Nur Shuhaidatul Sarmiza Abdul Halim, Zaidi Mohd Ripin, Mohamad Ikhwan Zaini Ridzwan
{"title":"降低医护人员工作相关肌肉骨骼疾病风险的干预效果:系统回顾和荟萃分析。","authors":"Nur Shuhaidatul Sarmiza Abdul Halim, Zaidi Mohd Ripin, Mohamad Ikhwan Zaini Ridzwan","doi":"10.1177/21650799231185335","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Work-related musculoskeletal disorders (WMSDs) are prevalent among healthcare professionals, including nurses, therapists, doctors, and paramedics, due to the potential injuries incurred during patient transfer and handling. This review aimed to assess the effectiveness of existing interventions in reducing the risks of WMSDs in this population.</p><p><strong>Methods: </strong>Four databases including PubMed/MEDLINE, Web of Science, Scopus, and ScienceDirect were searched to identify randomized and nonrandomized controlled trials, as well as studies with pre-post design. Two reviewers independently extracted data and assessed the quality of the included studies using the Effective Public Health Practice Project criteria. A meta-analysis was performed to obtain quantitative results.</p><p><strong>Results: </strong>A total of 40 studies were included in the review. Among the interventions, motorized assistive devices showed the most significant relative reduction in WMSD risks (<i>p</i> < .0000; standardized mean difference [<i>SMD</i>] = -3.32, 95% confidence interval [CI] = [-4.53, -2.12]), followed by combined interventions of cognitive and exercise (<i>p</i> < .0001; <i>SMD</i> = -0.62, 95% CI = [-0.91, -0.33]), combined intervention of cognitive and assistive device intervention (<i>p</i> = .02; <i>SMD</i> = -0.77, 95% CI = [-1.42, -0.12]), nonmotorized assistive device (<i>p</i> = .02; <i>SMD</i> = -0.63, 95% CI = [-1.15, -0.12]), cognitive intervention (<i>p</i> < .0001; <i>SMD</i> = -0.62, 95% CI = [-0.91, -0.33]), and physical exercise (<i>p</i> = .06; <i>SMD</i> = -0.16, 95% CI = [-0.32, 0.00]) intervention.</p><p><strong>Conclusion: </strong>The overall evidence indicates that interventions have a significant effect in reducing the risk of WMSDs among healthcare workers, with motorized assistive devices showing the most promising results. The findings from this review can provide valuable guidance for hospital administrators, policymakers, and other experts in implementing effective strategies to prevent WMSDs among healthcare professionals.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of Interventions in Reducing the Risks of Work-Related Musculoskeletal Disorders Among Healthcare Workers: A Systematic Review and Meta-Analysis.\",\"authors\":\"Nur Shuhaidatul Sarmiza Abdul Halim, Zaidi Mohd Ripin, Mohamad Ikhwan Zaini Ridzwan\",\"doi\":\"10.1177/21650799231185335\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Work-related musculoskeletal disorders (WMSDs) are prevalent among healthcare professionals, including nurses, therapists, doctors, and paramedics, due to the potential injuries incurred during patient transfer and handling. This review aimed to assess the effectiveness of existing interventions in reducing the risks of WMSDs in this population.</p><p><strong>Methods: </strong>Four databases including PubMed/MEDLINE, Web of Science, Scopus, and ScienceDirect were searched to identify randomized and nonrandomized controlled trials, as well as studies with pre-post design. Two reviewers independently extracted data and assessed the quality of the included studies using the Effective Public Health Practice Project criteria. A meta-analysis was performed to obtain quantitative results.</p><p><strong>Results: </strong>A total of 40 studies were included in the review. Among the interventions, motorized assistive devices showed the most significant relative reduction in WMSD risks (<i>p</i> < .0000; standardized mean difference [<i>SMD</i>] = -3.32, 95% confidence interval [CI] = [-4.53, -2.12]), followed by combined interventions of cognitive and exercise (<i>p</i> < .0001; <i>SMD</i> = -0.62, 95% CI = [-0.91, -0.33]), combined intervention of cognitive and assistive device intervention (<i>p</i> = .02; <i>SMD</i> = -0.77, 95% CI = [-1.42, -0.12]), nonmotorized assistive device (<i>p</i> = .02; <i>SMD</i> = -0.63, 95% CI = [-1.15, -0.12]), cognitive intervention (<i>p</i> < .0001; <i>SMD</i> = -0.62, 95% CI = [-0.91, -0.33]), and physical exercise (<i>p</i> = .06; <i>SMD</i> = -0.16, 95% CI = [-0.32, 0.00]) intervention.</p><p><strong>Conclusion: </strong>The overall evidence indicates that interventions have a significant effect in reducing the risk of WMSDs among healthcare workers, with motorized assistive devices showing the most promising results. 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引用次数: 0
摘要
背景:与工作相关的肌肉骨骼疾病(WMSDs)在包括护士、治疗师、医生和护理人员在内的医疗保健专业人员中很普遍，因为在患者转移和处理过程中可能会造成伤害。本综述旨在评估现有干预措施在降低该人群WMSDs风险方面的有效性。方法:检索PubMed/MEDLINE、Web of Science、Scopus和ScienceDirect 4个数据库，筛选随机对照试验和非随机对照试验，以及前后设计的研究。两名审稿人独立提取数据，并使用有效公共卫生实践项目标准评估纳入研究的质量。进行荟萃分析以获得定量结果。结果:共纳入40项研究。在干预措施中，机动辅助装置显示WMSD风险的相对降低最为显著(p < 0.00000;标准化平均差[SMD] = -3.32, 95%可信区间[CI] =[-4.53， -2.12])，其次是认知和运动联合干预(p < .0001;SMD = -0.62, 95% CI =[-0.91， -0.33])，认知与辅助器具联合干预(p = .02;SMD = -0.77, 95% CI =[-1.42， -0.12])，非电动辅助装置(p = .02;SMD = -0.63, 95% CI =[-1.15， -0.12])，认知干预(p < 0.0001;SMD = -0.62, 95% CI =[-0.91， -0.33])和体育锻炼(p = .06;SMD = -0.16, 95% CI =[-0.32, 0.00])干预。结论:总体证据表明，干预措施在降低医护人员wmsd风险方面有显著效果，其中机动辅助装置显示出最有希望的结果。本综述的发现可以为医院管理者、政策制定者和其他专家在医疗保健专业人员中实施有效的WMSDs预防策略提供有价值的指导。
Efficacy of Interventions in Reducing the Risks of Work-Related Musculoskeletal Disorders Among Healthcare Workers: A Systematic Review and Meta-Analysis.
Background: Work-related musculoskeletal disorders (WMSDs) are prevalent among healthcare professionals, including nurses, therapists, doctors, and paramedics, due to the potential injuries incurred during patient transfer and handling. This review aimed to assess the effectiveness of existing interventions in reducing the risks of WMSDs in this population.
Methods: Four databases including PubMed/MEDLINE, Web of Science, Scopus, and ScienceDirect were searched to identify randomized and nonrandomized controlled trials, as well as studies with pre-post design. Two reviewers independently extracted data and assessed the quality of the included studies using the Effective Public Health Practice Project criteria. A meta-analysis was performed to obtain quantitative results.
Results: A total of 40 studies were included in the review. Among the interventions, motorized assistive devices showed the most significant relative reduction in WMSD risks (p < .0000; standardized mean difference [SMD] = -3.32, 95% confidence interval [CI] = [-4.53, -2.12]), followed by combined interventions of cognitive and exercise (p < .0001; SMD = -0.62, 95% CI = [-0.91, -0.33]), combined intervention of cognitive and assistive device intervention (p = .02; SMD = -0.77, 95% CI = [-1.42, -0.12]), nonmotorized assistive device (p = .02; SMD = -0.63, 95% CI = [-1.15, -0.12]), cognitive intervention (p < .0001; SMD = -0.62, 95% CI = [-0.91, -0.33]), and physical exercise (p = .06; SMD = -0.16, 95% CI = [-0.32, 0.00]) intervention.
Conclusion: The overall evidence indicates that interventions have a significant effect in reducing the risk of WMSDs among healthcare workers, with motorized assistive devices showing the most promising results. The findings from this review can provide valuable guidance for hospital administrators, policymakers, and other experts in implementing effective strategies to prevent WMSDs among healthcare professionals.
期刊介绍：
Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity is the official publication of the American Association of Occupational Health Nursing, Inc. (AAOHN). It is a scientific peer-reviewed Journal. Its purpose is to support and promote the practice of occupational and environmental health nurses by providing leading edge research findings and evidence-based clinical practices. It publishes articles that span the range of issues facing occupational and environmental health professionals, including emergency and all-hazard preparedness, health promotion, safety, productivity, environmental health, case management, workers'' compensation, business and leadership, compliance and information management.
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