Associations of self estimated workloads with musculoskeletal symptoms among hospital nurses
Associations of self estimated workloads with musculoskeletal symptoms among hospital nurses
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DOI：
10.1136/oem.57.3.211
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发表时间：
2000-03-01
影响因子：
4.9
通讯作者：
Takeuchi, Y
中科院分区：
文献类型：
--
作者：
Ando, S;Ono, Y;Takeuchi, Y
目的-调查的患病率颈，肩，臂疼痛（NSAP），以及腰痛（LBP）的医院护士，并检查协会的工作任务和自我估计的危险因素与NSAP和LBP.Methods-A横断面研究在日本国立大学医院进行。选择病区专职注册护士314名进行分析。问卷内容包括人口统计学状况、实际任务中工作量的严重程度、自我估计的疲劳危险因素和上个月的肌肉骨骼疼痛。率比（RRs）和95%置信区间（95% CI）计算的考克斯的比例风险模型，研究疼痛与相关变量的关联工作和人口统计学conditions.Results-The患病率下背部，肩部，颈部和手臂疼痛在上个月分别为54.7%，42.8%，31.3%和18.6%，分别。医院护士肌肉骨骼症状的患病率高于以往的研究。在LBP和NSAP的考克斯模型中，肌肉骨骼疼痛与工作和人口统计学条件相关的项目之间没有显著相关性。在“接受急症病人”及一些实际工作上，腰痛的发生率相对较高。自我估计的疲劳危险因素的一些项目往往有相对较高的RR为LBP和NSAP.Conclusions，有人建议，医院护士之间的肌肉骨骼疼痛可能与一些实际的任务和项目有关的工作姿势，工作控制，和工作组织。然而，还需要进一步的研究，因为研究中没有显示这种潜在关联的明确证据。
Objectives-To investigate the prevalence of neck, shoulder, and arm pain (NSAP) as well as low back pain (LBP) among hospital nurses, and to examine the association of work tasks and self estimated risk factors with NSAP and LBP.Methods-A cross sectional study was carried out in a national university hospital in Japan. Full time registered nurses in the wards (n=314) were selected for analysis. The questionnaire was composed of items on demographic conditions, severity of workloads in actual tasks, self estimated risk factors for fatigue, and musculoskeletal pain in the previous month. Rate ratios (RRs) and 95% confidence intervals (95% CIs) were calculated by the Cox's proportional hazards model to study the association of pain with variables related to work and demographic conditions.Results-The prevalences of low back, shoulder, neck, and arm pain in the previous month were 54.7%, 42.8%, 31.3%, and 18.6%, respectively. The prevalence of musculoskeletal symptoms among hospital nurses was higher than in previous studies. In the Cox's models for LBP and NSAP, there were no significant associations between musculoskeletal pain and the items related to work and demographic conditions. The RRs for LBP tended to be relatively higher for "accepting emergency patients" and some actual tasks. Some items of self estimated risk factors for fatigue tended to have relatively higher RRs for LBP and NSAP.Conclusions-It was suggested that musculoskeletal pain among hospital nurses may have associations with some actual tasks and items related to work postures, work control, and work organisation. Further studies, however, are necessary, as clear evidence of this potential association was not shown in the study.