本文選題：護(hù)理人員 + 職業(yè)性肌肉骨骼疾患��； 參考：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:1.了解新疆9所三級(jí)綜合醫(yī)院護(hù)理人員職業(yè)性肌肉骨骼疾患(OMD)的流行病學(xué)特征。2.了解職業(yè)性肌肉骨骼疾患(OMD)對(duì)護(hù)理人員工作和生活的影響程度。3.探討新疆地區(qū)三級(jí)綜合醫(yī)院護(hù)理人員職業(yè)性肌肉骨骼疾患(OMD)的影響因素。方法:采用分層隨機(jī)整群抽樣的方法,隨機(jī)抽取南疆和北疆地區(qū)9所三級(jí)綜合醫(yī)院2573名臨床護(hù)理人員作為研究對(duì)象,進(jìn)行問卷調(diào)查,內(nèi)容包括:1.護(hù)理人員基本情況調(diào)查表;2.標(biāo)準(zhǔn)化北歐國家肌肉骨骼系統(tǒng)癥狀分析量表(Nordic量表)評(píng)價(jià)職業(yè)性肌肉骨骼疾患(OMD)發(fā)生或不適情況;3.工作能力指數(shù)(WAI)量表評(píng)價(jià)護(hù)理人員工作能力情況;4.護(hù)理人員職業(yè)性肌肉骨骼疾患影響因素調(diào)查表分析OMD的影響因素。結(jié)果:1.OMD患病情況:(1)護(hù)理人員OMD曾患病率、年患病率和周患病率分別為80.45%、78.74%和38.32%;(2)以年患病率為例,其中腰部患病率最高,為65.33%,其次為頸(60.90%)、肩(48.85%)、背(38.44%)、膝(32.37%)、踝足(28.33%)、手腕(19.63%)、髖臀(18.19%)和肘部(10.34%);(3)職業(yè)性肌肉骨骼疾患(OMD)在不同年齡和工齡段年患病率的差異均具有統(tǒng)計(jì)學(xué)意義(P0.05);(4)重癥急診科室護(hù)理人員OMD患病率最高(88.77%),其次為手術(shù)麻醉科、外科和供應(yīng)室。2.職業(yè)性肌肉骨骼疾患(OMD)對(duì)護(hù)理人員工作和生活的影響程度:(1)近一年內(nèi),發(fā)生職業(yè)性肌肉骨骼疾患(OMD)的2026名護(hù)理人員中,缺勤占15.89%;(2)28.97%的護(hù)理人員因職業(yè)性肌肉骨骼疾患(OMD)到醫(yī)療機(jī)構(gòu)就診;(3)因職業(yè)性肌肉骨骼疾患(OMD)對(duì)工作產(chǎn)生影響的占83.96%。3.護(hù)理人員OMD影響因素分析結(jié)果:(1)單因素Logistic分析:年齡、工齡、文化程度、職稱、能級(jí)、婚姻狀況、生育狀況、編制、BMI、既往病史、每天彎腰累計(jì)工作時(shí)間、每小時(shí)彎腰工作次數(shù)、每天坐姿累計(jì)工作時(shí)間、每天低頭累計(jì)工作時(shí)間、每天搬動(dòng)病人次數(shù)、搬舉最大重量、科室、工間休息、工間休息累計(jì)時(shí)間、工間休息次數(shù)、每月加班次數(shù)、每天工作時(shí)間、輪晚夜班、工作勞累度、工作緊張度、工作滿意度、工作舒適度、身體鍛煉、家務(wù)勞動(dòng)和WAI分級(jí)共30個(gè)因素為OMD的影響因素(2)非條件逐步Logistic回歸分析:工齡、職稱、BMI、文化程度、婚姻狀況、有既往病史、每天彎腰累計(jì)工作時(shí)間、搬動(dòng)重物重量、科室、工作間歇次數(shù)、輪晚夜班、工作緊張、身體鍛煉和WAI分級(jí)共14個(gè)因素為OMD的影響因素。結(jié)論:1.新疆9所三級(jí)綜合醫(yī)院護(hù)理人員職業(yè)性肌肉骨骼疾患(OMD)較嚴(yán)重;腰、頸、肩和背部為好發(fā)部位;年齡越大、工齡越長(zhǎng)職業(yè)性肌肉骨骼疾患(OMD)發(fā)生可能性越大;重癥急診科和手術(shù)麻醉科是護(hù)理人員職業(yè)性肌肉骨骼疾患(OMD)的高發(fā)科室。2.職業(yè)性肌肉骨骼疾患(OMD)對(duì)護(hù)理人員的工作和生活產(chǎn)生嚴(yán)重影響,但未引起護(hù)理人員的重視,就醫(yī)率低。3.職業(yè)性肌肉骨骼疾患的發(fā)生是多種因素共同作用的結(jié)果,建議醫(yī)院管理者可以從增加科室人員配備、合理排班、糾正勞動(dòng)姿勢(shì)、減輕勞動(dòng)負(fù)荷、改善工作環(huán)境等措施出發(fā),護(hù)理人員自身注重加強(qiáng)體育鍛煉、保持良好的心態(tài)等從而達(dá)到預(yù)防OMD發(fā)生的結(jié)果。
[Abstract]:Objective: 1. to understand the epidemiological characteristics of professional musculoskeletal disorders (OMD) of nurses in 9 grade three general hospitals in Xinjiang..2. understand the impact of occupational musculoskeletal disease (OMD) on the work and life of nursing staff.3. to explore the influencing factors of occupational musculoskeletal disorders (OMD) of nurses in the three level general hospitals. The method of stratified random cluster sampling was used to randomly select 2573 clinical nurses from 9 three level hospitals in southern Xinjiang and Northern Xinjiang as research subjects. The contents included: 1. basic situation questionnaire of nursing staff and 2. standardized Nordic national musculoskeletal system symptom analysis scale (Nordic scale) to evaluate the occupational muscle. Meoskeletoskeletal disease (OMD) occurred or discomfort; 3. the work ability index (WAI) scale evaluated the working ability of nursing staff; 4. the influencing factors of occupational musculoskeletal disorders influencing factors of OMD were analyzed. Results: (1) the incidence of OMD in the nursing staff was 80.45%, and the annual prevalence rate and weekly prevalence rate were 80.45%, 78. respectively. 74% and 38.32%; (2) taking the annual prevalence rate as an example, of which the prevalence rate of the waist was the highest, 65.33%, followed by neck (60.90%), shoulder (48.85%), back (38.44%), knee (32.37%), ankle foot (28.33%), wrist (19.63%), hip hip (18.19%) and elbow (10.34%), and (3) occupational musculoskeletal disease (OMD) had statistical differences at different age and working age. (4) (4) the prevalence of OMD was the highest in the critical emergency department (88.77%), followed by the surgical department of anesthesia, and the impact of.2. occupational musculoskeletal disease (OMD) on the work and life of the nurses in the surgery and supply rooms: (1) in the last year, among the 2026 nurses of occupational musculoskeletal disease (OMD), 15.89% were absent; (2) 28.97 % of the nurses were treated for professional musculoskeletal disease (OMD) to medical institutions; (3) the impact of occupational musculoskeletal disease (OMD) on the work of 83.96%.3. nursing staff OMD factors analysis results: (1) single factor Logistic analysis: age, age, education, professional title, level, marital status, reproductive status, compilation, BMI, past Medical history, bending down the working hours every day, stooping times per hour, working hours per day, accumulative working hours per day, working hours per day, moving the number of patients every day, lifting the maximum weight of the patients, the Department, the rest of the workers, the time for the rest of the workers, the number of work rest, the working hours a month, the night shift, work tired. Degree, job stress, job satisfaction, work comfort, physical exercise, housework and WAI classification were 30 factors (2) unconditional stepwise Logistic regression analysis: work age, title, BMI, education, marital status, past medical history, cumulative working time, moving weight, Department, and work interval, every day. 14 factors such as late night shift, work stress, physical exercise and WAI classification are OMD factors. Conclusion: 1. occupational musculoskeletal disorders (OMD) of nursing staff in 9 grade three general hospitals in Xinjiang are more serious; the greater the waist, neck, shoulder and back are, the greater the age and the longer the working age, the more likely the occupational musculoskeletal disease (OMD) is to occur; the more severe the age is, the more severe the occurrence of the occupational musculoskeletal disease (OMD); The emergency department and the surgical department of anesthesia are the high incidence of OMD..2. occupational musculoskeletal disease (OMD) has a serious impact on the work and life of the nursing staff, but it does not arouse the attention of the nurses. The occurrence of the low medical rate of occupational muscle bone disease with low medical rate is the result of a variety of factors. It is suggested that the administrators of the hospital can start from the measures of increasing the staffing of the Department, rationally scheduling, correcting the working posture, reducing the labor load and improving the working environment. The nursing staff should pay more attention to the physical exercise and maintain a good mental attitude so as to prevent the results of the OMD.

【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R47

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