Objective: To investigate the correlation between work-related musculoskeletal disorders (WMSDs) and work ability (WA) among nurses in Xinjiang. Methods: A total of 1 873 nursing staff in the Departments of Internal Medicine, Surgery, Emergency and ICU Department, Operating Room and Supply Room of 6 Grade 3 General Hospitals in Xinjiang Beijiang Region were randomly selected by means of random sampling, and revised Nordic National Musculoskeletal Disorders Standard Questionnaire and Work Ability Index Scale were used to evaluate the status of nursing WMSDs and WA. Results: (1) The symptom incidence of work-related musculoskeletal disorders among nursing staff in the past year was 77.42%; The highest symptom incidence in all parts of the body was waist, neck, shoulder and back, and the symptom incidence was 63.59%, 59.80%, 47.78% and 37.32%, respectively; (2) The total score of nursing staff's work ability was (35.91±5.143) ; The proportion of "poor" , "middle" , "good" and "excellent" were 5.23%, 47.41%, 41.43% and 5.93% respectively; (3) The total working capacity of the sick group was (35.11±5.044) , The working ability of the non-diseased group was (38.64±4.507) , The difference between the two groups was statistically significant (t=13.773, P<0.01) ; There was a significant difference in the level of work ability between the two groups (z=-12.335, P<0.01) ; The working ability of "poor" and medium in the injury group was significantly higher than that of the non injury group, while the working ability was "better" and "excellent" than that of the non injury group; (4) The working ability of nursing staff of different age in WMSDs injury group was lower than that in non injury group, the difference was statistically significant (P<0.01) ; There was a negative correlation between the working ability of the injury group and the length of service, that is, with the increase of the length of service, the working ability index decreased (P<0.01) ; There was a positive correlation between the working ability of the non injury group and the length of service, that is, with the increase of the length of service, the work ability index increased gradually, but the correlation was not statistically significant (r=0.063, P=0.195) ; (5) The working ability of nursing staff of different departments in WMSDs injury group was lower than that in non injury group, the difference was statistically significant (P<0.01) . (6) Multiple linear regression analysis showed that the factors influencing the working ability of nursing staff were: past medical history, WMSDs disease, length of service and night shift frequency; Conclusion: The symptom incidence of WMSDs was high among nurses; Work Ability at a moderate level; work-related musculoskeletal disorders is associated with reduced ability of nursing staff; work-related musculoskeletal disorders are associated with reduced working capacity of nursing staff.
目的： 了解护理人员工作有关肌肉骨骼疾患（WMSDs）与工作能力的相关性。 方法： 采用随机抽样的方法，随机抽取新疆维吾尔自治区北疆地区6所三级综合医院的内科、外科、重症急诊科、手术麻醉科和供应室共1 873名护理人员进行横断面调查，发放北欧国家肌肉骨骼疾患标准调查表和工作能力指数量表。 结果： （1）近1年内护理人员WMSDs症状发生率为77.42%；身体各部位中症状发生率较高的前4位依次为腰部、颈部、肩部和背部，症状发生率依次为63.59%、59.80%、47.78%和37.32%；（2）护理人员工作能力总分为（35.91±5.143）分；工作能力分级"差"、"中"、"良"、"优"者分别占5.23%、47.41%、41.43%和5.93%；（3）损伤组工作能力总分为（35.11±5.044）分，非损伤组工作能力总分为（38.64±4.507）分，两组差异有统计学意义（t=13.773，P<0.01）；两组之间工作能力水平存在一定程度上的差别（Z=-12.335，P<0.01）,损伤组工作能力"差""中"者明显高于非损伤组，而工作能力"良""优"者明显低于非损伤组；（4）不同工龄护理人员损伤组工作能力均低于非损伤组，差异有统计学意义（P<0.01）；损伤组工作能力与工龄呈负相关，即随着工龄的增加，工作能力指数逐渐降低（P<0.01）；非损伤组工作能力与工龄呈正相关，即随着工龄的增加，工作能力指数逐渐增加，但相关关系无统计学意义（r=0.063，P>0.05）；（5）各科室内WMSDs损伤组护士工作能力均低于非损伤组，差异有统计学意义（P<0.01）；（6）多元线性回归分析筛选出影响护理人员工作能力的因素包括：有既往病史、WMSDs损伤、工龄和夜班频次。 结论： 护理人员工作有关肌肉骨骼疾患症状发生率高；工作能力处于中等水平；工作有关肌肉骨骼疾患与护理人员工作能力降低有关。.
Keywords: Nursing Staff; Professional Competence Ability; WMSDs.