康复治疗师职业性肌肉骨骼损伤问题调查分析

The Questionnaire Survey of Work-related Musculoskeletal Disorders in Rehabilitation Therapists

目的：通过对康复治疗师职业性肌肉骨骼损伤问题的调查，以期科学、定量评估其现况，为改善康复治疗师职业防护措施、预防和减少职业性肌肉骨骼损伤的发生提供科学依据。方法：以某康复专科机构康复治疗师为对象，通过治疗师代表访谈和现场工作环境评估方式收集问题后自制问卷，并对该总体进行问卷调查。结果：共收回有效问卷114份，回收率81．4％，平均年龄为27．25±4．51岁，平均工作年限为4．08±4．62年，以物理治疗师（31．6％）、中医治疗师（20.2％）为主；调查显示在最近的12个月受到职业性肌肉骨骼损伤困扰的时间超过30天者达53．5％，主要以颈部、下腰背、肩部、腕／手、上腰背的轻、中度疼痛为主，因此而减少工作活动占32．5％，减少休闲活动占59．6％：因职业性肌肉骨骼损伤而改变工作习惯有60．5％，想过换工作有22．8％。结论：康复治疗师面临较为严重的职业性肌肉骨骼损伤问题。并因此而影响到了工作、生活甚至工作意愿，丞待改善。

Objective： Through the survey of work-related musculoskeletal disorders （WMSDs） in rehabilitation therapists, to scientifically and quan- titatively evaluate the status quo, and provide some scientific basis for strengthening the occupational protection of rehabilitation therapists, prevent- ing and reducing WMSDs. Methods： From the same institution of rehabilitation therapists as an object, the therapists on behalf of the interviews and field work environment evaluation way collection problems after the self-made questionnaire, and questionnaire survey was conducted on the overall. Results： A total of 114 effective questionnaires were taken back, the recovery rate was 81.4%, the average age was 27.25±4.51 years, average work- ing years was 4.08±4.62 years, with the physical therapist （31.6%）, the traditional Chinese medicine therapist （20.2%）, during the last 12 months, ac- cording to the survey by muscle strain of the proportion of time more than 30 days was 53.5%, and the main parts is the neck, low back, shoulder, wrist/hand, back light, moderate pain is given priority to, thus reducing the proportion of the work activities have 32.5%, reduce 59.6% of leisure ac- tivities. In addition, because of muscle strain and change work habits with 60.5%, also have 22.8% thought about changing jobs. Conclusion： Rehabil- itation therapists are in the face of severe WMSDs, which affects their work and life, even the willingness to work, and needs improvement.