华南预防医学 ›› 2022, Vol. 48 ›› Issue (3): 307-310.doi: 10.12183/j.scjpm.2022.0307

• 论著 • 上一篇    下一篇

郑州地区医务人员颈椎病现状及影响因素

李伟玲, 张红梅, 李小粉, 刘金厚   

  1. 河南省人民医院,河南 郑州 450003
  • 收稿日期:2021-06-08 出版日期:2022-03-20 发布日期:2022-04-27
  • 通讯作者: 张红梅,E-mail:Z126hm@126.com
  • 作者简介:李伟玲(1975—),女,大学本科, 副主任护师,主要研究方向为骨科、急诊外科

Current situation and influencing factors of cervical spondylosis among medical staff in Zhengzhou

LI Wei-ling, ZHANG Hong-mei, LI Xiao-fen, LIU Jin-hou   

  1. Henan Provincial People's Hospital, Zhengzhou 450003, China
  • Received:2021-06-08 Online:2022-03-20 Published:2022-04-27

摘要: 目的 探讨郑州地区医务人员颈椎病现状,并调查影响颈椎病发生的相关因素。方法 于2021年3—9月采用简单随机抽样方法抽取2所三级医院、2所二级医院的医务人员进行颈椎病的现状调查,采用单因素及多因素分析方法对颈椎病发生的相关因素进行分析。结果 本研究最终获得3 150名医务人员的问卷调查及颈椎健康状况调查结果,男性1 497人,占47.52%,女性1 653人,占52.48%,年龄22~59岁,平均(40.02±6.31)岁。有970例医务人员诊断为颈椎病,占30.79%。多因素分析结果显示年龄为41~50岁(OR=3.221)、51~59岁(OR=4.521)、非手术科室(OR=2.221)、手术科室(OR=4.654)、工作年限6~10年(OR=2.331)、工作年限>10年(OR=3.002)、经常加班(OR=1.365)、经常夜班(OR=2.554)的医务人员发生颈椎病的可能性大,而经常体育锻炼(OR=0.370)的医务人员发生颈椎病的可能性小。结论 郑州地区医务人员颈椎病的发生率较高,年龄、科室、体育锻炼、工作年限等均会增加颈椎病的发生风险,需要引起医院、科室及个人的重视,通过合理安排工作时间、工作任务,并结合年龄等因素进行有效的干预,改善该地区医务人员的颈椎健康状况。

关键词: 医务人员, 颈椎病, 生活习惯, 职业伤害, 影响因素

Abstract: Objective To explore the current situation of cervical spondylosis among medical staff in Zhengzhou and investigate the related factors affecting the occurrence of cervical spondylosis. Methods The current status of cervical spondylosis among medical staff in two tertiary hospitals and two secondary hospitals was investigated by simple random sampling method from March to September 2021. The univariate and multivariate Logistic regression analysis method was used to analyze the related factors affecting the occurrence of cervical spondylosis among medical staff. Results This study finally obtained the results of questionnaire survey and cervical health status survey of 3 150 medical staff. There were 1 497 males, accounting for 47.52%, and 1 653 females, accounting for 52.48%, aged 22-59 years, with an average of (40.02±6.31) years. A total of 970 medical staff were diagnosed with cervical spondylosis, accounting for 30.79%. Multivariate Logistic regression analysis showed that the medical staff who were aged 41-50 years (OR=3.221), 51-59 years (OR=4.521), non-surgical department (OR=2.221), surgical department (OR=4.654), 6-10 years of service (OR=2.331), more than 10 years of service (OR=3.002), often work overtime (OR=1.365), often night shift (OR=2.554) had high possibility of cervical spondylosis, while the medical staff who often exercised (OR=0.370) had low possibility of cervical spondylosis. Conclusion The incidence of cervical spondylosis among medical staff in Zhengzhou is high. Age, department, physical exercise, and working life will increase the risk of cervical spondylosis. It needs to arouse the attention of hospitals, departments and individuals. Effective intervention should be carried out through reasonable arrangement of working time and tasks, combined with age and other factors, to improve the health of medical staff in the region.

Key words: Medical staff, Cervical spondylosis, Living habits, Occupational injury, Influencing factor

中图分类号: 

  • R192