姿势调节训练在ICU肌肉骨骼损伤护士中的应用研究

doi:10.3761/j.issn.0254-1769.2026.04.015

摘要/Abstract

摘要：

目的探究姿势调节训练在ICU肌肉骨骼损伤护士中的应用效果，旨在减轻其症状及疲劳水平、促进职业健康。方法采用单臂前后对照试验。2025年1—4月，便利选取河南省开封市某三级甲等医院急诊ICU及重症医学部的肌肉骨骼损伤护士作为研究对象，对其进行为期14周的姿势调节训练。比较训练前后护士的疼痛程度、疲劳程度、工作投入度的差异。结果共42名护士完成训练。训练后护士多个部位的疼痛程度、疲劳程度低于训练前，工作投入度高于训练前，差异具有统计学意义（P<0.001）。结论实施姿势调节训练有助于减轻ICU肌肉骨骼损伤护士的疼痛及疲劳程度，提升其工作投入度。

关键词: 姿势调节训练, 肌肉骨骼损伤, 重症监护病房, 护士, 护理管理研究

Abstract:

Objective To investigate the effect of posture adjustment training on nurses with work-related musculoskeletal disorders in the intensive care unit（ICU），aiming to alleviate their symptoms and fatigue levels and promote occupational health. Methods A single-arm，pre-post comparative trial was conducted. From January to April 2025，a convenience sample of nurses with work-related musculoskeletal disorders from the emergency ICU and critical care department of a tertiary Grade A hospital in Kaifeng City，Henan Province，was recruited. Participants underwent a 14-week posture adjustment training program. Pain intensity，fatigue level，and work engagement were compared before and after the training. Results A total of 42 nurses completed the training. After the intervention，pain intensity at multiple body sites and fatigue levels were significantly lower than those before the training，while work engagement was significantly higher（P<0.001）. Conclusion The implementation of posture adjustment training can effectively help reduce pain and fatigue levels among ICU nurses with work-related musculoskeletal disorders and enhance their work engagement.

Key words: Posture Adjustment Training, Musculoskeletal Disorders, Intensive Care Unit, Nurses, Nursing Administration Research

关锐, 赵亚莎, 张士变, 李巧丽, 郭清洁, 李亚楠, 韩箫笛. 姿势调节训练在ICU肌肉骨骼损伤护士中的应用研究[J]. 中华护理杂志, 2026, 61(4): 543-548.

GUAN Rui, ZHAO Yasha, ZHANG Shibian, LI Qiaoli, GUO Qingjie, LI Yanan, HAN Xiaodi. Effect of postural adjustment training on rehabilitation of occupational musculoskeletal injury in ICU nurses[J]. Chinese Journal of Nursing, 2026, 61(4): 543-548.

图/表 4

表1 姿势调节训练方案

Table 1 Posture adjustment training program

表2 训练前后ICU肌肉骨骼损伤护士的疼痛程度比较[n=42，分，M（P25，P75）]

Table 2 Comparison of pain levels among ICU nurses with musculoskeletal disorders before and after training[n=42，score，M（P25，P75）]

表3 训练前后ICU肌肉骨骼损伤护士的疲劳程度比较（n=42，分，$\bar{x}\pm s$）

Table 3 Comparison of fatigue levels in ICU nurses with musculoskeletal injuries before and after training（n=42，scores，$\bar{x}\pm s$）

表4 训练前后ICU肌肉骨骼损伤护士的工作投入度比较（n=42，分，$\bar{x}\pm s$）

Table 4 Comparison of work engagement among ICU nurses with musculoskeletal injuries before and after training（n=42，scores，$\bar{x}\pm s$）

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