摘要
目的了解我国护理人员职业性肌肉骨骼疾患(WMSDs)的患病情况。方法计算机检索中国知网数据库(CNKI)、万方数据库、维普中文科技期刊数据库、中国生物医学文献数据库(CBM)、PubMed、Cochrane Library、Web of Science,收集国内外关于我国护理人员WMSDs患病率相关文献,检索时限为建库至2019年12月,没有语言限制。由2名研究人员按照文献纳入和排除标准独立筛选文献,并取文献作者、发表时间、总样本量、患病人数、患病率等资料。采用Combie横断面研究评价工具对纳入文献的质量进行评价,采用Rev Man 5.3(Review Manager)软件进行meta分析。结果共纳入23篇文献,总样本量为16 134人,样本量最大6 674人,最小162人。报道年患病率的文献18篇,周患病率7篇,报道身体各部位年患病率的文献23篇。Meta分析显示,我国护理人员WMSDs的年患病率为79.87%(95%CI:76%~86%),周患病率为55%(95%CI:38%~72%),护理人员不同部位患病率居于前3位的依次为腰部61%(95%CI:57%~65%)、颈部61%(95%CI:52%~69%)、肩部53%(95%CI:48%~57%);不同科室的护理人员WMSDs患病情况显示,重症监护室护士WMSDs患病率为89%(95%CI:67%~97%)、外科护士WMSDs患病率为74%(95%CI:63%~85%)、内科护士WMSDs患病率为65%(95%CI:53%~77%)。结论国内护理人员WMSDs患病率较高,居于前3位的依次为腰部、颈部和肩部;另外,重症监护室护士比其他科室护士WMSDs患病率要高,可能和重症监护室患者病情重、护士经常性的过度弯腰、身体前倾、下蹲和高强度劳动负荷有关。
Objective To understand the prevalence rate of work-related musculoskeletal disorders(WMSDs) among nurses in China.Methods Computer retrieval was performed on China National Knowledge Infrastructure(CNKI), Wangfang Data Knowledge service platform, China Science and Technology Journal Database(VIP), the Chinese biomedical literature database(CBM), PubMed, the Cochrane Library, and Web of Science, to collect the literature at home and abroad, which was related to the prevalence of WMSDs among nurses in China, the retrieval time was from the establishment of the database to December 2019, and there was no limit to the language. Two researchers independently screened the literature according to the inclusion and exclusion criteria,and derived the literature author, publication time, total sample size, number of patients, prevalence rate and other data.Combie cross-sectional study evaluation tool was used to evaluate the quality of the included literature, and Rev Man5.3(Review Manager) software was used for meta-analysis. Results A total of 23 articles were included, a total sample size was 16 134, with a maximum sample size of 6 674 and a minimum sample size of 162. The annual prevalence rate was reported in 18 articles, the weekly prevalence rate was reported in 7 articles, and the annual prevalence rate in all parts of the body was reported in 23 articles. Meta analysis showed that the annual prevalence rate of WMSDs among nurses in China was 79.87%(95% CI:76%-86%), weekly prevalence rate was 55%(95%CI:38%-72%), and former three sites with the highest prevalence rate was waist(61%, 95%CI:57%-65%), neck(61%, 95%CI:52%-69%), and shoulder(53%, 95%CI:48%-57%). The prevalence rates of WMSDs among nursing staff of different departments were as follows: the prevalence of WMSDs in ICU nurses was 89%(95%CI:67%-97%), in surgical nurses was 74%(95%CI:63%-85%), and in medical nurses was 65%(95%CI:53%-77%). Conclusion The prevalence rate of WMSDs is higher among nurses in China, and the first three are waist, neck and shoulder
作者
郑双峰
张荣
热孜万古丽·艾尼瓦
蒋昕
颜萍
ZHENG Shuang-feng;ZHANG Rong;Reziwangli·Ainiwa;JIANG Xin;YAN Ping(Operating Room,The First Affiliated Hospital of Xinjiang Medical University,Urumqi Xinjiang,830054,China;College of Nursing,Xinjiang Medical University,Urumqi Xinjiang,830011,China;Department of Urology,Affiliated Tumor Hospital of Xinjiang Medical University,Urumqi Xinjiang,830011,China)
出处
《职业与健康》
CAS
2021年第3期406-410,共5页
Occupation and Health
基金
新疆医科大学博士(后)科研启动项目(2019-20)
中国卫生人才培养项目护理研究子项目(2019-HLYJ-017)。
