.WRMDs prevalence rate ranges from high to low for neck,shoulder,waist,back,ankle foot,knee,wrist,elbow,hip and buttock.Among the influencing factors of WRMDs,there were relatively high proportions of people who worked overtime frequently(79.89%),worked night shift frequently(85.20%),worked with negative coping skills(70.39%),and moved heavy objects frequently(72.07%),and there were statistically significant differences in the annual prevalence of WRMDs between those who worked overtime frequently,worked night shift frequently,worked with negative coping skills,and moved heavy objects frequently(P<0.05).Logistic analysis showed that working frequent overtime,night shift,negative coping and heavy lifting were risk factors for WRMDs prevalence among obstetrics and gynecology nurses.Conclusions WRMDs prevalence rate of obstetrics and gynecology nursing staff is high,often working overtime,often on night shift,negative response to work,often lifting heavy objects are risk factors.Measures should be taken to actively prevent.