High Prevalence of Work-Related Musculoskeletal Disorders Among Gastrointestinal Endoscopy Nurses in China: A Cross-Sectional Survey Study

Abstract

Background and objectives: Gastrointestinal endoscopy has assumed a paramount role in modern gastroenterology, characterized by notable advancements in techniques. Consequently, considerable attention has been directed towards investigating the prevalence of work-related musculoskeletal disorders among gastrointestinal endoscopists. However, an equally important aspect that warrants investigation is the prevalence of WMSD experienced by gastrointestinal endoscopy nurses, who play a vital role in the procedure. While previous studies in the United States have reported varying rates of WMSD (ranging from 19.6% to 52.2%) among these nurses, the data pertaining to the Chinese gastrointestinal endoscopy nurse population is notably lacking. Hence, this study endeavors to assess the prevalence, affected sites, prevalence rate, and potential risk factors of WMSD among Chinese gastrointestinal endoscopy nurses. Methods: To achieve this objective, an anonymous electronic survey comprising 62 questions was administered to 528 gastrointestinal endoscopy nurses. Results: The survey was completed by 396 respondents, revealing that 376 nurses (94.9%) reported experiencing WMSD in at least one location. The most frequently reported pain symptoms encompassed low back pain (reported by 316 nurses, 79.8%), neck pain (reported by 311 nurses, 78.5%), and shoulder pain (reported by 296 nurses, 74.7%). Notably, through multivariate logistic regression analysis, the study identified frequent forward/backward neck tilting at work and a confined workspace as significant associated risk factors for shoulder WMSD, while frequent pushing and pulling of heavy objects and a tight workspace emerged as significant risk factors for low back WMSD. Conclusions: In conclusion, the study found that WMSD is highly prevalent among registered nurses engaged in gastrointestinal endoscopy care, with the lower back, neck, and shoulder being the most commonly affected areas. To address this issue effectively, it is imperative to focus on understanding the occurrence and mechanisms underlying WMSD, imparting preventive knowledge, and implementing ergonomic protective measures. Incorporating these aspects into the professional training of gastrointestinal endoscopy nurses is of paramount importance.