Hospital nurses tasks and work-related musculoskeletal disorders symptoms: A detailed analysis

Hospital nurses tasks and work-related musculoskeletal disorders symptoms: A detailed analysis
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DOI:
10.3233/wor-141939
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发表时间:
2015-01-01
影响因子:
2.3
通讯作者:
Sousa-Uva, Antonio
Sousa-Uva, Antonio
中科院分区:
医学4区
文献类型:
--
作者:
Serranheira, Florentino;Sousa-Uva, Mafalda;Sousa-Uva, Antonio

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背景技术背景:医院工作相关的肌肉骨骼疾病(WRMSDs)的症状是非常普遍的,护士被认为是医疗保健专业组更经常受WRMSDs. Decitives影响:了解护理任务对WRMSDs症状的影响。方法:葡萄牙护士回答修改后的北欧肌肉骨骼症状问卷。增加有WRMSDs症状的可能性估计从每天的工作任务时间表和腰椎WRMSDs症状强度的痛苦的概率也estimated.RESULTS:医院护士研究(n = 1.396)主要是女性(75.8%),他们中的大多数人报告超过1个症状(88%)。腰痛是最常见的主诉(60.9%)。每天进行超过10次的任务,如侵入性操作(OR = 2.142);床上卫生和患者舒适度护理(OR = 2.484);床上患者动员(OR = 2.022);和患者喂养(OR = 2.186)对背部和腰部症状有影响(p < 0.05)。这些任务涉及侵入性程序只是唯一的生产症状,同时在每一个研究的身体部位,如腰椎,背部,手腕/手和脚踝/脚areas.Conclusions:任务有更大的影响腰痛强度是病床上的喂养和病人的卫生和护理。我们发现,当同时分析每项任务对出现下背部症状的可能性的影响时,涉及侵入性手术的只有那些同时影响几乎所有WRMSDs症状的研究。
BACKGROUND: Hospital work-related musculoskeletal disorders (WRMSDs) symptoms are highly prevalent and nurses are considered the health care professional group more often affected by WRMSDs.OBJECTIVES: Understanding the effects of nursing tasks on WRMSDs symptoms. METHODS: Portuguese nurses answered to a modified Nordic Musculoskeletal symptoms Questionnaire. The increased likelihood of having WRMSDs symptoms was estimated from a daily working task schedule and the probability of suffering from lumbar WRMSDs symptoms intensity was also estimated.RESULTS: Hospital nurses studied (n = 1.396) were mainly females (75.8%), and most of them reported more than 1 symptom (88%). Low-back pain was the most prevalent complaint (60.9%). Tasks performed more than 10 times a day, such as invasive procedures (OR = 2.142); care of hygiene and patient comfort in bed (OR = 2.484); patient mobilization in bed (OR = 2.022); and patient feeding (OR = 2.186) had an effect on dorsal and lumbar symptoms (p < 0.05). Those tasks involving invasive procedures were just the only ones producing symptoms simultaneously on every studied body part, such as lumbar, dorsal, wrist/hand and ankles/feet areas.CONCLUSIONS: Tasks with a greater effect on low-back pain intensity were patient bed feeding and patient hygiene and care. We found, when analysing simultaneously the effects of every task on the likelihood of having low-back symptoms, that involving invasive procedures were that only ones affecting simultaneously the presence of almost all WRMSDs symptoms studied.