我国护士职业性腰背痛发生率的meta分析

摘要/Abstract

摘要： 目的分析我国护士职业性腰背痛的发生情况。方法检索知网、万方、维普、中国生物医学文献数据库、Web of Science、Embase、PubMed数据库,检索时间均为2013年5月—2023年5月,搜集有关中国护士职业性腰背痛发生情况相关的文献。按纳入/排除标准提取数据,并进行偏倚风险评价,meta分析软件采用Stata 16。结果共纳入31个研究,包括29 688名护士。Meta分析结果显示,我国护士职业性腰背痛发生率为70.7%（95%CI：66.1%~75.2%）。亚组分析结果显示,性别、年龄、婚姻状况、肥胖、年资、职称、学历、科室、工作强度及弯腰情况等因素均对我国护士职业性腰背痛发生率有一定影响。结论我国护士职业性腰背痛发生率较高,建议医院管理者及护士自身加以重视,切实采取针对性干预措施,改善工作环境,建立保护性机制,降低护士职业性腰背痛发生率,提高护理质量,保障患者健康。

关键词: 中国, 护士, 职业性腰背痛, 发生率, Meta分析

Abstract: Objective To analyze the incidence of occupational low back pain among nurses in China. Methods CNKI,Wanfang,VIP,China biomedical literature database,Web of Science,Embase,PubMed databases were searched from May 2013 to May 2023 to collect the literature related to the occurrence of occupational low back pain in Chinese nurses. The data were extracted according to the inclusion/exclusion criteria,and the risk of bias was evaluated. The meta-analysis software used Stata 16. Results A total of 31 studies including 29 688 nurses were included. The results of meta-analysis showed that the incidence of occupational low back pain among nurses in China was 70.7%（95%CI：66.1%-75.2%）. The results of subgroup analysis showed that gender,age,marital status,obesity,seniority,professional title,educational background,department,work intensity,stooping and other factors had a certain impact on the incidence of occupational low back pain among nurses in China. Conclusion The incidence of occupational low back pain among nurses in China is relatively high. It is recommended that hospital managers and nurses themselves pay attention to it,take targeted intervention measures,improve the work environment,establish protective mechanisms,reduce the incidence of occupational low back pain among nurses,improve the quality of nursing,and ensure patient safety.

Key words: China, Nurses, Occupational low back pain, Incidence, Meta-analysis

中图分类号:

R181.2

王黎平, 黎贵湘, 刘嘉怡, 刁艳君, 卓瑜. 我国护士职业性腰背痛发生率的meta分析. [J]职业与健康, 2024, 40(22): 3134-3140.

WANG Liping, LI Guixiang, LIU Jiayi, DIAO Yanjun, ZHUO Yu. Meta-analysis of the incidence of occupational low back pain among nurses in China. [J]OCCUPATION AND HEALTH, 2024, 40(22): 3134-3140.

参考文献

[1] 杜世正,胡雁,金克峙,等.护士职业性腰背痛预防和护理临床实践指南[J].护士进修杂志,2021,36(13):1227-1236.
[2] COGGON D,NTANI G,PALMER K T,et al.Disabling musculoskeletal pain in working populations:Is it the job,the person,or the culture?[J].Pain,2013,154(6):856-863.
[3] BUDHRANI-SHANI P,BERRY D L,ARCARI P,et al.Mind-body exercises for nurses with chronic low back pain:An evidence-based review[J].Nurs Res Pract,2016,2016:9018036.
[4] VAN HOOF W,O'SULLIVAN K,O'KEEFFE M,et al.The efficacy of interventions for low back pain in nurses:A systematic review[J].Int J Nurs Stud,2018,77:222-231.
[5] DUFFETT-LEGER L,BECK A J,SIDDONS A,et al.What do we know about interventions to prevent low back injury and pain among nurses and nursing students? A scoping review[J].Can J Nurs Res,2022,54(4):392-439.
[6] YANG H H,CHUNG Y C,SZETO P P,et al.Laser acupuncture combined with auricular acupressure improves low-back pain and quality of life in nurses:A randomized controlled trial[J].J Integr Med,2023, 21(1):26-33.
[7] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[8] 王秀兰,任洁琼,刘静.三级甲等医院护士职业性腰背痛现状及其影响因素研究[J].中国护理管理,2016,16(01):61-64.
[9] 程长春,王吉平,吴玲玲,等.上海市某医院护理人员肌肉骨骼疾患调查及其危险因素的分析[J].环境与职业医学,2017,34(1):15-21.
[10] 饶宇科,王胜芳.中山市护理人员职业性腰痛现况及其影响因素[J].职业与健康,2016,32(14):1894-1896.
[11] 张露,全艳,赵敏.临床护士腰背痛现状调查及影响因素分析[J].全科护理,2017,15(19):2311-2313.
[12] 蔺红静. 临床护理人员职业性腰背部疼痛原因调查分析[D].长春:吉林大学,2013.
[13] 张雪梅,张志红,朱学珍,等.医院护士腰背痛发生的职业性相关因素分析[J].宁夏医学杂志,2017,39(7):671-672.
[14] 王吉顺,李政垚,曲艺,等.唐山市某医院护理人员下背痛流行情况及影响因素[J].环境与职业医学,2017,34(5):426-430.
[15] 路筱丽,常香玉,陈华,等.手术室护士下腰痛相关因素分析和应对策略[J].河南医学研究,2022,31(3):451-454.
[16] 吴俊晓. 护士腰背痛职业危险因素分析[J].中国职业医学,2019,46(2):194-197.
[17] 孙京文. 淄博市护士职业性腰背痛现状及影响因素分析[D].济南:山东大学,2018.
[18] 董丽. 秦皇岛市区三甲医院低年资护士下腰痛现状及影响因素分析[D].石家庄:河北医科大学,2018.
[19] 张小彦,敬星操,王密密,等.绵阳市5所三级甲等医院外科护士职业性腰背痛现状调查[J].职业与健康,2020,36(15):2028-2031,2035.
[20] 黄维梅. 遵义某三级综合医院护士腰背痛现状和职业相关影响因素调查及防护[J].齐齐哈尔医学院学报,2019,40(8):1011-1013.
[21] 刘秋红. 骨科护士腰背痛原因的调查分析[J].当代护士(中旬刊),2015(3):148-149.
[22] 唐丽梅,宁文杰,孙惠莲,等.临床护士职业性腰背痛现状多中心调查及影响因素分析[J].中华现代护理杂志,2018,24(27):3292-3295.
[23] 马琰乔,应冬芬.316名护士腰痛现状与预防知识知晓率调查[J].中医药管理杂志,2020,28(13):55-57.
[24] 童海鸥,王洪萍.三级甲等医院护理人员职业性肌肉骨骼疾患的流行特征研究[J].中国基层医药,2017,24(5):659-663.
[25] 徐丽萍,郑仙花.基层临床护士下腰痛现状及认知调查[J].福建医药杂志,2014,36(5):167-168.
[26] 吴安安,倪裕玲.我院2017年护士腰痛情况调查分析[J].中国乡村医药,2018,25(16):75-76.
[27] 龙良,李敏霞,熊妮,等.护理人员腰背部疼痛的原因分析[J].中国实用护理杂志,2016,32(z1):3-4.
[28] 黄阿美. 新疆9所三级综合医院护理人员职业性肌肉骨骼疾患现状及影响因素研究[D].乌鲁木齐:新疆医科大学,2017.
[29] 颜萍. 新疆护理人员职业性肌肉骨骼疾患现状与干预的研究[D].乌鲁木齐:新疆医科大学,2017.
[30] 陈蕾,曾娜芬,陈华英.手术室护士职业性肌肉骨骼损伤状况及其影响因素分析[J].现代临床护理,2013,12(12):6-11.
[31] 杜建荷,何雪辉,胡雅萍,等.护士职业性肌肉骨骼损伤调查研究[J].河北医药,2016,38(8):1266-1268.
[32] 王天慈,刘悦新,李绮薇,等.护理人员职业性腰背痛现状及相关危险因素调查分析[J].全科护理,2015,13(26):2651-2653.
[33] 李向芝,易春燕,高明榕,等.护理人员腰痛相关因素调查[J].中华护理杂志,2013,48(8):721-723.
[34] YAO Y,ZHAO S,AN Z,et al.The associations of work style and physical exercise with the risk of work-related musculoskeletal disorders in nurses[J].Int J Occup Med Environ Health,2019,32(1):15-24.
[35] YAN P,LI F,ZHANG L,et al.Prevalence of work-related musculoskeletal disorders in the nurses working in hospitals of Xinjiang Uygur Autonomous Region[J].Pain Res Manag,2017,2017:5757108.
[36] LI L,DENG X,ZHANG H,et al.A cross-sectional survey of low back pain in nurses working in orthopedic departments[J].Workplace Health Saf,2019,67(5):218-230.
[37] SHIEH S H,SUNG F C,SU C H,et al.Increased low back pain risk in nurses with high workload for patient care:A questionnaire survey[J].Taiwan J Obstet Gynecol,2016,55(4):525-529.
[38] YANG S,LU J,ZENG J,et al.Prevalence and risk factors of work-related musculoskeletal disorders among intensive care unit nurses in china[J].Workplace Health Saf,2019,67(6):275-287.
[39] MANCHIKANTI L,SINGH V,FALCO F J,et al.Epidemiology of low back pain in adults[J].Neuromodulation,2014,17(Suppl 2):3-10.
[40] CHOU R,SHEKELLE P.Will this patient develop persistent disabling low back pain?[J].JAMA,2010,303(13):1295-1302.
[41] 王丽,尚随君.护理人员腰背痛研究现状及预防对策[J].护理学杂志,2011,26(9):95-97.
[42] WONG A Y L,CHAN L L Y,LO C W T,et al.Prevalence/Incidence of low back pain and associated risk factors among nursing and medical students:A systematic review and meta-analysis[J].Pmr,2021,13(11):1266-1280.
[43] GE H Y,MADELEINE P,ARENDT-NIELSEN L.Gender differences in pain modulation evoked by repeated injections of glutamate into the human trapezius muscle[J].Pain,2005,113(1-2):134-140.
[44] WIJNHOVEN H A,DE VET H C,SMIT H A,et al.Hormonal and reproductive factors are associated with chronic low back pain and chronic upper extremity pain in women-the MORGEN study[J].Spine (Phila Pa 1976),2006,31(13):1496-1502.
[45] 许娇,常进红,冉建容,等.重庆地区33家综合医院护士职业性腰背痛现状调查及相关因素分析[J].现代医药卫生,2022,38(7):1110-1113,1118.
[46] SMITH J A,HAWKINS A,GRANT-BEUTTLER M,et al.Risk factors associated with low back pain in golfers:A systematic review and meta-analysis[J].Sports Health,2018,10(6):538-546.
[47] TAN B K,SMITH A J,O'SULLIVAN P B,et al.Low back pain beliefs are associated to age,location of work,education and pain-related disability in Chinese healthcare professionals working in China:A cross sectional survey[J].BMC Musculoskelet Disord,2014,15:255.
[48] TRINKOFF A M,LE R,GEIGER-BROWN J,et al.Longitudinal relationship of work hours,mandatory overtime,and on-call to musculoskeletal problems in nurses[J].Am J Ind Med,2006,49(11):964-971.
[49] SUN W,ZHANG H,TANG L,et al.The factors of non-specific chronic low back pain in nurses:A meta-analysis[J].J Back Musculoskelet Rehabil,2021,34(3):343-353.
[50] LEMO A,SILVA A G,TUCHERMAN M,et al.Risk reduction in musculoskeletal practice assistance professional nursing pilot in semi intensive care unit[J].Work,2012,41(Suppl 1):1869-1872.
[51] 田素斋,唐丽梅,宁文杰,等.ICU护士预防职业性腰背痛“知-信-行”调查分析[J].护士进修杂志,2013,28(21):1973-1976.
[52] AWOSOGA O,STEINKE C,NORD C,et al.Exploring the role of shift work in the self-reported health and wellbeing of long-term and assisted-living professional caregivers in Alberta,Canada[J].Hum Resour Health,2020,18(1):70.
[53] HERNLUND E,SVEDBOM A,IVERG RD M,et al.Osteoporosis in the European Union:Medical management,epidemiology and economic burden.A report prepared in collaboration with the International Osteoporosis Foundation(IOF) and the European Federation of Pharmaceutical Industry Associations(EFPIA)[J].Arch Osteoporos,2013,8(1):136.
[54] MARIA S,WITT-ENDERBY P A.Melatonin effects on bone:Potential use for the prevention and treatment for osteopenia,osteoporosis,and periodontal disease and for use in bone-grafting procedures[J].J Pineal Res,2014,56(2):115-125.
[55] DENIS A,ZELMAR A,LE POGAM M A,et al.The PRESLO study:evaluation of a global secondary low back pain prevention program for health care personnel in a hospital setting.Multicenter,randomized intervention trial[J].BMC Musculoskelet Disord,2012,13:234.
[56] 王晶晶. 我国护士职业性腰背痛防护培训的研究进展[J].护理学杂志,2014,29(8):94-96.
[57] 田素斋,唐丽梅,宁文杰.行动研究法在ICU护士职业性腰背痛干预中的应用[J].护理学杂志,2014,29(10):89-91.
[58] SIHAWONG R,JANWANTANAKUL P,JIAMJARASRANGSI W.A prospective,cluster-randomized controlled trial of exercise program to prevent low back pain in office workers[J].Eur Spine J,2014,23(4):786-793.
[59] 曹扬,唐丽华,张蔚,等.机场搬运作业人员下背痛工效学因素分析[J].中国工业医学杂志,2016,29(4):262-265.