吕晓艳, 叶开友, 戴海辉, 吴建刚, 卢永红, 张婕妤, 刘晓晓, 黎桂福. 上海某郊区社区卫生服务中心医务人员颈部工作相关肌肉骨骼疾患现状及影响因素研究[J]. 职业卫生与应急救援, 2025, 43(2): 139-143. DOI: 10.16369/j.oher.issn.1007-1326.2025.240550
引用本文: 吕晓艳, 叶开友, 戴海辉, 吴建刚, 卢永红, 张婕妤, 刘晓晓, 黎桂福. 上海某郊区社区卫生服务中心医务人员颈部工作相关肌肉骨骼疾患现状及影响因素研究[J]. 职业卫生与应急救援, 2025, 43(2): 139-143. DOI: 10.16369/j.oher.issn.1007-1326.2025.240550
shu
LYU Xiaoyan, YE Kaiyou, DAI Haihui, WU Jiangang, LU Yonghong, ZHANG Jieyu, LIU Xiaoxiao, LI Guifu. Study on the current status and influencing factors of neck WMSDs among medical staff in a suburban community health service center in Shanghai[J]. Occupational Health and Emergency Rescue, 2025, 43(2): 139-143. DOI: 10.16369/j.oher.issn.1007-1326.2025.240550
Citation: LYU Xiaoyan, YE Kaiyou, DAI Haihui, WU Jiangang, LU Yonghong, ZHANG Jieyu, LIU Xiaoxiao, LI Guifu. Study on the current status and influencing factors of neck WMSDs among medical staff in a suburban community health service center in Shanghai[J]. Occupational Health and Emergency Rescue, 2025, 43(2): 139-143. DOI: 10.16369/j.oher.issn.1007-1326.2025.240550
shu

上海某郊区社区卫生服务中心医务人员颈部工作相关肌肉骨骼疾患现状及影响因素研究

Study on the current status and influencing factors of neck WMSDs among medical staff in a suburban community health service center in Shanghai

    摘要
  • 摘要:
    目的 调查社区卫生服务中心医务人员颈部工作相关肌肉骨骼疾患（WMSDs）现状及影响因素，为保护社区卫生服务中心医务人员健康提供依据。
    方法 2024年4月，采用整群随机抽样法抽取上海市青浦区3家社区卫生服务中心的医务人员作为研究对象，采用工作相关肌肉骨骼疾患调查问卷调查社区卫生服务中心医务人员颈部WMSDs的发生情况，并采用多因素logistic回归模型分析其影响因素。
    结果 共445人填写了调查问卷，其中有效问卷422份，有效率为94.83%。社区卫生服务中心医务人员颈部WMSDs发生率为39.81%（168/422）。多因素logistic回归分析结果显示：女性医务人员颈部WMSDs的发生风险高于男性（OR=2.892，95% CI：1.228~6.810）；相对于工龄≤ 5年的医务人员，工龄6~10年和工龄16~20年者颈部WMSDs的发生风险更高OR=4.855（95% CI：1.013~23.264）、8.950（95% CI：1.197~66.928）；部门存在人员短缺的医务人员颈部WMSDs的发生风险升高至1.775倍（95% CI：1.022~3.081）；长时间保持转头姿势的医务人员颈部WMSDs的发生风险升高至1.931倍（95% CI：1.049~3.555）；相较于工作时颈部姿势直立的医务人员，工作时颈部姿势稍前倾和大幅前倾的医务人员颈部WMSDs的发生风险升高OR分别为3.015（95% CI：1.091~8.331）和4.230（95% CI：1.221~14.662）；相较于身体健康状况差的医务人员，身体健康状况好的医务人员颈部WMSDs的发生风险降低（OR=0.141，95% CI：0.045~0.441）。
    结论 社区卫生服务中心医务人员颈部WMSDs的发生风险较高，其发生受个体因素、工效学因素等多种因素影响，须引起重视。

     

    Abstract:
    Objective To investigate the prevalence and influencing factors of work -related neck musculoskeletal disorders (WMSDs) among medical personnel at community health service centers, providing a basis for protecting the health of these medical personnel.
    Methods In April 2024, by a cluster random sampling method, the medical personnel from three community health service centers in Qingpu District, Shanghai, were surveyed with a questionnaire on work -related neck musculoskeletal disordersto investigate the incidence of neck WMSDs, and a multivariate logistic regression analysis was conducted to analyze their influencing factors.
    Results A total of 445 questionnaires were completed, of which 422 were valid, with a valid response rate of 94.83%. The incidence of neck WMSDs among these medical personnel was 39.81% (168/422). The results of multivariate logistic regression analysis showed that the incidence of neck WMSDs among female medical personnel was higher than that of males (OR = 2.892, 95%CI: 1.228 to 6.810). Compared with medical personnel with ≤ 5 years of service time, those with 6 to 10 years and 16 to 20 years of service time had a higher risk of neck WMSDs OR = 4.855 (95%CI: 1.013 to 23.264), 8.950 (95%CI: 1.197 to 66.928). The risk of neck WMSDs among medical personnel working at understaffed departments increased to 1.775 times(95%CI: 1.022 to 3.081). The risk of neck WMSDs among medical personnel maintaining a head-turning posture for long periods increased to 1.931 times (95% CI: 1.049 to 3.555). Compared to medical personnel with an upright neck posture while working, those with a slightly forwardleaning and significantly forward-leaning neck posture had a higher risk of neck WMSDs OR = 3.015 (95%CI: 1.091 to 8.331), 4.230 (95%CI: 1.221 to 14.662). Medical personnel with good health status had a lower risk of neck WMSDs compared to those with poor health status (OR = 0.141, 95%CI: 0.045 to 0.441).
    Conclusions The medical personnel in community health service centers had a high risk of developing neck WMSDs, which were influenced by various factors, including individual and ergonomic factors, and therefore warrant significant attention.

     

    • HTML全文
    • 参考文献(14)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回