Prevalence and Perceptions of Musculoskeletal Disorders Among Hospital Nurses in Pakistan: A Cross-sectional Survey.
Prevalence and Perceptions of Musculoskeletal Disorders Among Hospital Nurses in Pakistan: A Cross-sectional Survey.
复制标题
DOI：
10.7759/cureus.1001
复制
发表时间：
2017-01-26
期刊：
影响因子：
--
通讯作者：
Asmaa Y
中科院分区：
文献类型：
--
作者：
Rathore FA;Attique R;Asmaa Y
护理是一项专业要求很高的工作，护士很容易患上肌肉骨骼疾病。然而，没有关于巴基斯坦护士中艾滋病流行率的数据。本研究旨在记录巴基斯坦护士工作相关性肌肉骨骼疾病（WRMDs）的模式及其对WRMDs的影响因素和管理的看法。在拉合尔和拉瓦尔平迪的六家医院进行了一项基于性别的横断面调查，这些医院是使用方便的抽样技术选出的。一个由四部分组成的问卷调查，包括人口统计学数据，肌肉骨骼疾病的经验，以及管理和WRMDs的影响因素的看法，分布在150名护士。117名护士返回了填写好的表格。使用SPSS Statistics v20（IBM，阿尔蒙克，纽约，美国）分析数据。CMH拉合尔医学院和牙科研究所获得了伦理审查委员会的批准，并获得了知情同意。12个月内肌肉骨骼疾病的患病率为31.6%，最常见的部位是下背部（32%），其次是肩部（20%）、上背部和膝盖（10%）。在受影响的人中，60.6%寻求专业帮助。已婚护士更容易发生WRMD（p=0.0001）。在管理方面，大多数（94%）同意需要休息才能好转，忽视这类问题可能导致永久性健康问题（89.7%），应避免体力活动（38.7%）。长时间在同一位置工作（93.1%），一天内照顾过多的病人（81.2%），以及在尴尬和狭窄的位置工作（78.6%）是最常见的WRMD的危险因素。在这个队列中，大约三分之一的巴基斯坦护士报告了与工作有关的肌肉骨骼疾病，其中腰背部最常见。有必要提高对人体工程学和姿势保持的认识，以减少WRMD并改善患者护理。这可以通过关于人体工程学和WRMDS的讲习班和研讨会来实现。
Nursing is a professionally demanding job, and nurses are prone to develop musculoskeletal disorders. However, no data is available regarding its prevalence among Pakistani nurses. This study was conducted to document the pattern of work-related musculoskeletal disorders (WRMDs) in Pakistani nurses and their perceptions about contributing factors and management of WRMDs. A questionnaire-based, cross-sectional survey was conducted in six hospitals in Lahore and Rawalpindi, which were selected using a convenient sampling technique. A four-part questionnaire comprised of demographic data, experience of musculoskeletal disorders, and perception of management and contributing factors of WRMDs was distributed among 150 nurses. One hundred and seventeen nurses returned completed forms. Data was analyzed using SPSS Statistics v20 (IBM, Armonk, New York, USA). Ethics review committee approval was obtained by CMH Lahore Medical College and the Institute of Dentistry, and informed consent was obtained. The prevalence of musculoskeletal disorders over a 12-month period was 31.6%, with the most common site being the low back (32%) followed by the shoulder (20%), upper back, and knees (10%). Among those affected, 60.6% sought professional help. Married nurses were more prone to WRMDs (p=0.0001). Regarding management, most (94%) agreed that rest is required to get better, neglecting problems of this kind can cause permanent health problems (89.7%), and physical activity should be avoided (38.7%). Working in the same positions for long periods (93.1%), attending an excessive number of patients in one day (81.2%), and working in awkward and cramped positions (78.6%) were the most commonly perceived risk factors for WRMDs. About one-third of Pakistani nurses in this cohort reported work-related musculoskeletal disorders with the low back most commonly affected. There is a need to increase awareness regarding ergonomics and posture maintenance to reduce WRMDs and improve patient care. This can be achieved by workshops and seminars on ergonomics and WRMDS.