Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey.

Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey.
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DOI:
10.1186/1471-2474-11-12
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发表时间:
2010-01-20
影响因子:
2.3
通讯作者:
Fabunmi AA
Fabunmi AA
中科院分区:
医学3区
文献类型:
--
作者:
Tinubu BM;Mbada CE;Oyeyemi AL;Fabunmi AA

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肌肉骨骼疾病是护士中一个重要的职业问题;然而,撒哈拉以南非洲护士的肌肉骨骼健康数据很少。本研究旨在确定与工作相关的肌肉骨骼疾病(WMSDs)的终生、12个月期和点患病率;在尼日利亚西南部伊巴丹选定医院的护士中,相关的工作风险因素和降低风险的应对策略采用了一份事先经过验证的自我管理问卷作为调查工具,该问卷旨在了解人口统计、wmsd的流行和模式、相关的工作风险因素和应对策略。共向各医院护士发放问卷160份,回收问卷128份,回复率80%。其中10份因数据不完整而被排除。84%的护士在职业生涯中有过一次或多次wmsd。WMSDs在各身体区域的12个月期和点患病率分别为78%和66.1%。WMSDs主要发生在腰背部(44.1%)、颈部(28.0%)和膝关节(22.4%)。30.3%的人自己治疗或向其他保健人员寻求护理。具有20年临床经验的护士发生wmsd的可能性是具有11-20年临床经验的护士的4倍(OR 3.81; CI 1.08-13.4)。长时间在同一岗位工作(55.1%)、搬运或转移受扶养病人(50.8%)和一天内治疗过多病人(44.9%)是女护士认为最多的工作危险因素。寻求帮助处理重病人(50.4%)、改变护理程序以避免再次受伤(45.4%)和改变病人/护士位置(40.3%)是前三大应对策略。很高比例的尼日利亚护士在其职业生涯中报告了某些身体部位的wmsd,其中腰背部最常受伤。建议护士进行有关肌肉骨骼疾病预防和应对策略的教育方案,以减少职业危害的发生率,并提高护理病人的效率。
Musculoskeletal disorders represent a significant occupational problem among nurses; however, data on musculoskeletal health of nurses in Sub-Sahara Africa are sparse. This study sought to determine the lifetime, 12-months period and point prevalence of work-related musculoskeletal disorders (WMSDs); the associated job risk factors and the coping strategies toward reducing the risk among nurses from selected hospitals in Ibadan, South-west Nigeria A previously validated self administered questionnaire which sought information on demographics, prevalence and pattern of WMSDs, associated job risk factors and coping strategies was employed as the survey instrument. A total of 160 questionnaires were distributed to nurses in the different hospitals but 128 questionnaires were returned yielding an 80% response rate. 10 of the returned questionnaires were excluded because of incomplete data. Eighty-four point four percent of the nurses have had WMSDs once or more in their occupational lives. The 12-months period and point prevalence rate of WMSDs at any body region was 78% and 66.1% respectively. WMSDs occurred mostly in low back (44.1%), neck (28.0%), and knees (22.4%). 30.3% treated themselves or had visited other health practitioners for care. Nurses with > 20 years of clinical experience are about 4 times more likely to develop WMSDs (OR 3.81; CI 1.08-13.4) than those with 11-20 years experience. Working in the same positions for long periods (55.1%), lifting or transferring dependent patients (50.8%) and treating an excessive number of patients in one day (44.9%) were the most perceived job risk factors for WMSDs. Getting help in handling heavy patients (50.4%), modification of nursing procedures in order to avoid re-injury (45.4%), and modifying patient's/nurse position (40.3%) were the top three coping strategies. A high proportion of Nigerian nurses reported WMSDs at some body site in their occupational lives with the low back being injured most often. Education programmes on prevention and coping strategies for musculoskeletal disorders are recommended for nurses in order to reduce the rate of occupational hazards and also promote efficiency in patient care.
DOI: 10.1186/1471-2474-9-112
发表时间: 2008-08-18
影响因子: 2.3
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发表时间: 1996-06-01
影响因子: 3.8
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DOI: 10.1093/ptj/79.7.642
发表时间: 1999-07-01
期刊: PHYSICAL THERAPY
影响因子: 3.2
作者:
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DOI: 10.1136/oem.57.3.211
发表时间: 2000-03-01
影响因子: 4.9
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DOI: 10.1007/bf00378369
发表时间: 1994-12-01
影响因子: 3
作者:
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