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Prevalence and associated factors of musculoskeletal disorders among Chinese healthcare professionals working in tertiary hospitals: a cross-sectional study.
BMC Musculoskelet Disord. 2019 Apr 23; 20(1):175.BM

Abstract

BACKGROUND

Musculoskeletal disorders (MSDs) are prevalent in working populations and could result in a number of detrimental consequences. In China, healthcare professionals (HCP) in large hospitals may be likely to suffer from MSDs considering the facts of shortages in medical staff, the large Chinese population base, the aging of the population and patients' inclination to go to large hospitals. This study aimed to determine the prevalence and factors associated with MSDs among HCP working in tertiary hospitals.

METHODS

A self-administered questionnaire incorporating the Nordic Musculoskeletal Questionnaire and the Dutch Musculoskeletal Questionnaire was conducted among 14,720 HCP in eight tertiary hospitals selected by random cluster sampling in Shandong, China. Multivariable logistic regression analysis was used to quantify the association of psychological, ergonomic, organizational and individual factors with MSDs.

RESULTS

The 12-month period prevalence rate of experiencing an MSD in at least one body region for at least 24 h, experiencing an MSD for at least three months, and seeking health care for this condition were 91.2, 17.1 and 68.3%, respectively; these rates were highest for the lower back (72.8, 14.3, 60.3%) and knees (65.7, 8.1, 46.7%), followed by the shoulders (52.1, 6.2, 38.9%), neck (47.6, 4.8, 32.6%), wrists/hands (31.1, 3.2, 23.1%), ankles/feet (23.6, 1.9, 13.4%), upper back, hips/thighs and elbows. MSDs were associated with workload (work hours per week, break times during workday), psychological factors (psychological fatigue, mental stress), employment status and ergonomic factors. Regarding the ergonomic factors, lower back MSDs were associated with bending the trunk frequently, heavy or awkward lifting, and bending or twisting the neck; knee MSDs were associated with walking or standing for long periods of time; and shoulder MSDs were associated with maintaining shoulder abduction for long periods of time and bending or twisting the neck.

CONCLUSIONS

MSDs among HCP in tertiary hospitals in Mainland China were highly prevalent. The many factors listed above should be considered in the prevention of MSDs in HCP.

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Authors+Show Affiliations

Dong H
Shouguang People's Hospital, Shouguang People's Hospital, NO. 45 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China. ayouwang@163.com.
Zhang Q
Shouguang People's Hospital, Shouguang People's Hospital, NO. 45 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China.
Liu G
Shouguang People's Hospital, Shouguang People's Hospital, NO. 45 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China.
Shao T
Shouguang People's Hospital, Shouguang People's Hospital, NO. 45 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China.
Xu Y
Shouguang People's Hospital, Shouguang People's Hospital, NO. 45 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China.

MeSH

AdultChinaCross-Sectional StudiesErgonomicsFemaleHealth PersonnelHumansMaleMiddle AgedMusculoskeletal DiseasesOccupational DiseasesPrevalenceSurveys and QuestionnairesTertiary Care CentersWorkloadYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31014316

Citation

Dong, Hongyun, et al. "Prevalence and Associated Factors of Musculoskeletal Disorders Among Chinese Healthcare Professionals Working in Tertiary Hospitals: a Cross-sectional Study." BMC Musculoskeletal Disorders, vol. 20, no. 1, 2019, p. 175.
Dong H, Zhang Q, Liu G, et al. Prevalence and associated factors of musculoskeletal disorders among Chinese healthcare professionals working in tertiary hospitals: a cross-sectional study. BMC Musculoskelet Disord. 2019;20(1):175.
Dong, H., Zhang, Q., Liu, G., Shao, T., & Xu, Y. (2019). Prevalence and associated factors of musculoskeletal disorders among Chinese healthcare professionals working in tertiary hospitals: a cross-sectional study. BMC Musculoskeletal Disorders, 20(1), 175. https://doi.org/10.1186/s12891-019-2557-5
Dong H, et al. Prevalence and Associated Factors of Musculoskeletal Disorders Among Chinese Healthcare Professionals Working in Tertiary Hospitals: a Cross-sectional Study. BMC Musculoskelet Disord. 2019 Apr 23;20(1):175. PubMed PMID: 31014316.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and associated factors of musculoskeletal disorders among Chinese healthcare professionals working in tertiary hospitals: a cross-sectional study. AU - Dong,Hongyun, AU - Zhang,Qiong, AU - Liu,Guangzeng, AU - Shao,Tingguo, AU - Xu,Yingzhi, Y1 - 2019/04/23/ PY - 2018/11/22/received PY - 2019/04/04/accepted PY - 2019/4/25/entrez PY - 2019/4/25/pubmed PY - 2019/9/3/medline KW - Factor KW - Healthcare professionals KW - Musculoskeletal disorders SP - 175 EP - 175 JF - BMC musculoskeletal disorders JO - BMC Musculoskelet Disord VL - 20 IS - 1 N2 - BACKGROUND: Musculoskeletal disorders (MSDs) are prevalent in working populations and could result in a number of detrimental consequences. In China, healthcare professionals (HCP) in large hospitals may be likely to suffer from MSDs considering the facts of shortages in medical staff, the large Chinese population base, the aging of the population and patients' inclination to go to large hospitals. This study aimed to determine the prevalence and factors associated with MSDs among HCP working in tertiary hospitals. METHODS: A self-administered questionnaire incorporating the Nordic Musculoskeletal Questionnaire and the Dutch Musculoskeletal Questionnaire was conducted among 14,720 HCP in eight tertiary hospitals selected by random cluster sampling in Shandong, China. Multivariable logistic regression analysis was used to quantify the association of psychological, ergonomic, organizational and individual factors with MSDs. RESULTS: The 12-month period prevalence rate of experiencing an MSD in at least one body region for at least 24 h, experiencing an MSD for at least three months, and seeking health care for this condition were 91.2, 17.1 and 68.3%, respectively; these rates were highest for the lower back (72.8, 14.3, 60.3%) and knees (65.7, 8.1, 46.7%), followed by the shoulders (52.1, 6.2, 38.9%), neck (47.6, 4.8, 32.6%), wrists/hands (31.1, 3.2, 23.1%), ankles/feet (23.6, 1.9, 13.4%), upper back, hips/thighs and elbows. MSDs were associated with workload (work hours per week, break times during workday), psychological factors (psychological fatigue, mental stress), employment status and ergonomic factors. Regarding the ergonomic factors, lower back MSDs were associated with bending the trunk frequently, heavy or awkward lifting, and bending or twisting the neck; knee MSDs were associated with walking or standing for long periods of time; and shoulder MSDs were associated with maintaining shoulder abduction for long periods of time and bending or twisting the neck. CONCLUSIONS: MSDs among HCP in tertiary hospitals in Mainland China were highly prevalent. The many factors listed above should be considered in the prevention of MSDs in HCP. SN - 1471-2474 UR - https://www.unboundmedicine.com/medline/citation/31014316/Prevalence_and_associated_factors_of_musculoskeletal_disorders_among_Chinese_healthcare_professionals_working_in_tertiary_hospitals:_a_cross_sectional_study_ DB - PRIME DP - Unbound Medicine ER -