Musculoskeletal disorders among nurses compared with two other occupational groups
Musculoskeletal disorders among nurses compared with two other occupational groups
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DOI：
10.1093/occmed/kqu117
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发表时间：
2014-12-01
影响因子：
5.1
通讯作者：
Derrett, S.
中科院分区：
文献类型：
--
作者：
Harcombe, H.;Herbison, G. P.;Derrett, S.
背景在护士中腰痛（LBP）的发病率很高。然而，很少有纵向研究调查肌肉骨骼疾病（MSDs）在其他解剖部位nurs.Aims描述新西兰护士中腰，颈，肩，肘，腕/手和膝关节的MSDs的累积发病率和持续性/复发，调查MSDs对工作和功能任务的影响，并将护士与邮政工作人员和办公室工作人员的结果进行比较。在基线和1年后再次完成邮政调查。信息收集有关MSDs在过去的1个月和12个月，参加工作的能力，承担工作职责和执行功能tasks.Results护士之间，下背部是最高的累积发病率和患病率最高的持续/复发，工作致残和功能任务致残疼痛的网站。护士和邮政工作人员的工作致残性下腰痛患病率高于办公室工作人员（P < 0.001）。护士工作致残性肩痛（10%）、功能任务致残性膝关节痛（19%）和腕/手疼痛（16%）的患病率较高。除了手肘，每个职业组的持续/复发的MSDs在所有解剖situation. Conclusions的患病率很高，LBP继续有护士之间的重大影响。其他不太常见的MSD，如肩部，手腕/手和膝盖疼痛，也使工作或功能任务变得困难，这表明一级和二级预防工作应考虑其他解剖部位以及腰部的MSD。
Background There is a high incidence of low back pain (LBP) among nurses. However, few longitudinal studies have investigated musculoskeletal disorders (MSDs) at other anatomical sites in nurses.Aims To describe the cumulative incidence and persistence/recurrence of MSDs of the low back, neck, shoulder, elbow, wrist/hand and knee among New Zealand nurses, to investigate the impact of MSDs on work and functional tasks and to compare findings for nurses with those in postal workers and office workers.Methods Participants completed a postal survey at baseline and again 1 year later. Information was collected about MSDs in the previous 1 month and 12 months and about the ability to attend work, undertake work duties and perform functional tasks.Results Among nurses, the low back was the site with the highest cumulative incidence and highest prevalence of persistent/recurrent, work-disabling and functional-task-disabling pain. Work-disabling LBP was more prevalent among nurses and postal workers than office workers (P < 0.001). Nurses had a substantial prevalence of work-disabling shoulder pain (10%) and functional-task-disabling knee (19%) and wrist/hand pain (16%). With the exception of the elbow, each occupational group had a high prevalence of persistent/recurrent MSDs at all anatomical sites.Conclusions LBP continues to have a substantial impact among nurses. Other less commonly considered MSDs, such as shoulder, wrist/hand and knee pain, also made work or functional tasks difficult, suggesting that primary and secondary prevention efforts should consider MSDs at other anatomical sites as well as the low back.