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医院患者护理人员工作家庭冲突与肌肉骨骼疼痛之间的关联。

Association between work-family conflict and musculoskeletal pain among hospital patient care workers.

机构信息

Department of Environmental and Occupational Health, The George Washington University School of Public Health and Health Services, Washington, DC 20037, USA.

出版信息

Am J Ind Med. 2013 Apr;56(4):488-95. doi: 10.1002/ajim.22120. Epub 2012 Sep 27.

Abstract

BACKGROUND

A growing body of evidence suggests that work-family conflict is an important risk factor for workers' health and well-being. The goal of this study is to examine association between work-family conflict and musculoskeletal pain among hospital patient care workers.

METHODS

We analyzed a cross-sectional survey of 1,119 hospital patient care workers in 105 units in two urban, academic hospitals. Work-family conflict was measured by 5-item Work-Family Conflict Scale questionnaire. Multilevel logistic regression was applied to examine associations between work-family conflict and self-reported musculoskeletal pain in the past 3 months, adjusting for covariates including work-related psychosocial factors and physical work factors.

RESULTS

In fully adjusted models, high work-family conflict was strongly associated with neck or shoulder pain (OR: 2.34, 95% CI: 1.64-3.34), arm pain (OR: 2.79, 95% CI: 1.64-4.75), lower extremity pain (OR: 2.20, 95% CI: 1.54-3.15) and any musculoskeletal pain (OR: 2.45, 95% CI: 1.56-3.85), and a number of body areas in pain (OR: 2.47, 95% CI: 1.82-3.36) in the past 3 months. The association with low back pain was attenuated and became non-significant after adjusting for covariates.

CONCLUSIONS

Given the consistent associations between work-family conflict and self-reported musculoskeletal pains, the results suggest that work-family conflict could be an important domain for health promotion and workplace policy development among hospital patient care workers.

摘要

背景

越来越多的证据表明,工作家庭冲突是影响劳动者健康和幸福的一个重要风险因素。本研究旨在探讨工作家庭冲突与医院患者护理人员肌肉骨骼疼痛之间的关系。

方法

我们分析了来自两所城市学术医院 105 个科室的 1119 名医院患者护理人员的横断面调查。采用 5 项工作家庭冲突量表问卷衡量工作家庭冲突。应用多水平逻辑回归模型,在调整了工作相关心理社会因素和体力劳动因素等协变量后,检验工作家庭冲突与过去 3 个月内自我报告的肌肉骨骼疼痛之间的关联。

结果

在完全调整的模型中,高度的工作家庭冲突与颈部或肩部疼痛(OR:2.34,95%CI:1.64-3.34)、手臂疼痛(OR:2.79,95%CI:1.64-4.75)、下肢疼痛(OR:2.20,95%CI:1.54-3.15)和任何肌肉骨骼疼痛(OR:2.45,95%CI:1.56-3.85)以及过去 3 个月内多个身体部位疼痛(OR:2.47,95%CI:1.82-3.36)显著相关。调整协变量后,与腰痛的关联减弱且不再具有统计学意义。

结论

鉴于工作家庭冲突与自我报告的肌肉骨骼疼痛之间存在一致性关联,结果表明工作家庭冲突可能是促进医院患者护理人员健康和制定工作场所政策的一个重要领域。

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