手術室女性護理人員肌肉骨骼不適嚴重度之風險因素

Risk Factor of the Severity of Musculoskeletal Discomfort among Female Nurses in Operation Room

本研究旨在瞭解手術室護理人員肌肉骨骼不適的盛行率、嚴重度和預測因素，採橫斷式相關性研究設計，利用結構式問卷調查南部兩所醫學中心手術室（含麻醉科）的女性護理人員共213 位。結果顯示手術室護理人員有肌肉骨骼不適者佔84.5%，年齡、護理年資、手術室年資及有無過去病史在肌肉骨骼不適嚴重度有顯著差異，肌肉骨骼不適嚴重度的預測因子為年齡及脊椎過去病史，二者可解釋13.4%的變異量。建議主管及護理人員宜重視肌肉骨骼的累積性傷害，對有脊椎病史及手術室年資較長者，可考慮調整其工作內容，並鼓勵使用保護性設備，對一般手術室護理人員可透過預防肌肉骨骼不適的在職教育，以達到預防及減輕肌肉骨骼不適的發生。

The purpose of this study was to survey the prevalence, severity and predictors of musculoskeletal disorders (MSDs) in operation room nurses. This cross-sectional correlation study used a purposive sample. Structure questionnaires were used to collect data from 213 female nurses employed at operation room and anesthetic unit in two medical centers in Southern Taiwan. The prevalence of MSDs was 84.5%. Age, years of nursing experience, years of operation room service, and spinal disease history had significant impact on the severity of MSDs. Significant predictors of the severity of MSDs were age and spinal disease history, and they accounted for 13.4% of total variance. We suggest managers and nurses should concern about the accumulated musculoskeletal injury. Particularly, adjusting nurses' tasks and encouraging use of protective devices could be considered for nurses who have spinal disease history and for old aged employees in operation room. For the prevention of MSDs in all operation room nurses, in-service education is advised.