COVID-19监测工作人员的肌肉骨骼疾病:患病率、风险因素和应对策略分析

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
British journal of hospital medicine Pub Date : 2024-11-30 Epub Date: 2024-11-18 DOI:10.12968/hmed.2024.0423
Huiying Zhang, Yanyan Liu, Yan Liu, Yan Luo
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引用次数: 0

摘要

目的/背景在2019冠状病毒病(COVID-19)大流行期间,COVID-19监测工作人员患肌肉骨骼疾病的风险增加。因此,有必要在以往研究的基础上,进一步研究COVID-19监测工作特别是核酸检测引起的病因,并确定其与工作相关肌肉骨骼疾病(WMSDs)的关系。本研究旨在确定wmsd的流行情况以及COVID-19监测工作人员面临的主要风险。方法横断面研究于2022年5月进行。采用快速暴露检查(QEC)、北欧肌肉骨骼问卷(NMQ)和Maslach倦怠量表(MBI)对河南省中南部4家医院131名COVID-19监测人员的人体工效学因素、肌肉骨骼症状和压力进行评估。此外,通过自我报告问卷收集了受访者为降低wmsd发生风险而采取的应对策略的数据。结果QEC结果显示,新冠肺炎监测人员的背部、颈部和肩/手臂承受较高的人体工程学负荷,手腕承受中等的人体工程学负荷。颈部(75.6%)、肩部(66.4%)、上背部(58%)和手腕(55.7%)发生肌肉骨骼疾病的风险较高。大多数受访者表示成就感低(124人,94.7%),略低于一半的受访者在工作中感到情绪疲惫(61人,46.6%)。工作时长时间保持相同的姿势、背部弯曲或扭曲不恰当、任务重复等是诱发wmsd的感知工作风险因素。降低wmsd风险的前三大应对策略包括调整基座/床的高度(49.6%)、在工作时利用身体的不同部位(47.3%)和在需要时短暂休息(33.6%)。结论长期大规模核酸检测可加重COVID-19监测人员颈部、肩部、上背部和腕部肌肉骨骼损伤。肌肉骨骼损伤因素的预防措施必须到位,以防止此类事件在工作中发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Musculoskeletal Disorders in COVID-19 Surveillance Staff Members: An Analysis of Prevalence, Risk Factors, and Coping Strategies.

Aims/Background During the coronavirus disease 2019 (COVID-19) pandemic, the COVID-19 surveillance staff members experienced an increased risk for musculoskeletal disorders. Thus, it is necessary to further investigate the causal factors stemming from COVID-19 surveillance work, especially nucleic acid testing, and establish their relationship with work-related musculoskeletal disorders (WMSDs) by building upon the previous research. This study aimed to determine the prevalence of WMSDs and the major risks faced by the COVID-19 surveillance staff members. Methods This cross-sectional study was conducted in May 2022. The Quick Exposure Check (QEC), Nordic Musculoskeletal Questionnaire (NMQ), and Maslach Burnout Inventory (MBI) were used to evaluate ergonomic factors, musculoskeletal symptoms and pressure among 131 COVID-19 surveillance staff members in four hospitals in South-central Henan Province. Additionally, data regarding the coping strategies adopted by the respondents for lowing the risk of developing WMSDs were collected using a self-report questionnaire. Results The QEC results showed that the back, neck, and should/arm of the COVID-19 surveillance staff members bore high ergonomic loads, while the wrist suffered a medium load. The neck (75.6%), shoulder (66.4%), upper back (58%), and wrist (55.7%) were at higher risk for musculoskeletal disorder. Most of the respondents claimed a low sense of achievement (124, 94.7%) and slightly less than half of them had endured emotional exhaustion at work (61, 46.6%). Prolonged period of maintaining the same posture at work, awkward bending or twisting of back side, task repetition and so on were the perceived job risk factors precipitating WMSDs among the participants in this study. The top three coping strategies for lowering the risk of WMSDs included adjusting the plinth/bed height (49.6%), utilizing different parts of the body at work (47.3%), and taking short breaks when required (33.6%). Conclusion Prolonged large-scale nucleic acid detection can aggravate the musculoskeletal injuries of the neck, shoulder, upper back, and wrist in COVID-19 surveillance staff members. Prevention measures for musculoskeletal injuries factors must be in place to deter such incidence at work.

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来源期刊
British journal of hospital medicine
British journal of hospital medicine 医学-医学:内科
CiteScore
1.50
自引率
0.00%
发文量
176
审稿时长
4-8 weeks
期刊介绍: British Journal of Hospital Medicine was established in 1966, and is still true to its origins: a monthly, peer-reviewed, multidisciplinary review journal for hospital doctors and doctors in training. The journal publishes an authoritative mix of clinical reviews, education and training updates, quality improvement projects and case reports, and book reviews from recognized leaders in the profession. The Core Training for Doctors section provides clinical information in an easily accessible format for doctors in training. British Journal of Hospital Medicine is an invaluable resource for hospital doctors at all stages of their career. The journal is indexed on Medline, CINAHL, the Sociedad Iberoamericana de Información Científica and Scopus.
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