Meta analysis of the influencing factors of work-related musculoskeletal disorders among nurses in China

Abstract

Abstract: Objective To understand the influencing factors of work-related musculoskeletal disorders among nursing staff in China,and to provide reference basis for the prevention and intervention of work-related musculoskeletal disorders in clinical nurses. Methods Computer retrieval of Web of Science,Pubmed,Cochrane Library,Embase,China Knowledge Network Database（CNKI）, China Biomedical Literature Database（CBM）,Wanfang Full Text Database and Weipu Chinese Science and Technology Journal Database（VIP） were used to collect relevant studies on the influencing factors of occupational musculoskeletal disorders in clinical nurses in China published from the establishment of the database to September 2023. The screening of all literature,extraction of relevant information,and quality evaluation were independently completed by two researchers,and meta-analysis was conducted using RevMan 5.4 software. Results A total of 26 papers were included,with a total sample size of 21 069 cases,and 8 relevant influencing factors were extracted.Meta-analysis results showed that age（OR=1.49,95%CI：1.24-1.79,P<0.01）,length of service（OR=1.82,95%CI：1.57-2.11,P<0.01）,workplace breaks（OR=0.68,95%CI：0.56-0.83,P<0.01）,physical exercise（OR=0.71,95%CI：0.63-0.80,P<0.01）,bending at work（OR=1.42,95%CI：1.25-1.62,P<0.01）,and work fatigue（OR=1.88,95%CI：1.56-2.26,P<0.01） were the influencing factors in occupational musculoskeletal disorders in clinical nurses,and the difference were statistically significant（all P<0.05）. Conclusion Age,length of service,workplace breaks,physical exercise,bending at work,and work fatigue are the factors influencing the occurrence of occupational musculoskeletal disorders in nursing staff.Bending at work,age ≥35 years,length of service ≥11 years,and work fatigue are the risk factors for the occurrence of occupational musculoskeletal disorders in clinical nurses,and protective factors are adequate work breaks and regular physical exercise.Early prevention measures can be taken to reduce the occurrence of occupational musculoskeletal disorders in clinical nurses.

Key words: Clinical nurse, Work-related musculoskeletal disorders, Influencing factors, Meta-analysis

CLC Number:

R181.2

BIAN Jia, ZHAO Lingzhi, ZHU Xianqiong, TAO Yanling. Meta analysis of the influencing factors of work-related musculoskeletal disorders among nurses in China. [J]OCCUPATION AND HEALTH, 2024, 40(18): 2564-2568.

References

[1] 吴琳,肖吕武,周浩,等.汽车制造业工人肌肉骨骼疾患工效学因素分析[J].中国公共卫生,2012,28(5):609-611.
[2] 张曦. 医院护理人员职业性肌肉骨骼疾患的工效学研究[D].北京:中国疾病预防控制中心,2020.
[3] 郑双峰,张荣,热孜万古丽·艾尼瓦,等.我国护理人员职业性肌肉骨骼疾患患病率的meta分析[J].职业与健康,2021,37(3):406-410.
[4] RATZON N Z,YAROS T,MIZLIK A,et al.Musculoskeletal symptoms among dentists in relation to work posture[J].Work,2000,15(3):153-158.
[5] 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.
[6] HIGGINS J P,THOMPSON S G.Quantifying heterogeneity in a meta analysis[J].Stat Med,2002,21(11):1539-1558.
[7] 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.
[8] 王月琴,陈卓敏,孙莉,等.南昌市三级医院护理人员职业性肌肉骨骼损伤现状调查[J].职业与健康,2020,36(14):1873-1876.
[9] 林倬宇. 肝胆外科护士肌肉骨骼疾患调查及其危险因素研究[J].青岛医药卫生,2019,51(6):431-435.
[10] 蒋凤梅,罗小菊,彭淑兰,等.巴中地区妇产科护士职业性肌肉骨骼疾患现状调查及心理弹性因素分析[J].工业卫生与职业病,2019,45(3):199-202.
[11] 葛争红. 上海市临床护士职业性肌肉骨骼疾患主观幸福感与社会支持的关系[J].工业卫生与职业病,2019,45(2):85-88.
[12] 杜建荷,何雪辉,胡雅萍,等.神经内科护士职业性肌肉骨骼损伤现状及影响因素[J].河北医药,2017,39(13):2064-2067.
[13] 黄阿美,颜萍,王亚南,等.南疆地区护士职业性肌肉骨骼疾患发生的影响因素分析[J].护理研究,2016,30(25):3107-3111.
[14] 支慧,单单单,尹红梅,等.医疗机构护理人员肌肉骨骼患病现况及影响因素研究[J].华南预防医学,2022,48(2):143-146.
[15] 王君. 山西省三级甲等医院口腔科护理人员职业性肌肉骨骼疾患现况调查[J].护理研究,2020,34(1):159-161.
[16] 蔡焕琼. 护士职业性肌肉骨骼损伤调查及相关因素分析[J].中国基层医药,2012,19(22):3493-3495.
[17] 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.
[18] 霍少金,陈丽明.某医院护理人员职业性肌肉骨骼疾患与睡眠质量的相关性调查[J].工业卫生与职业病,2019,45(3):192-195.
[19] 雷蕾,李玉娟,刘兴琴,等.泸州市某医院护理人员职业性肌肉骨骼疾患现状及影响因素分析[J].工业卫生与职业病,2019,45(1):27-30.
[20] 刘英宇,庞淑兰,安美静,等.唐山市某医院护理人员职业性肌肉骨骼疾患现况调查[J].中国工业医学杂志,2015,28(2):127-129.
[21] 张雪,曾冬阳,许思怡,等.海口市护理人员工作相关肌肉骨骼疾患现况及影响因素分析[J].职业卫生与应急救援,2021,39(3):266-271.
[22] 马丽霞,刘吉祥,杨文海,等.银川市9家医院护理人员职业性肌肉骨骼疾患危险因素研究[J].工业卫生与职业病,2023,49(1):26-31.
[23] 吴美丽,曹文娟.医院护理人员肌肉骨骼疾患与三班制之间的相关性研究[J].浙江医学教育,2015,14(4):25-28.
[24] 张海琴,张艳,贲国平.重症监护病房护士职业性肌肉骨骼疾患的患病率及危险因素分析[J].职业与健康,2020,36(11):1449-1452.
[25] 郑双峰,车雅洁,杨璇璇,等.三级综合医院ICU护士职业性肌肉骨骼疾患现状及影响因素[J].职业与健康,2022,38(4):450-453.
[26] YAN P,LIF,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,2017:57-71.
[27] 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.
[28] 冉塬钰,吉辉,王永敏,等.护理人员肌肉骨骼不适现状及相关因素分析[J].护理研究,2015,29(30):3777-3779.
[29] 甘露,李秀娥,路潜,等.口腔门诊护士工作有关肌肉骨骼疾患患病现况及影响因素分析[J].中华劳动卫生职业病杂志,2022,40(10):756-760.
[30] 莫文娟,张平.护士肌肉骨骼损伤职业影响因素的调查分析[J].护理学杂志,2009,24(19):54-57.
[31] 孙健,谷虹,郑晓娜,等.大连市三甲医院ICU护士职业性肌肉骨骼损伤的调查研究[J].现代医药卫生,2022,38(14):2406-2410.
[32] 李东盼,袁斌,孙宁.妇产科护理人员职业性肌肉骨骼疾患与社会心理因素相关性调查[J].工业卫生与职业病,2018,44(6):435-437.
[33] ALMHDAWI K A,ALRABBAIE H,KANAAN S F,et al.Predictors and prevalence of lower quadrant work-related musculoskeletal disorders among hospital-based nurses:A cross-sectional study[J].Back Musculoskeletal Rehabil,2020,33(6):885-896.
[34] 陈秋华,胡三莲,周玲,等.临床护理人员职业性腰背部疼痛原因调查分析[J].山西医药杂志,2017,46(11):1271-1273.
[35] TRINKOFF A M,LE R,GEIGERBROWN 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.
[36] 张丹英,马小燕,黄汉林.医学超声工作者工作相关肌肉骨骼疾患研究进展[J].中国职业医学,2017,44(1):95-98.
[37] 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.
[38] 王泽惠,童莺歌,刘苗苗,等.我国2009—2018年职业性肌肉骨骼疾患研究的范围综述[J].健康教育与健康促进,2020,15(3):225-228.