Durmus Dilek, Ilhanli Ilker
Department of Physical Medicine and Rehabilitation, Medical Faculty, Ondokuz Mayis University, Samsun, Turkey.
J Back Musculoskelet Rehabil. 2012;25(1):5-12. doi: 10.3233/BMR-2012-0304.
The aim of this study was to evaluate the prevalence of work-related musculoskeletal pain (WRMSP) and depression and the quality of life (QOL) among teachers in Samsun, Turkey.
Among 605~participants 99.30% (n=602) completed the survey. A face-to-face questionnaire was given to the participiants in order to evaluate the QOL (Short Form 36, SF-36), the presence of depression (Beck Depression Inventory, BDI) and the presence of pain (Visual Analogue Scale).
Among the participants (n=602), 290 were women (48%) and 312 were men (52%). Three hundred sixty three (60.3%) of the participants reported that they had work-related pain. Most of the participants had WRMSP in low back (74.9%), shoulder (55.9%), neck (47.9%), back (42.7%), knee (30.9%) regions. There was a significant difference for BDI and the subscales of SF-36 test, except the emotional role limitation, mental health and energy between the participiants with WRMSP (Group 1) and the participiants without WRMSP (Group 2). BDI scores were significantly higher in the Group 1. The subscale scores of SF-36 were significantly lower in the Group 1. There was a negative correlation between SF-36 and BDI scores; indicating that teachers who have more depressive symptoms have also a lower QOL.
Pain in neck, shoulder, back and low back regions are frequently seen in teachers. Depression is common and its presence reduces the QOL of teachers. Modifications of ergonomics in working conditions may reduce the frequency of these complications. The habit of carrying heavy loads, awkward back postures, longterm repetitive physical activities, psychosocial stressors and longterm standing must be reduced.
本研究旨在评估土耳其萨姆松市教师中与工作相关的肌肉骨骼疼痛（WRMSP）、抑郁症患病率以及生活质量（QOL）。
在605名参与者中，99.30%（n = 602）完成了调查。为参与者发放面对面调查问卷，以评估生活质量（简短健康调查问卷36项，SF - 36）、抑郁症情况（贝克抑郁量表，BDI）以及疼痛情况（视觉模拟量表）。
在参与者（n = 602）中，290名是女性（48%），312名是男性（52%）。363名（60.3%）参与者报告有与工作相关的疼痛。大多数参与者的WRMSP出现在下背部（74.9%）、肩部（55.9%）、颈部（47.9%）、背部（42.7%）、膝盖（30.9%）区域。在有WRMSP的参与者（第1组）和无WRMSP的参与者（第2组）之间，除了情感角色限制、心理健康和精力外，BDI及SF - 36测试的子量表存在显著差异。第1组的BDI得分显著更高。第1组的SF - 36子量表得分显著更低。SF - 36与BDI得分之间存在负相关；表明抑郁症状较多的教师生活质量也较低。
颈部、肩部、背部和下背部疼痛在教师中很常见。抑郁症很普遍，其存在会降低教师的生活质量。改善工作条件中的人体工程学设计可能会减少这些并发症的发生频率。必须减少背负重物的习惯、不良背部姿势、长期重复性体力活动、心理社会压力源和长期站立。
