Carta A, Parmigiani F, Campagna M, Parrinello G, Porru S
Dipartimento di Medicina Sperimentale ed applicata, Sezione di Medicina del Lavoro ed Igiene Industriale, Università degli Studi di Brescia, Brescia.
G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):581-3.
Low back pain (LBP) has been recognized as a major cause of sickness and disability among health care workers (HCW) who perform handling of patients. A survey was carrying out to investigate risk factors for LBP and related absenteeism and disability in a group of HCW. 333 HCW were examined in 2003 and 2005 and data were collected on personal, occupational and clinical history and on risk factors for LBP and related absenteeism. Psychosocial factors and LBP related disability were evaluated by means of Karasek's Job Content questionnaire and Oswestry Low Back disability Index. Most of our study population were female (80%) and the prevalence of acute and chronic LBP was 37%. Subjects with chronic LBP referred a significantly higher level of disability as compared to acute LBP subjects. Moreover, a significantly relationship was found (p = 0.04) between high level of disability (group III e IV of ODI index) and high perceived job demand. The introduction of questionnaires to collect disability and psychosocial factors is highly recommended in periodic health surveillance program of HCW performing manual handling of patients.
下背痛(LBP)已被公认为是从事患者搬运工作的医护人员(HCW)患病和残疾的主要原因。一项调查正在开展,以研究一组医护人员中LBP及相关旷工和残疾的风险因素。2003年和2005年对333名医护人员进行了检查,并收集了有关个人、职业和临床病史以及LBP及相关旷工风险因素的数据。通过Karasek工作内容问卷和奥斯维斯特下背痛残疾指数评估心理社会因素和与LBP相关的残疾情况。我们的研究人群大多为女性(80%),急性和慢性LBP的患病率为37%。与急性LBP受试者相比,慢性LBP受试者的残疾水平明显更高。此外,发现残疾水平高(ODI指数的III组和IV组)与高工作需求感之间存在显著关系(p = 0.04)。在从事患者手动搬运工作的医护人员的定期健康监测计划中,强烈建议引入问卷来收集残疾和心理社会因素。