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急诊科护士工作相关心理社会因素和工效学因素与腰痛关系的评估

Evaluation of Work-related Psychosocial and Ergonomics Factors in Relation to Low Back Discomfort in Emergency Unit Nurses.

作者信息

Habibi Ehsanollah, Pourabdian Siamak, Atabaki Azadeh Kianpour, Hoseini Mohsen

机构信息

School of Public Health, Isfahan University of Medical Science, Isfahan, Postal code: 81745, Iran.

出版信息

Int J Prev Med. 2012 Aug;3(8):564-8.

Abstract

BACKGROUND AND AIM

High prevalence of low back pain is one of the most common problems among nurses. The aim of this study was to evaluate the relation of the intensity of low back discomfort to two low back pain contributor factors (Ergonomics risk factors and psychosocial factors).

METHODS

This cross-sectional survey was conducted on 120 emergency unit nurses in Esfahan. Job content, ergonomics hazards and nordic questionnaire were used in that order for daily assessment of Psychosocial and Ergonomics factors and the intensity of low back discomfort. Nurses were questioned during a 5-week period, at the end of each shift work. The final results were analyzed with SPSS software18/PASW by using Spearman, Mann-Whitney and Kolmogorov-Smirnove test.

RESULTS

There was a significant relationship between work demand, job content, social support and intensity of low back discomfort (P value <0.05). But, there was not any link between intensity of low back discomfort and job control. Also, there was significant relationship between intensity of low back discomfort and ergonomics risk factors.

CONCLUSION

This study showed an indirect relationship between the intensity of low back discomfort and social support. This study also confirmed a direct relationship between the intensity of low back discomfort and work demand, job content, ergonomics factors (Awkward Postures (rotating and bending), manual patient handling and repetitiveness, standing continuously more than 30 min). So, to decrease work related low back discomfort, psychosocial factors should be attended in addition to ergonomics factors.

摘要

背景与目的

腰痛高发是护士群体中最常见的问题之一。本研究旨在评估下背部不适强度与两种腰痛促成因素(人体工程学风险因素和社会心理因素)之间的关系。

方法

对伊斯法罕120名急诊科护士进行了这项横断面调查。依次使用工作内容、人体工程学危害和北欧问卷对社会心理和人体工程学因素以及下背部不适强度进行日常评估。在为期5周的时间里,在每个轮班工作结束时对护士进行询问。使用SPSS软件18/PASW,通过Spearman、Mann-Whitney和Kolmogorov-Smirnove检验对最终结果进行分析。

结果

工作需求、工作内容、社会支持与下背部不适强度之间存在显著关系(P值<0.05)。但是,下背部不适强度与工作控制之间没有任何关联。此外,下背部不适强度与人体工程学风险因素之间存在显著关系。

结论

本研究表明下背部不适强度与社会支持之间存在间接关系。本研究还证实了下背部不适强度与工作需求、工作内容、人体工程学因素(别扭姿势(旋转和弯曲)、人工搬运患者以及重复性动作、连续站立超过30分钟)之间存在直接关系。因此,为了减少与工作相关的下背部不适,除人体工程学因素外,还应关注社会心理因素。

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