护士的腰痛、功能障碍、残疾与工作限制之间的关联
Association of low back pain, impairment, disability & work limitations in nurses.
作者信息
Denis Suzanne, Shannon Harry S, Wessel Jean, Stratford Paul, Weller Iris
机构信息
Departments of Occupational Health & Safety and Rehabilitation, Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Center, 43 Wellesly St. East, Toronto, Ontario, M4Y 1H1, Canada.
出版信息
J Occup Rehabil. 2007 Jun;17(2):213-26. doi: 10.1007/s10926-007-9065-4.
INTRODUCTION
Health care professionals use measures of pain and impairment to identify potential disability and subsequently to predict workers' ability to do their work. However, there is little evidence that measures used are associated with ability to do one's job.
METHODS
A cross-sectional study was conducted. Nurses (n = 100) were classified into either off/modified work (due to LBP) or regular work groups. Trunk ROM, trunk muscular endurance, pain and disability were measured relative to the outcomes work status and Work Limitations Questionnaire (WLQ) score.
RESULTS
Regression analyses which included Roland Morris Questionnaire (RMQ, disability) and Sørenson (back extensor endurance) in the final models correctly classified the work status of 87% of the participants and accounted for 60% of variance in the WLQ score.
CONCLUSIONS
Use of the RMQ and Sørenson test as diagnostic and prognostic tools should be considered in assisting return to work and treatment decision-making in female nurses with LBP.
引言
医疗保健专业人员使用疼痛和功能障碍的测量方法来识别潜在的残疾情况，并据此预测工人的工作能力。然而，几乎没有证据表明所使用的测量方法与工作能力相关。
方法
进行了一项横断面研究。护士（n = 100）被分为休班/调整工作（因腰痛）组或正常工作组。相对于工作状态和工作限制问卷（WLQ）得分的结果，测量了躯干活动度、躯干肌肉耐力、疼痛和残疾情况。
结果
最终模型中纳入罗兰·莫里斯问卷（RMQ，残疾情况）和索伦森测试（背部伸肌耐力）的回归分析正确分类了87%参与者的工作状态，并解释了WLQ得分中60%的方差。
结论
在协助患有腰痛的女性护士恢复工作和做出治疗决策时，应考虑将RMQ和索伦森测试用作诊断和预后工具。
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