PURPOSE
This study was done to verify relationships among occupational stress, labor intensity, fatigue and musculoskeletal disorder symptoms, and especially to identify factors influencing musculoskeletal disorder symptoms among hemodialysis nurses in tertiary hospitals.
METHODS
A cross-sectional design was used, with a convenience sample of 125 hemodialysis nurses from 13 tertiary hospitals. Data were collected through self-evaluation questionnaires during July and August, 2018. Data were analyzed using t-test, χ² test, factor analysis and binary logistic regression analysis with SPSS/WIN 25.0 program.
RESULTS
Of the hemodialysis nurses 96 (76.8%) were in the musculoskeletal symptomatic group and 29 (23.2%) in asymptomatic group. Occupational stress (p < .001), labor intensity (p < .001), and fatigue (p=.011) were higher in the symptomatic group compared to the asymptomatic group. Logistic regression analysis showed that occupational stress (OR=1.13, 95% CI: 1.03~1.25), labor intensity (OR=5.60, 95% CI: 1.25~24.97), no leisure life or hobbies (OR=4.67, 95% CI: 1.48~14.80), hemodialysis unit career 2~4 year (OR=4.58, 95% CI: 1.04~20.78), and hemodialysis unit career 8+ year (OR=14.10, 95% CI: 2.53~78.64) were effect factors for the musculoskeletal symptomatic group.
CONCLUSION
For effective improvement of musculoskeletal disorder symptoms in hemodialysis nurses, multidimensional intervention programs are needed. Programs should include occupational stress, labor intensity and strategies to reduce symptoms.

Citations

• Effectiveness of an ergonomic training with exercise program for work-related musculoskeletal disorders among hemodialysis nurses: A pilot randomized control trial
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  Journal of Safety Research.2024; 91: 481.     CrossRef
• Evaluation of ergonomic risks for work-related musculoskeletal disorders of nursing tasks in Korea
  Jaejin Hwang, Du-Jin Park, Jinwon Lee, Kyung-Sun Lee
  International Journal of Occupational Safety and Ergonomics.2024; 30(1): 1.     CrossRef
• Health-Related Symptoms and Working Conditions on Vulnerability to Presenteeism Among Nurses in South Korea
  Jee-Seon Yi, Eungyung Kim, Hyeoneui Kim
  Asia Pacific Journal of Public Health.2021; 33(8): 880.     CrossRef
• The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
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  Sustainability.2021; 13(21): 11634.     CrossRef