摘要
目的探讨ICU病房护理人员职业相关腰背痛(OLSP)的发生情况及相关的危险因素。方法以某市5家综合性医院ICU病房护士为观察组,普通病房护士为对照组进行横断面调查,发放OLSP问卷调查,并对其中一家医院ICU病房进行现场录像,采用Win OWAS和Bless Pro 2.0软件做姿势负荷和生物力学负荷计算。结果ICU病房护士OLBP现患率(87%)、发作频率(每月1次以上者占48%)以及因OLBP误工率(7%)与对照组(分别为60%、32%、2%)比较均明显升高,差异有统计学意义(P<0.01,P<0.05)。ICU病房护士典型护理操作危险姿势发生频率依次为观察引流(99%)、在床上搬抬患者(90%)、静脉操作(75%)、吸痰(75%)、调整输液量(6%);调整输液量、吸痰、静脉操作、观察引流量、在床上搬抬患者的腰椎间盘压力(Fc)比值为100:155:199:301:418。结论ICU病房护士OLBP患病率高,高频率弯腰、扭转姿势和在床上搬抬患者是主要的危险因素。
Objective To explore the prevalence of occupational low back pain （OLBP） and assess work-related risk factors in ICU nurses. Methods Forty hundred seventy-seven ICU nurses of study group and nurses working in other wards （control group） of the same comprehensive hospital were investigated using OLBP Investigation Questionnaire for nurses. Working postures and related work activities were evaluated by using the Win OWAS software and the compressive force （Fc） of the disc between 1,5 and S1 was calculated by using the Bless Pro software and sampling was taken by digital camera in ICU ward of one hospital. Results The prevalence of OLBP （87%）, frequency of OLBP （48%≥ 1 per month） and OLBP related work-absence （7%） of the ICU nurses were significantly higher than the control group （64%, 32% and 2%, respectively）. The frequency of harmful postures occurred during working tasks of observing drainage, lifting and transferring patients in bed, injection, suctioning and adjusting drip were 99%, 90%, 75%, 75% and 6%, respectively. The ratios of Fc of adjusting drip rate （taken as 100）, suctioning, injection, observing drainage and lifting and transferring patients in bed were 100：155：199：301：418. Conclusion Prevalence of OLBP in ICU nurses is high. High frequency of bending and twisting, transferring patients in bed are the main causes of OLBP in ICU nurses.
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
北大核心
2007年第8期453-455,共3页
Chinese Journal of Industrial Hygiene and Occupational Diseases
关键词
护理人员
腰痛
全身负荷
Nursing staff
Low back pain
Body burden
