爱尔兰农民的下背痛。
Low back pain among Irish farmers.
机构信息
School of Physiotherapy and Performance Science, Health Science Centre, University College Dublin, Belfield, Dublin 4, Ireland.
出版信息
Occup Med (Lond). 2009 Jan;59(1):59-61. doi: 10.1093/occmed/kqn160. Epub 2008 Dec 10.
BACKGROUND
Despite farming being regarded as a high-risk activity for low back pain (LBP), little LBP research exists for this work sector.
AIMS
To establish LBP prevalence, beliefs regarding LBP, perceived LBP risk factors, related health service utilization, awareness and participation in manual-handling training among farmers in Ireland.
METHODS
A cross-sectional questionnaire survey was distributed to 200 farmers in Ireland via five Irish veterinary practices. Data were entered onto the Statistical package for the Social Sciences (version 12.0.1) and analysed using descriptive statistics while qualitative data were coded and analysed for common themes.
RESULTS
The response rate was 52% (n = 104). Lifetime, annual and point prevalence of LBP was 74% (n = 77), 54% (n = 56) and 27% (n = 28), respectively. Of respondents with a history of LBP, 72% (n = 55) stated that farming had contributed to their problem. Sixty-three per cent (n = 31) identified lifting as a contributory factor to their LBP. The majority of respondents (86%, n = 66) with LBP sought some form of treatment, with 73% (n = 56) of these having attended a general practitioner (GP). Few respondents (13%, n = 14) had ever attended a manual-handling course.
CONCLUSIONS
A high prevalence of LBP was found among farmers, with lifting being reported as the major contributing factor. GPs were the most commonly utilized healthcare practitioner for LBP. Farmers do not commonly attend manual-handling courses with many noting they were not widely accessible or adequately publicized. There is a need for high-quality studies to examine the effectiveness of different interventions to prevent LBP among the Irish farming population.
背景
尽管农业被认为是导致下背痛(LBP)的高风险活动,但针对该工作领域的 LBP 研究甚少。
目的
确定爱尔兰农民的 LBP 患病率、对 LBP 的看法、感知的 LBP 危险因素、相关卫生服务利用情况、对人工搬运培训的认识和参与情况。
方法
通过爱尔兰的五家兽医诊所,向 200 名爱尔兰农民发放了一份横断面问卷调查。数据输入到社会科学统计软件包(版本 12.0.1)中,使用描述性统计进行分析,而定性数据则进行编码和分析,以确定常见主题。
结果
应答率为 52%(n=104)。终生、年度和时点 LBP 患病率分别为 74%(n=77)、54%(n=56)和 27%(n=28)。有 LBP 病史的受访者中,72%(n=55)表示农业劳动促成了他们的问题。63%(n=31)认为搬运重物是导致他们 LBP 的一个因素。大多数有 LBP 的受访者(86%,n=66)寻求了某种形式的治疗,其中 73%(n=56)曾就诊于全科医生(GP)。只有少数受访者(13%,n=14)参加过手动搬运课程。
结论
在农民中发现了高比例的 LBP,搬运重物被报告为主要的促成因素。GP 是最常被用于治疗 LBP 的医疗从业者。农民通常不会参加手动搬运课程,许多人表示这些课程不易获得或宣传力度不够。需要进行高质量的研究来检验不同干预措施在预防爱尔兰农民人群中 LBP 方面的有效性。