Alexopoulos Evangelos C, Tanagra Dimitra, Detorakis Ioannis, Gatsi Panagiota, Goroyia Antigoni, Michalopoulou Maria, Jelastopulu Eleni
Department of Public Health, School of Medicine, University of Patras, Greece.
Work. 2011;38(4):329-35. doi: 10.3233/WOR-2011-1136.
To investigate the relationships between physical, psychosocial, and individual characteristics and occurrence, chronicity, care seeking and absenteeism due to musculoskeletal complaints of the lower back and knee.
This was a cross-sectional study among 350 nursing personnel in six hospitals in South-West Greece. Data related to physical and psychosocial workload, need for recovery, perceived general health and other risk factors for occurrence of low-back and knee complaints were collected. Odds ratios (ORs) were estimated for all relevant risk factors.
Low-back and knee pain were reported by 51% and 23% of the subjects, respectively. A high perceived physical exertion and a moderate/bad perceived general health were the strongest risk factor for low-back and knee pain. With regard to care seeking a moderate/bad perceived general health was risk factor for both, low back and knee pain (OR=3.45 and OR=2.28; respectively). Perceived moderate/bad general health (OR=2.90) and high need for recovery (OR=2.78) were risk factors for absenteeism due to low-back pain, whereas organizational factors, high job demands (OR=4.60) and low co workers support (OR=3.13) for absenteeism due to knee pain. Age exhibited a positive relation with the disability and care seeking for both complaints although far stronger for knee.
Compared to the well-studied work related low back pain, knee complaints have been shown to cause significant burden in nursing staff. Besides general health status of individual workers, work-related psychosocial factors, like support and demand, are related with the disability and care seeking for knee complaints.
探讨身体、心理社会和个体特征与下背部和膝盖肌肉骨骼疾病的发生、慢性化、就医行为及缺勤之间的关系。
这是一项对希腊西南部六家医院350名护理人员进行的横断面研究。收集了与身体和心理社会工作量、恢复需求、感知到的总体健康状况以及下背部和膝盖疾病发生的其他风险因素相关的数据。对所有相关风险因素估计比值比（OR）。
分别有51%和23%的受试者报告有下背部和膝盖疼痛。高感知体力消耗和中度/差的总体健康感知是下背部和膝盖疼痛的最强风险因素。关于就医行为，中度/差的总体健康感知是下背部和膝盖疼痛的风险因素（OR分别为3.45和2.28）。中度/差的总体健康感知（OR=2.90）和高恢复需求（OR=2.78）是下背部疼痛导致缺勤的风险因素，而组织因素、高工作需求（OR=4.60）和同事支持度低（OR=3.13）是膝盖疼痛导致缺勤的风险因素。年龄与两种疾病的残疾程度和就医行为呈正相关，尽管对膝盖的影响更强。
与研究充分的与工作相关的下背部疼痛相比，膝盖疾病已被证明给护理人员带来了重大负担。除了个体工作人员的总体健康状况外，与工作相关的心理社会因素，如支持和需求，与膝盖疾病的残疾程度和就医行为有关。
