伸展操介入改善臨床護理人員肌肉骨骼不適症狀之成效

The Effect of Physical Stretching Fitness on Decreasing Musculoskeletal Disorders among Clinical Nurses

目的：護理人員有肌肉骨骼不適之高發生率，無論如何，這一直是能進一步支持肌肉骨骼不適之介入措施實證基礎的研究限制。因此，本研究之目的在評值護理人員經伸展操運動介入後降低肌肉骨骼不適（MSDs）之成效。方法：招募236位地區醫院的護理人員，以隨機臨床研究，將護理人員分成介入組及控制組，介入組為每天做伸展操運動，在介入前後使用六項指標：身體質量指數（BMI）、握力、柔軟度、腹肌耐力、背肌耐力及心肺耐力等量測，但控制組沒有介入伸展操之運動。結果：以邏輯斯複迴歸分析介入組的護理人員在六項指標均有進步，其中，介入組在握力（OR=2.12, p＜.001）、背肌耐力（OR=2.44, p＜.001）及心肺耐力（OR=3.69, p＜.001）均比控制組在統計上有顯著性之差異。結論：本研究結果顯示護理人員如能規律的執行伸展操運動可顯著性降低肌肉骨骼不適之症狀。

Objective: The prevalence of musculoskeletal disorders (MSDs) is high among nurses; however, there remain few research studies contributing findings supportive of evidence-based interventions for MSDs. This study was performed to evaluate the effectiveness of physical stretching fitness exercises on decreasing the prevalence of MSDs in nurses in one medical center. Methods: Two hundred thirtysix nurses diagnosed with MSDs by the Nordic Musculoskeletal Questionnaire (NMQ) participated in this randomized clinical study conducted in one medical center. These nurses were divided into two groups: the intervention and control group. Nurses in the intervention group were educated to do daily physical stretching and exercises and were evaluated before and after using six physical indicators: body mass index (BMI), grip strength, flexibility, abdominal muscle durability, back strength and, cardiopulmonary strength, but the control group received no physical stretching fitness. Results: Nurses in the intervention group had a significant improvement in the six physical indicators using logistic regression analysis. Compared to the control group, nurses in the intervention group were more flexible (OR=2.12, p＜.001), had stronger back strength (OR=2.44, p＜.001), and had better cardiopulmonary strength than before (OR=3.69, p＜.001). Conclusion: Nurses are advised to do physical stretching and exercise regularly to decrease the possibility of developing or reducing the effects of MSDs.