护理人员职业性肌肉骨骼损伤自我防护现状调查及干预效果

Intervention result and self-protection status survey of occupational musculoskeletal injury for nurses

目的探讨护理人员职业性肌肉骨骼损伤(OMSI)自我防护现状调查及干预效果情况。方法分析2015年3月~2016年8月新疆医科大学第五附属医院护理人员300名的资料,依据护理人员是否出现OMSI分为对照组(200名)和观察组(OMSI,100名),给予护理人员OMSI自我防护培训。观察两组护理人员一般资料情况、OMSI的危险因素Logistic回归分析变量及赋值情况。观察OMSI护理人员自我防护措施干预前后OMSI认知评分、疼痛持续时间、发作频率情况。结果两组护理人员年龄、工作年限、婚姻状况、运动习惯、倒班情况、所在科室、职称差异有统计学意义(P<0.05)。Logistic回归分析显示:年龄、工作年限、运动习惯、所在科室、职称是OMSI发生的影响因素(P<0.05),其中经常运动是OMSI发生的危险因素,年龄、工作年限、所在科室、职称是OMSI发生的保护性因素(P<0.05)。护理人员自我防护措施干预后OMSI认知评分高于干预前,疼痛持续时间、发作频率低于干预前,差异均有统计学意义(P<0.05)。结论护理人员年龄、工作年限、运动习惯、所在科室、职称是OMSI的显著性因素,有效的干预措施可以提高护理人员认知评分,降低疼痛持续时间、发作频率。

Objective To approach the intervention effect and self-protection status survey of occupational musculoskeletal injury（OMSI） for nurses. Methods From March 2015 to August 2016, in the Fifth Affiliated Hospital of Xinjiang Medical University, the data of 300 nurses were analyzed, according to appearing OMSI or not, they were divided into control group（200 persons） and detection group（OMSI, 100 persons）, they were given self protection training. The general information, hazards logistic regression model for OMSI variable and assignment of two group nurses were detected. The OMSI acknowledge score, pain duration, seizure frequency of OMSI nurses before and after self-protection measures were detected. Results There were statistically significant differences in age, working years, marital status, exercise habit, shift work situation, the department, title of two groups（P 〈 0.05）. Logistic regression analysing showed the age, working years, marital status, exercise habit, shift work situation, department, title were influnce factors of OMSI appearing（P 〈 0.05）, the regular exercise was risk factor of OMSI, the age, working years, department, title were protective factors of OMSI（P 〈 0.05）. After self-protection intervention, the OMSI cognitive score of nurses was higher than before intervention, the pain duration time, seizure frequency were lower than before intervention, the differences were statistically significant（P 〈 0.05）. Conclusion The age, working years, marital status, exercise habit, shift work situation, department, title are significant factors of OMSI,the effective interventions can increase OMSI acknowledge score of nurses, decrease pain duration, seizure frequency.