生活价值观对瑞典注册护士疼痛、残疾和病假的预测作用：一项纵向研究。

Life values as predictors of pain, disability and sick leave among Swedish registered nurses: a longitudinal study.

机构信息

Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.

出版信息

BMC Nurs. 2011 Sep 29;10:17. doi: 10.1186/1472-6955-10-17.

DOI:10.1186/1472-6955-10-17

PMID:21958331

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3198938/

Abstract

BACKGROUND

Prospective studies on high-risk populations, such as subgroups of health care staff, are limited, especially prospective studies among staff not on sick-leave. This paper is a report of a longitudinal study conducted to describe and compare the importance and consistency of life domains among registered nurses (RNs) working in a Swedish hospital and evaluate a model based on the consistency of valued life domains for prediction of pain, disability and sick leave.

METHOD

Importance and consistency ratings of life values, in 9 domains, were collected during 2003 and 2006 from 196 RNs using the Valued Living Questionnaire (VLQ). Logistic regression analyses were used for prediction of pain, disability and sick leave at the three-year follow-up. The predictors family relations, marriage couples/intimate relations, parenting, friends/social life, work, education, leisure time, psychological well-being, and physical self-care were used at baseline.

RESULTS

RNs rated life values regarding parenting as most important and with the highest consistency both at baseline and at follow-up. No significant differences were found between RNs' ratings of importance and consistency over the three-year period, except for friends/social relations that revealed a significant decrease in importance at follow-up. The explanatory models for pain, disability and sick leave significantly predicted pain and disability at follow-up. The odds of having pain were significantly increased by one consistency rating (psychological well-being), while the odds were significantly decreased by physical self-care. In the model predicting disability, consistency in psychological well-being and education significantly increased the odds of being disabled, while consistency in physical self-care significantly decreased the odds.

CONCLUSION

The results suggest that there might be a link between intra-individual factors reflecting different aspects of appraised life values and musculoskeletal pain (MSP).

摘要

背景

针对高危人群（如医护人员亚组）的前瞻性研究有限，尤其是针对未请病假的医护人员的前瞻性研究。本文报告了一项纵向研究，旨在描述和比较在瑞典医院工作的注册护士（RN）的生活领域的重要性和一致性，并评估基于有价值的生活领域的一致性来预测疼痛、残疾和病假的模型。

方法

2003 年至 2006 年期间，使用 Valued Living Questionnaire（VLQ）从 196 名 RN 中收集了 9 个领域的生活价值观的重要性和一致性评分。使用逻辑回归分析预测三年随访时的疼痛、残疾和病假。在基线时使用家庭关系、婚姻伴侣/亲密关系、育儿、朋友/社交生活、工作、教育、休闲时间、心理幸福感和身体自我护理作为预测因素。

结果

RN 对育儿相关的生活价值的评价最高，且在基线和随访时的一致性也最高。除了朋友/社交关系在随访时的重要性显著下降外，RN 在三年内对重要性和一致性的评价没有显著差异。疼痛、残疾和病假的解释模型显著预测了随访时的疼痛和残疾。一致性评分（心理幸福感）每增加一级，出现疼痛的几率显著增加，而身体自我护理的一致性每增加一级，出现残疾的几率显著降低。在预测残疾的模型中，心理幸福感和教育的一致性显著增加了残疾的几率，而身体自我护理的一致性显著降低了残疾的几率。