影響醫院護理人員自覺肌肉骨骼疼痛症狀之相關因素
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(2) 253. 87. 30 [7] (Standardized Nordic. 38%. NMQ). Musculoskeletal Questionnaire. 79%. [13]. [8]. ( 2. [9]. /. 2. kg/m ). 15. (. [10]. (. (body mass index BMI). [11,12] ( 1-5 ). ( ) (CVI). 0.85. 10 10 0.999 0.980 686. (. 120. ). 861 Microsoft. 82.7%. 92.3%. 576. EXCEL2000. SPSS 10.0. 793 t test.
(3) 254. 47.3% 74.2%. 24.9%. 70.3% (p < 0.05). 28.5. 5.3. 4.8. 61.3%. 20.7 552. (97.5%). 14 391. 90. 58.4% (2.5%). 57.0%. (69.3%). 63.5%. (16.0%). 78. (13.8%). 62.6%. 59.3%. 353. 62.4%. 207. (36.6%). 27.9. (p < 0.05). 5.7. 20.5. 2.9. 98.9%. 1.1%. 49.3%. (N = 566) (. ) (. ) (kg/m2). (N = 793). 28.5 7.1 5.3 4.8 20.7 2.7 n (%). 27.9 5.4 5.7 4.9 20.5 2.9 n (%). 14 ( 2.5) 552 (97.5). 9 ( 1.1) 784 (98.9). 78 (13.8) 391 (69.3) 90 (16.0) 2 ( 0.4) 3 ( 0.5). 8 ( 1.0) 390 (49.3) 378 (47.8) 13 ( 1.6) 2 ( 0.3). 353 (62.4) 207 (36.6) 6 ( 1.1). 589 (74.2) 198 (24.9) 7 ( 0.9). 386 (70.3) 163 (29.7). 629 (81.1) 147 (18.9). 459 (81.5) 104 (18.5). 640 (81.3) 147 (18.7). p 0.162 0.221 0.094 0.059. 0.001. 0.001. 0.001. 0.924.
(4) 255. (p 74.6%. 0.05). 80.1% (p < 0.05). 72.9%. 13.9%. 67.3%. 20.0%. 2.0 3.1. /. 2.6. 1.9. (p < 0.05). 3.0 1.9. 2.9. 1.5. 2.7 62.8% 65.3% 55.7%. 24.7%. 21.4%. 1.9 (odds ratio. OR). 52.8%. 2.0. 1.8. 2.9. /. 2.2. 1.7. 1.9. 2.3 2.1. 2.5. (. (N = 566). (N = 793). n (%). n (%). 79 (13.9) 411 (72.5) 77 (13.6). 101 (12.7) 535 (67.3) 159 (20.0). 140 (24.7) 356 (62.8) 71 (12.5). 170 (21.4) 519 (65.3) 106 (13.3). 141 (24.9) 316 (55.7) 110 (19.4). 265 (33.3) 420 (52.8) 110 (13.8). ). p 0.009. 0.354. 0.001.
(5) 256. /. *p < 0.05. **p < 0.01. 1.3 (0.9-1.8) 1.4 (1.1-1.9)* 1.8 (1.1-3.0)* 1.2 (0.9-1.7) 1.2 (0.8-1.9) 1.3 (0.9-1.8) 1.0 (0.8-1.4) 1.5 (1.1-2.3)* 1.8 (1.3-2.6)** 1.3 (0.9-1.8) 1.5 (1.1-2.0)* 1.2 (0.9-1.7). 1 1 1 1 1 1 1 1 1 1 1 1. *p < 0.05. **p < 0.01. 2.9 1.9. 1.7. 1.7. 2.2. 1.3 1.4. [3,13] 2.9. /. 1.4. 2.4 1.7. 2.0 1.5. 2.0 (1.3-3.2)** 1.8 (1.2-2.8)** 2.9 (1.6-5.2)** 1.7 (1.1-2.6)* 1.9 (1.1-3.4)* 1.8 (1.1-2.7)* 1.2 (0.8-1.9) 2.2 (1.4-3.7)** 2.3 (1.5-3.6)** 2.1 (1.2-3.7)** 2.5 (1.6-3.8)** 1.3 (0.8-2.1). odds ratio (95% confidence interval). 1.6 2.0. 2.0 (1.2-3.1)** 2.6 (1.6-4.1)** 3.1 (1.6-6.0)** 1.9 (1.2-3.1)** 3.0 (1.5-5.7)** 2.9 (1.7-4.4)** 1.6 (1.1-2.6)* 1.9 (1.2-3.3)* 2.4 (1.5-3.9)** 2.7 (1.6-4.8)** 2.7 (1.7-4.3)** 1.9 (1.2-3.0)**. odds ratio (95% confidence interval). /. 1.6. 1.4 (0.9-2.0) 1.3 (0.9-1.9) 1.5 (0.8-2.8) 1.2 (0.8-1.8) 1.3 (0.7-2.4) 1.9 (1.2-2.9)** 1.2 (0.8-1.7) 1.2 (0.8-1.9) 1.4 (0.9-2.0) 1.5 (1.1-2.2)* 1.3 (0.9-1.9) 1.3 (0.9-1.9). 1 1 1 1 1 1 1 1 1 1 1 1. 2.4. NMQ. 1.7 1.7. 2.4. 1.7. 2.6. 1.4. 1.7. NMQ (reliability) (validity). 80%. 77% 100%. 100%. [14].
(6) 257. 1.6 (1.2-3.1)** 1.6 (1.2-2.1)** 1.9 (1.2-3.0)** 1.4 (1.1-1.9)* 1.7 (1.1-2.7)* 1.7 (1.2-2.3)** 1.3 (1.1-1.8)* 1.7 (1.2-2.4)** 1.4 (1.1-2.0)* 1.7 (1.2-2.3)** 1.5 (1.1-2.0)** 1.4 (1.1-2.0)*. 1 1 1 1 1 1 1 1 1 1 1 1. /. *p < 0.05. **p < 0.01. odds ratio (95% confidence interval). 58.4%. 59.3% 40%. 60%. Lagerstrom 56%. 2.9 (1.9-4.4)** 2.0 (1.4-3.0)** 2.9 (1.7-4.9)** 1.7 (1.2-2.6)** 2.4 (1.4-4.1)** 2.2 (1.5-3.3)** 1.7 (1.2-2.5)** 2.4 (1.6-3.8)** 2.0 (1.4-3.0)** 2.6 (1.6-4.3)** 2.4 (1.6-3.5)** 1.7 (1.1-2.5)*. Ando. [17,18,21]. [15]. [16]. 54.7% [2] 69.7%. 77.7%. [17]. [18]63.4%. 61.3% 63.5%. 62.6%. 57.0% Lagerstrom. [15]. 821 [2]. 48%. 53%. Ando. 3034. [18]. 31.3%. 33. [2,3,19,20] [21]. [22]. [23]. [16] 42.8%.
(7) 258. [24]. [7]. 1.6-3.0 1.7-2.9. 1.7-. 2.9. [25]. Williams. [26]. 1. Westgaard RH, Aaras A. Postural muscle strain as. Feuerstein. casual factor in the development of musculoskeletal. [27]. illness. Appl Ergon 1984;15:162-74.. (case control study) 2.. 1996;3:37-44 3.. 1999;6:249-60 4. Engels JA, van der Gulden JW, Senden TF, et al. Work related risk factors for musculoskeletal complains in the nursing profession: results of a questionnaire survey. Occup Environ Med 1996;53:636-41. 5. Josephson M, Lagerstrom M, Hagberg M, et al. Musculoskeletal symptoms and job strain among nursing personnel: a study over a three year period.. (ergonomic). Occup Environ Med 1997;54:681-5. 6. Guo HR, Tanaka S, Cameron LL, et al. Back pain. [28]. among workers in the United States: national estimates and workers at high risk. Am J Ind Med 1995;28:591602. 7. 1992 8.. 1995. (59.7%). (57.5%). (56.2%) [17,18,20,21]. 9. 1997.
(8) 259. personnel. MUSIC-Norrtalje Study Group. Scand J. 10.. Work Environ Health 1998;24:465-72.. 1999;7:45-. 20.Videman T, Ojajarvi A, Riihimati, etal. Low back pain. 60. among nurses. Spine 2005:30:2334-41.. 11. Lusted MJ, Carrasco CL, Mandryk JA, et al. Self reported symptoms in the neck and upper limbs in. 21.. nurses. Appl Ergon 1996;27:381-7. 2001. 12. Thorbjornsson CB, Alfredsson L, Fredriksson K, et al. Physical and psychosocial factors related to low back. 22.. pain during a 24-year period. A nested case-control 1997:4:83-92. analysis. Spine 2000;25:369-75. 23.. 13.. 1991;8:428-36. 2002;9:183-90. 14. Kuorinka I, Jonsson B, Kilbom A, et al. Standardised. 24. Yassi A, Khokhar J, Tate R, et al. The epidemiology of. of. back injuries in nurses at a large Canadian tertiary care. musculoskeletal symptoms. Appl Ergon 1987;18:233-7.. hospital: implications for prevention. Occup Med. Nordic. questionnaires. for. the. analysis. 15.Lagerstrom M, Wenemark M, Hagberg M, et al.. (Lond) 1995;45:215-20.. Occupational and individual factors related to. 25. Locke EA. The nature and causes of job satisfaction.. musculoskeletal symptoms in five body regions among. Handbook of Industrial and Organizational Psychology.. Swedish nursing personnel. Int Arch Occup Environ. Chicago: Rand McNally, 1976;1297-349. 26. Williams RA, Pruitt SD, Doctor JN, et al. The. Health 1995;68:27-35. 16. Ando S, Ono Y, Shimaoka M, et al. Associations of self. contribution of job satisfaction to the transition from. estimated workloads with musculoskeletal symptoms. acute to chronic low back pain. Arch Phys Med Rehabil. among hospital nurses. Occup Environ Med 2000;57:. 1998;79:366-74. 27.Feuerstein M, Berkowitz SM, Haufler AJ, et al.. 211-6.. Working with low back pain: workplace and individual. 17. 1992;39:89-99. psychosocial determinants of limited duty and lost time. Am J Ind Med 2001;40:627-38.. 18.. 28.Sanders MS, McCormick EJ. Human Factors in 1997;7:89-98 19. Josephson M, Vingard E. Workplace factors and care seeking for low-back pain among female nursing. Engineering and Design, 7th edition, McGraw-Hill, 1993..
(9) 260. Factors Affecting Musculoskeletal Disorders Among Hospital Nurses 1,2. 3. 4. Wen-Liang Chen, Sze-Yuan Chou , Su-Chuan Yuan , Hsien-Hwa Kuo , Jih-Sheng Yang, Hsien-Wen Kuo 1. Institute of Environmental Health, Department of Health Service Management, School of Public 2. 3. Health, China Medical University; Department of Surgery, Cheng-Ching General Hospital; School of 4. Nursing, Chung Shan Medical University, Taichung; Department of Nursing, National Tau-Yuan Hospital, Tauyuan, Taiwan.. Purpose. To investigate the factors affecting musculoskeletal disorders in nurses from two hospitals. Methods. A total of 1547 nurses from one teaching hospital and one medical center in Taichung were interviewed using a modified standardized Nordic Musculoskeletal (NMQ) questionnaire. The NMQ contained questions regarding the demographic information, workplace condition and musculoskeletal disorders. Results. Response rates of participants were 82.7% (567/686) from the medical center and 92.3% (794/861) from the teaching hospital. More than 50% of musculoskeletal disorders were concentrated in the neck, shoulder and low back. Logistic regression revealed that musculoskeletal disorders were correlated with work-related quality of life (WRQOL) and intensity of workload based. Nurses who reported having a poor WRQOL were at higher risk (OR = 1.6 to 3.0) of developing musculoskeletal disorders compared with those who reported having a good WRQOL groups. Furthermore, nurses with heavy workloads were at higher risk of developing musculoskeletal disorders (OR = 1.7 to 2.9) than those light workload. C o n c l u s i o n s . The severity of musculoskeletal disorders is a dose-dependent with WRQOL and workload. Modification of work process in hospitals will decrease the risk of developing musculoskeletal disorders among nurses. ( Mid Taiwan J Med 2006;11:252-60 ). Key words factors, hospitals, musculoskeletal disorders, nurses. Received : 22 February 2006.. Revised : 24 June 2006.. Accepted : 27 September 2006. Address reprint requests to : Hsien-Wen Kuo, Institute of Environmental Health, China Medical University, 91 Hsueh-Shih Road, Taichung 404, Taiwan..
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