手术室护士职业性肌肉骨骼损伤状况及其影响因素分析

Influencing factors of occupational musculoskeletal injuries in nurses from operation room

目的探讨手术室护士职业性肌肉骨骼损伤(occupational musculo sk eletal injury,OMSI)状况及其影响因素。方法采用便利取样法,选取深圳某3家二级甲等综合医院与5家三级甲等综合医院手术室护士300名,对其OMSI状况及其影响因素进行调查分析。结果手术室护士OMSI首发年龄(31.6±6.8)岁,患病率81.3%,其中背部、腰部、肩部损伤患病率最高。年龄大、工龄长、超重、工作中休息不足、工作中缺少肌肉放松和锻炼的提示、岗位轮转少及每周工作时间的手术室护士OMSI患病率较高(均P<0.01)。结论手术室护士OMSI患病率较高,除与年龄、工龄、身体质量指数(body mass idex,BMI)相关外,职业危险因素和职业管理因素也是影响其发生发展的重要方面。

Objective To study the influencing factors of occupational musculoskeletal injuries （OMSI） in nurses from operation room. Method By convenience sampling, 300 nurses from the operation rooms of 8 First Class Grade A hospitals in Shenzhen were involved in the study. Results The age for first onset of OMSI in the nurses was （31.6 ±6.8） years, with a prevalence rate of 81.3%. The back, waist and shoulder were the most vulnerable for their highest prevalence. The influencing factors included age, seniority, overweight, lack of resting time, lack of notice of nmscle relaxation and physical exercise and inadequacy of post shifting. Conclusions The prevalence of OMSI in nurses from operation rooms is higher. Besides age, seniority and BMI, it is closely related with occupational risk factors and occupational management factors.