The psychosocial work environment, musculoskeletal disorders and their functional consequences among pediatric healthcare providers.

The psychosocial work environment, musculoskeletal disorders and their functional consequences among pediatric healthcare providers.
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儿科医护人员的心理社会工作环境、肌肉骨骼疾病及其功能后果。

DOI:
10.1016/j.annepidem.2021.02.015
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发表时间:
2021-06
影响因子:
5.6
通讯作者:
Daraiseh NM
Daraiseh NM
中科院分区:
医学3区
文献类型:
--
作者:
Macaluso F;Macaluso M;Daraiseh NM

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本研究的目的是检查儿科医疗服务提供者的心理社会工作环境和肌肉骨骼疾病(MSD)患病率以及相关功能后果之间的关系。心理社会工作的需求使儿科护理提供者容易受到MSD和随后的功能后果,但对这一高危人群的研究是缺乏的。随机选择的儿科注册护士、行为健康专家和患者护理助理(N = 569)完成了一项调查,评估心理社会因素、MSD和功能后果(例如,失踪的工作)。Logistic回归用于评估心理社会因素与结果之间的关联。分析产生了中度到强,显着的社会心理环境因素和MSD及其功能后果之间的关联。心理社会总评分最高四分位数与最低四分位数相比,MSD的几率增加了近3倍(OR:2.7,95% CI:1.6-4.5)。心理社会环境措施的最高四分位数与MSDs的功能后果显着相关。结果证实了心理社会环境和MSD之间的关联的知识,并表明该协会也存在于儿科供应商。我们的研究强调了研究MSD的功能后果的重要性,这些后果表征了MSD负担在工作和其他地方的影响。
The goal of this study was to examine the association between aspects of the psychosocial work environment and prevalence of musculoskeletal disorders (MSDs) and associated functional consequences among pediatric healthcare providers. The psychosocial work demands make pediatric care providers susceptible to MSDs and subsequent functional consequences, but research on this at-risk group is lacking. Randomly selected pediatric registered nurses, behavioral health specialists, and patient care assistants (N = 569) completed a survey assessing psychosocial factors, MSDs, and functional consequences (e.g., missing work). Logistic regression was used to assess associations between psychosocial factors and outcomes. The analysis yielded moderate-to-strong, significant associations between psychosocial environment factors and MSDs and their functional consequences. The odds of MSDs increased nearly three-fold in the highest quartile of the psychosocial summary score vs. the lowest (OR: 2.7, 95% CI: 1.6–4.5). The highest quartiles of the psychosocial environment measures were significantly associated with functional consequences of MSDs. Results confirm knowledge about the association between the psychosocial environment and MSDs and demonstrates the association also exists among pediatric providers. Our study highlights the importance of studying the functional consequences of MSDs, which characterize the impact of MSD burden at work and elsewhere.
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