摘 要: 目的 调查并分析超声医生肩部工作相关肌肉骨骼疾患(work-related musculoskeletal disorders,WMSDs)发生情况及其影响因素,为防治WMSDs提供科学依据。方法 采用分层整群抽样,对31家医疗机构(17家妇幼保健院和14家综合医院)的超声医生进行问卷调查。比较研究对象肩部WMSDs发生率和症状累计时间分布差异。采用多因素非条件Logistic回归分析肩部WMSDs发生的影响因素,采用有序Logistic回归分析肩部WMSDs症状累计时间的影响因素。结果 完成调查共512人,WMSDs总发生率为94.3%(483/512)。WMSDs发生率右肩80.3%、左肩31.3%,右肩明显高于左肩,差异有统计学意义(P<0.05)。超声医生右肩WMSDs发生率工龄>10年组高于≤5年组(P<0.05),月收入>5 000元者高于≤5 000元者(P<0.05),工间休息≥5 min/h使右肩WMSDs发生危险降低(P<0.05)。年龄、工龄、月收入和每天超声检查时间对右肩WMSDs症状累计时间产生正向影响(P<0.05),≥30岁组较<30岁组、工龄>10~15年组较≤5年组、月收入>10 000元组较≤5 000元组、每天超声检查时间>6~8 h和>8 h组较≤6 h组均更长;超声显示屏可拉近使右肩WMSDs症状累计时间趋于缩短。结论 超声医生右肩WMSDs发生率明显高于左肩。右肩WMSDs发生影响因素包括工龄、月收入和工间休息;右肩WMSDs症状累计时间影响因素包括年龄、工龄、月收入、每天超声检查时间和超声显示屏距离调节。 |
关键词: 超声医生 工作相关肌肉骨骼疾患(WMSDs) 肩部 发生率 影响因素 |
中图分类号: R135;R68
文献标识码: A
|
基金项目: 广东省医学科学技术研究基金(编号:A2022097) |
|
Analysis of influencing factors of shoulder work-related musculoskeletal disorders in ultrasound doctors |
ZHANG Danying,WANG Limin,LIU Qingfeng,YU Xinyang,WANG Tianjian,CHEN Jianqing
|
Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment/Guangdong Provincial Key Laboratory for Occupational Disease Prevention and Treatment,Guangzhou,Guangdong 510300,China
|
Abstract: Objective To investigate and analyze the incidence of shoulder work-related musculoskeletal disorders(WMSDs)in ultrasound doctors and its influencing factors,thereby provide some scientific evidences for the prevention and treatment of WMSDs. Methods Using stratified cluster sampling method,the ultrasound doctors from 31 medical institutions in Guangdong province including 17 maternal and child health centers and 14 general hospitals were selected as the participants to receive the questionnaire survey,then compare the differences in incidence of WMSDs and cumulative time distribution of symptoms in the shoulders of study subjects;furthermore,multivariate unconditional Logistic regression was used to analyze the influencing factors of shoulder WMSDs,ordinal Logistic regression was used to analyze the influencing factors of cumulative duration of symptoms of shoulder WMSDs. Results The results showed that a total of 512 doctors completed the survey,the total incidence of WMSDs in this population was 94.3%(483/512). The incidence of WMSDs in the right shoulder was 80.3%,that in the left shoulder was 31.3%,the difference was significantly(P<0.05);the incidences of WMSDs of right shoulders in doctors of working years>10 years groups were all higher than that of working year ≤5 years group(P<0.05);the incidence of right shoulder WMSDs in those with a monthly income>5 000 Yuan was higher than that of these with monthly income ≤5 000 yuan(P<0.05);more than 5 minutes break every hour during work might effectively reduce the risk of right shoulder WMSDs(P<0.05). Age,service length,monthly income,and daily working hours had a positive influence on the cumulative duration symptoms of right shoulder WMSDs(P<0.05),the symptom duration of ≥30 years old group tended to be longer than that of<30 years old group,the working age>10 to 15 years group was also longer than that of the ≤5 years group,the symptoms duration in groups of monthly income of>10 000 Yuan were tended to be longer than the group of ≤5 000 Yuan monthly income,and the symptom duration in groups of daily working hours>6 to 8 hours also tended to be longer than that of ≤6 hours groups,additionally,the distance adjustable ultrasound display screen could shorten the symptom duration of WMSDs as well. Conclusion The results suggested that the incidence of WMSDs of right shoulder in ultrasound doctors was significantly higher than that of left shoulder;the influencing factors of WMSDs in right shoulder include service length,monthly income,and break time,and the influencing factors of cumulative duration of symptoms of WMSDs in right shoulder include age,service length,monthly income,daily working hours and whether the ultrasound display screen could be adjusted. |
Keywords: ultrasound doctor work-related musculoskeletal disorders(WMSDs) shoulder incidence influencing factor |