一家三级医疗保健机构的护士和助产士中与工作场所有关的肌肉骨骼疾病的患病率:描述性横断面调查。

IF 2 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2024-11-01 DOI:10.1002/nop2.70098
Iddrisu Sisala Mohammed, Mohammed Hardi Abdulai, Mudasir Mohammed Ibrahim, Hannah Buasilenu, Issahaka Abdulai Baako, Brenda Abena Nyarko, Abubakari Wuni, Camillus Buunaaisie
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引用次数: 0

摘要

目的:评估加纳北部一家三级医疗机构的护士和助产士中与工作场所相关的肌肉骨骼疾病(WMSDs)的发病率:研究采用描述性横断面研究设计,使用 STROBES 指南。采用标准化的北欧肌肉骨骼调查问卷收集了 309 名护士和助产士的数据。受访者的选择采用简单随机抽样法。数据使用 SPSS 27.0 版进行分析:在 259 名受访者中,有 195 人(75.3%)在过去 12 个月中经历过 WMSDs。138名受访者(70.7%)强调腰部(腰椎/骶椎)是受影响的部位,119名受访者(61.0%)表示在从事临床工作的前5年中经历过WMSD。导致腰椎间盘突出症发生的主要工作相关风险因素包括长时间以相同姿势工作(如站立、弯腰、坐、跪)(176 [68.0%])、一天内治疗过多病人(142 [54.8%])、受伤或受伤时继续工作(139 [53.7%])、以笨拙的方式弯腰或扭腰(140 [54.1%])以及工作期间没有足够的休息时间或停顿(130 [50.2%])。在应对策略方面,最常用的方法是让别人帮忙搬运沉重的病人(83 [42.5%])。多变量回归分析显示,与工作经验超过 10 年的受访者相比,工作经验少于 5 年的受访者更容易报告 WMSDs(AOR = 3.73,95% CI [1.03,13.42],p = 0.043):护士和助产士WMSDs的总体发病率较高。本研究还显示,最常受影响的身体部位是腰部。长期以同一姿势工作被认为是导致这些疾病的主要职业风险因素。尽管存在这种风险,但仍有相当数量的护士和助产士在搬运沉重的病人时不断寻求帮助。本研究建议,医院应为医护人员提供全面的人体工程学培训,强调正确的身体力学、姿势以及移动和搬运病人的技巧:患者或公众未参与研究目标的设定、设计和手稿的撰写。在三级医院工作的护士和助产士回答了研究问卷。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Workplace-Related Musculoskeletal Disorders Among Nurses and Midwives in a Tertiary Healthcare Facility: A Descriptive Cross-Sectional Survey.

Aim: To assess the prevalence of workplace-related musculoskeletal disorders (WMSDs) among Nurses and Midwives in a Tertiary Healthcare Facility in Northern Ghana.

Methods: The study utilised a descriptive cross-sectional study design using the STROBES guidelines. Standardised Nordic musculoskeletal questionnaire was used to gather data from 309 nurses and midwives. The selection of respondents was done using a simple random sampling method. The data were analysed using SPSS version 27.0.

Results: From the 259 included respondents, 195 (75.3%) experienced WMSDs in the last 12 months. 138 (70.7%) highlighted their low back (lumbar/sacral) as the affected region and 119 (61.0%) indicated experiencing WMSDs during the first 5 years of clinical practice. Key job-related risk factors contributing to WMSDs development included working in the same positions (such as standing, bending over, sitting, kneeling) for long periods (176 [68.0%]), treating an excessive number of patients in 1 day (142 [54.8%]), continuing to work while injured or hurt (139 [53.7%]), bending or twisting the back in an awkward way (140 [54.1%]) and not enough rest breaks or pauses during the workday (130 [50.2%]). Regarding coping strategies, the most frequently employed method was getting someone else to help handle a heavy patient (83 [42.5%]). The multivariate regression analysis revealed that respondents with fewer than 5 years of experience were markedly more susceptible to reporting WMSDs compared to those with over 10 years of experience (AOR = 3.73, 95% CI [1.03, 13.42], p = 0.043).

Conclusion: The overall prevalence of WMSDs among nurses and midwives was high. This study also revealed that the most commonly affected body region was their low back. Working in the same position for long periods was identified as a major occupational risk factor contributing to these disorders. Despite this risk, a significant number of nurses and midwives consistently sought assistance when handling heavy patients. The current study suggests that hospitals should provide comprehensive ergonomic training to healthcare professionals, emphasising proper body mechanics, posture and techniques for patient moving and handling.

Patient or public contribution: Patients or public were not involved in setting the research objectives, the design and preparation of the manuscript. Nurses and midwives working the tertiary hospital answered the research questionnaires.

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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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