王红,任森森,梁守沛,张晓非,王贺,汤丽霞,张育红,王守英,姚永成

• 1:郑州人民医院
• 2:郑州图书馆
• 3:郑州市职业病防治院
• 4:新乡医学院公共卫生学院

摘要(Abstract)：

目的了解内科医务人员肌肉骨骼疾患(WMSDs)的患病现状,分析内科医务人员肌肉骨骼疾患的分布特征和相关危险因素,为改善内科医务人员的肌肉骨骼疾患状况提供参考依据。方法采用横断面调查方法,应用中文版肌肉骨骼疾患调查表,于2016年7月对某市3家市级医院的342内科医务人员进行问卷调查,调查内容包括:个体信息、人格类型、各部位WMSDs的患病情况,采用χ2检验、logistic回归识别WMSDs患病的影响因素。结果共发放问卷400份,收集有效问卷342份,有效应答率85.5%。该院内科医务人员过去一年中身体任一部位的WMSDS患病率为82.1%,各部位患病率最高是颈部(65.6%),其次为腰(64.9%),患病率最低的为肘部(16.4%)。非条件logistic回归分析显示,颈部疼痛与性格外向稳定(OR=4.02,95%CI:1.81~8.93)有关,且有统计学意义。腰部疼痛与有时熬夜(OR=8.54,95%CI:2.3~31.58)、经常熬夜(OR=7.09,95%CI:2.29~21.96)总是熬夜(OR=3.29,95%CI:1.31~8.24)有关,且有统计学意义。任一部位疼痛与性格外向稳定(OR=2.75,95%CI:1.04~7.39)、有时熬夜(OR=17.73,95%CI:2.55~123.25)和经常熬夜(OR=6.95,95%CI:1.16~41.84)有关,且有统计学意义。结论该市级医院护理工作人员肌肉骨骼疾患患病率较高,其中以颈部的患病率最高,生活作息规律的内科医务人员颈部疼痛的患病率最低,随着经常倒班和熬夜增高。性格外向稳定是颈部疼痛和任一部位疼痛患病的危险因素,经常熬夜是腰部疼痛和任一部位疼痛患病的危险因素。

关键词(KeyWords)： 医务人员;肌肉骨骼疾患;危险因素

Abstract:

Keywords:

基金项目(Foundation): 郑州市科技局科技发展计划项目(20150063,20130472);; 河南省高等学校重点科研项目(18A630044);; 河南科技智库调研项目(HNKJZK-07B);; 河南省医学科技攻关计划项目(201303241);; 河南省科技厅科技攻关项目(162102310495);; 河南省博士后科研资助(2017);; 河南省教育厅科研项目(15A330004)

作者(Author): 王红,任森森,梁守沛,张晓非,王贺,汤丽霞,张育红,王守英,姚永成

DOI: 10.13515/j.cnki.hnjpm.1006-8414.2018.10.002

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