Risk of musculoskeletal disorder among Taiwanese nurses cohort

A nationwide population-based study

Yueh Chin Chung, Chin Tun Hung, Shu Fen Li, Horng Mo Lee, Shyang Guang Wang, Shu Chuan Chang, Lee Wen Pai, Chien Ning Huang, Jen Hung Yang

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Musculoskeletal disorders (MSDs) represent the leading causes of occupational injuries among nursing staff. This population-based study was designed to assess the incidence and age-specific incidence of MSDs among a Taiwanese nurse cohort compared with non-nurses. Description. Data from the Taiwan National Health Insurance Research Database were used to identify MSDs in the study population. A total of 3914 nurses with a diagnosis of MSD were included, together with 11,744 non-nurses as a comparison group. The comparison subjects were randomly selected at a ratio of 3:1 relative to the nurse population and were matched by gender and age. The incidence of MSDs was calculated for the study group, with nurse-to-reference risk ratios presented as odds ratios with 95% confidence intervals (CIs). During the period 2004-2010, 3004 MSDs occurred among the nurses (76.24%) and 7779 (65.79%) in the non-nurses. The annual incidence of MSDs for the nurses increased from 28.35% in 2006 to 33.65% in 2010. The nurse-to-reference risk ratio was 1.27 (95% CI 1.19-1.35) in 2004 and 1.46 (1.37-1.55) in 2010. Herniation of intervertebral disc, lumbago, rotator cuff syndrome, medial epicondylitis, trigger finger and carpal tunnel syndrome were the most common problems. Conclusions: Nurses are at higher risk of MSDs and the trend is increasing. Incorrect work-related posture/movement, psychological issues and the rolling shift system may be the major causes of MSDs among nurses in Taiwan.

Original languageEnglish
Article number144
JournalBMC Musculoskeletal Disorders
Volume14
DOIs
Publication statusPublished - 2013
Externally publishedYes

Fingerprint

Nurses
Population
Odds Ratio
Incidence
Taiwan
Confidence Intervals
Occupational Injuries
Carpal Tunnel Syndrome
Rotator Cuff
Intervertebral Disc
Nursing Staff
National Health Programs
Low Back Pain
Posture
Fingers
Databases
Psychology
Research

Keywords

  • Epidemiology
  • Incidence
  • Low back pain
  • Musculoskeletal disorders
  • Nurses

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Rheumatology

Cite this

Risk of musculoskeletal disorder among Taiwanese nurses cohort : A nationwide population-based study. / Chung, Yueh Chin; Hung, Chin Tun; Li, Shu Fen; Lee, Horng Mo; Wang, Shyang Guang; Chang, Shu Chuan; Pai, Lee Wen; Huang, Chien Ning; Yang, Jen Hung.

In: BMC Musculoskeletal Disorders, Vol. 14, 144, 2013.

Research output: Contribution to journalArticle

Chung, Yueh Chin ; Hung, Chin Tun ; Li, Shu Fen ; Lee, Horng Mo ; Wang, Shyang Guang ; Chang, Shu Chuan ; Pai, Lee Wen ; Huang, Chien Ning ; Yang, Jen Hung. / Risk of musculoskeletal disorder among Taiwanese nurses cohort : A nationwide population-based study. In: BMC Musculoskeletal Disorders. 2013 ; Vol. 14.
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abstract = "Background: Musculoskeletal disorders (MSDs) represent the leading causes of occupational injuries among nursing staff. This population-based study was designed to assess the incidence and age-specific incidence of MSDs among a Taiwanese nurse cohort compared with non-nurses. Description. Data from the Taiwan National Health Insurance Research Database were used to identify MSDs in the study population. A total of 3914 nurses with a diagnosis of MSD were included, together with 11,744 non-nurses as a comparison group. The comparison subjects were randomly selected at a ratio of 3:1 relative to the nurse population and were matched by gender and age. The incidence of MSDs was calculated for the study group, with nurse-to-reference risk ratios presented as odds ratios with 95{\%} confidence intervals (CIs). During the period 2004-2010, 3004 MSDs occurred among the nurses (76.24{\%}) and 7779 (65.79{\%}) in the non-nurses. The annual incidence of MSDs for the nurses increased from 28.35{\%} in 2006 to 33.65{\%} in 2010. The nurse-to-reference risk ratio was 1.27 (95{\%} CI 1.19-1.35) in 2004 and 1.46 (1.37-1.55) in 2010. Herniation of intervertebral disc, lumbago, rotator cuff syndrome, medial epicondylitis, trigger finger and carpal tunnel syndrome were the most common problems. Conclusions: Nurses are at higher risk of MSDs and the trend is increasing. Incorrect work-related posture/movement, psychological issues and the rolling shift system may be the major causes of MSDs among nurses in Taiwan.",
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