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伊朗护士的心理社会因素与肌肉骨骼症状之间的关联。

Association between psychosocial factors and musculoskeletal symptoms among Iranian nurses.

机构信息

Department of Occupational Medicine, Tehran University of Medical Sciences, Iran.

出版信息

Am J Ind Med. 2010 Oct;53(10):1032-9. doi: 10.1002/ajim.20869.

Abstract

BACKGROUND

While psychosocial factors have been associated with musculoskeletal symptoms among nurses in some countries, previous studies of Iranian nurses show little association using a demand and control questionnaire. The aim of this study is to assess and evaluate the prevalence of musculoskeletal symptoms and to assess their relationships with psychosocial factors among nurses in Iran.

METHODS

In a cross-sectional study, 347 hospital nurses completed a self-reported questionnaire containing the Standardized Nordic questionnaire for musculoskeletal symptoms and the General Nordic questionnaire for Psychological and Social factors at work (QPS Nordic 34+ Questionnaire).

RESULTS

Prevalence of low back pain, knee pain, shoulder pain, and neck pain were 73.2%, 68.7%, 48.6%, and 46.3%, respectively. Middle and high stress groups had higher crude and adjusted odds than the low stress group for all body sites. The association for neck, wrist/hand, and upper back and ankle/foot reports (adjusted odds ratio for high stress ranging from 2.4 to 3.0) were statistically significant.

CONCLUSIONS

We observed a high prevalence of self-reported musculoskeletal symptoms at a number of body sites, which were associated with psychosocial factors and specifically stress as defined by the QPS Nordic 34+ Questionnaire.

摘要

背景

虽然一些国家的研究表明,心理社会因素与护士的肌肉骨骼症状有关,但之前对伊朗护士的研究使用需求和控制问卷并未发现明显关联。本研究旨在评估伊朗护士肌肉骨骼症状的流行情况,并评估其与心理社会因素的关系。

方法

在一项横断面研究中,347 名医院护士完成了一份自我报告问卷,其中包含肌肉骨骼症状标准化北欧问卷和工作中的一般北欧心理和社会因素问卷(QPS Nordic 34+ 问卷)。

结果

腰痛、膝痛、肩痛和颈痛的患病率分别为 73.2%、68.7%、48.6%和 46.3%。中高压力组与低压力组相比,所有身体部位的粗和调整比值均较高。颈部、腕/手部和上背部以及踝关节/足部报告的关联(高压力组的调整比值比范围为 2.4 至 3.0)具有统计学意义。

结论

我们观察到许多身体部位出现了自我报告的肌肉骨骼症状,这些症状与心理社会因素有关,特别是 QPS Nordic 34+ 问卷定义的压力。

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