紧急医疗服务人员的肌肉骨骼疾病：系统回顾和荟萃分析。

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2024-10-04 DOI:10.1016/j.puhe.2024.08.020

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引用次数: 0

摘要

目标：急救医疗服务人员经常要从事剧烈的体力劳动，如抬起和移动病人，以及以笨拙的姿势工作。这些活动可能导致各种使人衰弱的损伤，包括肌肉骨骼疾病（MSDs）。因此，本系统综述和荟萃分析研究旨在探讨紧急医疗服务人员发生 MSDs 的频率：研究设计：系统回顾和荟萃分析：本系统综述和荟萃分析研究根据PRISMA指南进行。这项工作的方案已在 PROSPERO 注册，代码为 CRD42024506958。在PubMed、Scopus、Web of Science、Science Direct、SID、ISC和Google Scholar等多个数据库中进行了无时间限制的检索，直至2024年2月12日。使用 I2 指数评估异质性，并使用随机效应模型进行荟萃分析。数据使用 STATA 14 版本进行分析：通过在上述数据库中进行初步检索，共获得 709 篇文章。经过全面筛选和质量评估，27 篇文章被选中进行荟萃分析。研究结果显示，紧急医疗服务人员中 MSDs 的总体流行率为 56.52%（95% CI：35-78.04，I2 = 99.8%，P 结论：紧急医疗服务人员中 MSDs 的流行率较高：紧急医疗服务人员的 MSDs 患病率非常高。考虑到这些员工角色的重要性及其工作的特殊风险因素，建议优先考虑定期筛查。此外，还应注意对工作环境进行人体工程学评估，并设计适当的人体工程学干预措施。

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Musculoskeletal disorders in emergency medical services personnel: a systematic review and meta-analysis

Objectives

Emergency medical services personnel are frequently subjected to strenuous physical tasks, such as lifting and moving patients, as well as working in awkward postures. These activities can result in a variety of debilitating injuries, including musculoskeletal disorders (MSDs). As a result, this systematic review and meta-analysis study aimed to examine the frequency of MSDs among emergency medical services personnel.

Study design

Systematic review and meta-analysis.

Methods

This systematic review and meta-analysis study was conducted based on the PRISMA guidelines. The protocol of this work is registered in PROSPERO with the code CRD42024506958. Searches were conducted without time limits in several databases including PubMed, Scopus, Web of Science, Science Direct, SID, ISC, and Google Scholar until February 12, 2024. The I² index was used to assess heterogeneity, and random effects model was used for meta-analysis. Data were analyzed using STATA version 14.

Results

A total of 709 articles were obtained by initial search in the mentioned databases. Following a thorough screening and quality assessment, 27 articles were chosen for meta-analysis. The findings revealed that the overall prevalence of MSDs among emergency medical services personnel is 56.52% (95% CI: 35–78.04, I² = 99.8%, P < 0.001) and the prevalence in different areas of the body are as follows: the low back (47.38%), upper back (35.15%), neck (31.19%), shoulder (30%), knee (27.07%), hand (20.70%), hip/thigh (19.48%), feet (19.11%), and elbow (17.36%).

Conclusion

The prevalence of MSDs among emergency medical services personnel is very high. Considering the importance of the role of these employees and the specific risk factors of their jobs, it is recommended that periodic screening is prioritized. In addition, attention should be paid to the ergonomic evaluation of the work environment and the design of appropriate ergonomic interventions.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.