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首页> 外文期刊>Asian Nursing Research >Relationship Between the Exposure to Occupation-related Psychosocial and Physical Exertion and Upper Body Musculoskeletal Diseases in Hospital Nurses: A Systematic Review and Meta-analysis
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Relationship Between the Exposure to Occupation-related Psychosocial and Physical Exertion and Upper Body Musculoskeletal Diseases in Hospital Nurses: A Systematic Review and Meta-analysis

机译:医院护士患者职业相关的心理社会和体力和体力劳动和上身肌肉骨骼疾病之间的关系:系统评价和荟萃分析

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PurposeNurses’ musculoskeletal diseases (MSDs) are worldwide prevalent and are considered to be a costly occupational injury. This study aims to investigate the relationship between exposure to occupation-related psychosocial factors, physical workload, and upper body musculoskeletal diseases among hospital nurses.MethodsAn electronic search was implemented using nine databases with June 2019 as the latest search date. English and Chinese studies were chosen, and data were independently and separately extracted by two investigators. Pooled odds ratio (OR) and its 95% confidence interval (CI) were estimated for each subset, using the fixed or random-effects model, following heterogeneity between studies for research synthesis. The source of heterogeneity was explored through subgroup, sensitivity, and meta-analyses.ResultsEighteen studies were included in the meta-analysis. Most participants were women (51.4%–100.0%), aged between 20 and 60. A correlation was found between high job demand and the prevalence of low back pain (OR = 1.41; 95% CI = 1.23-1.62). Total job strain was related to the risk of low back pain (OR = 1.71; 95% CI = 1.15-2.55), neck pain (OR = 1.67; 95% CI = 1.26-2.20), shoulder pain (OR = 1.62; 95% CI = 1.06-2.48)?and back pain (OR = 1.45; 95% CI = 1.10-1.91). Furthermore, the physical workload was significantly associated with the prevalence of low back pain (OR = 1.76; 95% CI = 1.32-2.35), neck pain (OR = 1.17; 95% CI = 1.08-1.27), shoulder pain (OR = 1.59; 95% CI = 1.37-1.85)?and back pain (OR = 1.66; 95% CI = 1.45-1.90).ConclusionThere were significant associations between occupational strain, more physical workload and upper body MSDs, but the evidence advocating a growth risk in MSDs due to low levels of social support is quite weak.
机译:Purposensess'肌肉骨骼疾病(MSDS)在全球范围内是普遍的,被认为是昂贵的职业伤害。本研究旨在调查与医院护理中的职业相关的心理社会因素,物理工作量和上身肌肉骨骼疾病的关系。在2019年6月作为最新的搜索日期,使用九个数据库实施了一系列电子搜索。选择了英语和中文研究,并通过两名调查人员独立并分别提取数据。在研究合成研究之间的异质性之后,每个子集估计汇总的差距(或)及其95%置型频置信区间(CI)。通过亚组,敏感性和荟萃分析探讨了异质性的来源。遗传学研究包括在META分析中。大多数参与者是女性(51.4%-100.0%),年龄在20到60岁之间。在高工作需求和低腰疼的患病率之间发现了相关性(或= 1.41; 95%CI = 1.23-1.62)之间的相关性。总作业菌株与腰痛的风险有关(或= 1.71; 95%CI = 1.15-2.55),颈部疼痛(或= 1.67; 95%CI = 1.26-2.20),肩痛(或= 1.62; 95 %CI = 1.06-2.48)?背部疼痛(或= 1.45; 95%CI = 1.10-1.91)。此外,物理工作量与低背疼痛的患病率显着相关(或= 1.76; 95%CI = 1.32-2.35),颈部疼痛(或= 1.17; 95%CI = 1.08-1.27),肩痛(或= 1.59; 95%CI = 1.37-1.85)?背部疼痛(或= 1.66; 95%CI = 1.45-1.90)。职业应变,更具物理工作量和上半身MSDS之间的重要组织,但证据倡导增长由于低水平的社会支持,MSDS的风险相当弱。

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