Colombini D, Cianci E, Panciera D, Martinelli M, Venturi E, Giammartini P, Ricci M G, Menoni O, Battevi N
Unità di Ricerca EPM Ergonomia della Postura e del Movimento, ICP CEMOC, Milano.
Med Lav. 1999 Mar-Apr;90(2):229-43.
The aim of the study was to measure the occurrence (prevalence and incidence) of episodes of acute low back pain (definite effect) in a wide sample of health workers assisting disabled patients. A questionnaire was used for the study both of true acute low back pain and of episodes of ingravescent low back pain controlled pharmacologically at the onset. The questionnaire identified overall acute and pharmacologically controlled episodes occurring in the previous 12 months, both in the course of work and over the whole life of the subject. Appropriately trained operators administered the questionnaire to 551 subjects; 481 valid answer cards were obtained from 372 females and 109 males working in medical, orthopaedic and geriatric departments. 75.4% of the sample had high exposure index levels for patient lifting. The prevalence of true acute low back pain was 9% in males and 11% in females referred to the previous 12 months. Taking acute true and pharmacologically controlled low back pain together the prevalences rose to 13.8% for males and 26.9% in females. Data from the reference populations showed that acute low back pain did not exceed 3% on average in the previous year. Since work seniority in the hospital wards was known, the incidences were calculated, giving 7.9% in females and 5.29% in males for acute low back pain, and 19% in females and 3.49% in males for pharmacologically controlled low back pain. Considering the number of episodes in 100 workers/year, acute low back pain alone reached prevalences of 13-14%. This therefore appears to confirm the positive ratio between episodes of low back pain and duties involving assistance to disabled patients.
本研究的目的是在广泛的协助残疾患者的医护人员样本中,测量急性腰痛发作(确切影响)的发生率(患病率和发病率)。使用一份问卷来研究真正的急性腰痛以及发病初期通过药物控制的进行性腰痛发作情况。该问卷确定了在过去12个月中,无论是在工作期间还是在受试者的整个生活中发生的总体急性和药物控制发作情况。经过适当培训的操作人员向551名受试者发放了问卷;从在医疗、骨科和老年科工作的372名女性和109名男性中获得了481份有效答卷。75.4%的样本在搬运患者方面有较高的暴露指数水平。在过去12个月中,男性真正急性腰痛的患病率为9%,女性为11%。将真正的急性腰痛和药物控制的腰痛加在一起,男性的患病率升至13.8%,女性为26.9%。参考人群的数据显示,上一年急性腰痛的平均发生率不超过3%。由于已知医院病房的工作年限,因此计算了发病率,急性腰痛的发病率女性为7.9%,男性为5.29%,药物控制的腰痛发病率女性为19%,男性为3.49%。考虑到每100名工人/年的发作次数,仅急性腰痛的患病率就达到了13 - 14%。因此,这似乎证实了腰痛发作与协助残疾患者的职责之间存在正相关关系。