Risks and causes of musculoskeletal injuries among health care workers
Risks and causes of musculoskeletal injuries among health care workers
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DOI：
10.1093/occmed/kqq052
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发表时间：
2010-08-01
影响因子：
5.1
通讯作者：
Alamgir, H.
中科院分区：
文献类型：
--
作者：
Ngan, K.;Drebit, S.;Alamgir, H.
背景肌肉骨骼损伤(MSI)一直是医疗卫生领域的主要职业性损伤类别。除了直接的病人护理提供者之外，关于MSI职业方面的证据有限。有必要对包括非病人保健职业在内的MSI相关的风险、原因和活动进行评估。目的检查所有卫生保健职业的MSI时间损失的风险和原因。方法使用工资单数据对不列颠哥伦比亚省某卫生区雇用的工人进行2007年4月至2008年3月的跟踪调查；使用事故监测数据库跟踪伤害情况。计算所有职业伤害和MSI的频率和比率，并用泊松回归计算相对危险度(RRS)。按直接护理职业和非病人护理职业列出导致MSI的原因和职业活动。结果共报告23742人因工伤损失时间944起。总体而言，83%的损伤是肌肉骨骼损伤。与注册护士相比，MSI的RR最高的两个职业是设施支持服务人员[RR=3.16(2.38-4.18)]和护理助理[RR=3.76(3.09-4.59)]。对于直接患者护理职业，导致MSI的主要原因是笨拙的姿势(25%)和用力(23%)；对于非患者护理职业，主要原因是用力(25%)和滑倒(24%)。病人处理活动占所有直接护理职业的MSI的60%。对于非病人护理职业，55%的MSI是由于材料/设备搬运活动引起的。结论MSI的预防工作也应针对非病人护理职业，并考虑其特定的职业原因和活动。
Background Musculoskeletal injuries (MSIs) persist as the leading category of occupational injury in health care. Limited evidence exists regarding MSIs for occupations other than direct patient care providers. An evaluation of the risks, causes and activities associated with MSIs that includes non-patient care health care occupations is warranted.Aims To examine the risks and causes of time-loss MSIs for all occupations in health care.Methods Workers employed by a health region in British Columbia were followed from April 2007 to March 2008 using payroll data; injuries were followed using an incidence surveillance database. Frequency and rates were calculated for all occupational injuries and MSIs and relative risks (RRs) were computed using Poisson regression. Causes and occupational activities leading to MSIs were tabulated for direct care occupations and non-patient care occupations.Results A total of 944 injuries resulting in time-loss from work were reported by 23 742 workers. Overall, 83% injuries were musculoskeletal. The two occupations showing highest RR of MSIs relative to registered nurses were facility support service workers [RR = 3.16 (2.38-4.18), respectively] and care aides [RR=3.76 (3.09-4.59)]. For direct patient care occupations, the leading causes of MSIs were awkward posture (25%) and force (23%); for non-patient care occupations were force (25%) and slip/fall (24%). Patient handling activities accounted for 60% of all MSIs for direct care occupations. For non-patient care occupations, 55% of MSIs were due to material/equipment handling activities.Conclusions Prevention efforts for MSIs should be directed to non-patient care occupations as well and consider their occupation-specific causes and activities.