Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne, Victoria 3004, Australia.
Occup Environ Med. 2012 Mar;69(3):198-204. doi: 10.1136/oemed-2011-100302. Epub 2011 Oct 18.
To investigate the relationship between sociodemographic, individual and work place factors, and neck pain alone, shoulder pain alone, and neck and shoulder pain among nurses working across three public hospitals in Melbourne, Australia.
Information on participant demographics, somatisation tendency, health beliefs, mental and physical health status, workplace physical and psychosocial factors, and musculoskeletal symptoms and pain at several body sites was collected.
1111 participants (response rate 38.6%) were included in the study: 17.2% reported neck pain alone, 11.6% shoulder pain alone and 15.8% both neck and shoulder pain in the past month. Self-reported neck and shoulder pain were independently associated with poorer mental (OR 0.96, 95% CI 0.94 to 0.98) and physical (0.92, 0.90 to 0.95) health and well-being, somatisation (1.77, 1.03 to 3.04) and negative work-causation beliefs (2.51, 1.57 to 3.99). Neck pain alone was more consistently associated with sociodemographic factors, mental (0.97, 0.96 to 0.99) and physical (0.97, 0.94 to 0.99) health and well-being, and shoulder pain alone was associated with physical health and well-being (0.95, 0.92 to 0.98) and fear-avoidance beliefs (0.45, 0.24 to 0.86).
Risk factors for self-reported pain between regions of the neck and shoulder alone, and neck and shoulder differed. While neck and shoulder pain was consistently associated with several risk factors, neck and shoulder pain in isolation were both associated with physical health and well-being and individually associated with sociodemographic and health beliefs, respectively. These findings suggest that different factors may be associated with a single pain region versus pain in two regions.
调查澳大利亚墨尔本三家公立医院护士的社会人口统计学、个体和工作场所因素与颈痛、单独肩痛、颈肩痛之间的关系。
收集参与者的人口统计学、躯体化倾向、健康信念、心理健康和身体健康状况、工作场所的身体和心理社会因素以及多个身体部位的肌肉骨骼症状和疼痛信息。
共纳入 1111 名参与者（应答率 38.6%）：17.2%报告过去一个月有颈痛，11.6%报告有单独肩痛，15.8%报告有颈肩痛。自我报告的颈肩痛与较差的心理健康（比值比 0.96，95%置信区间 0.94 至 0.98）和身体健康（0.92，0.90 至 0.95）以及躯体化（1.77，1.03 至 3.04）和消极的工作因果信念（2.51，1.57 至 3.99）独立相关。单独的颈痛与社会人口统计学因素、心理健康（0.97，0.96 至 0.99）和身体健康（0.97，0.94 至 0.99）以及单独的肩痛与身体健康（0.95，0.92 至 0.98）和恐惧回避信念（0.45，0.24 至 0.86）更相关。
报告的颈肩单独区域和颈肩疼痛的危险因素不同。虽然颈肩疼痛与多个危险因素持续相关，但颈肩单独疼痛与身体健康和幸福感相关，分别与社会人口统计学和健康信念相关。这些发现表明，不同的因素可能与单个疼痛区域相关，而不是与两个区域的疼痛相关。
