Meira-Mascarenhas Claudio H, Ornellas-Prado Fabio, Henrique-Fernandes Marcos
Departamento de Saúde da Universidade Estadual do Sudoeste, Bahia, Brasil.
Rev Salud Publica (Bogota). 2012 Aug;14(4):668-80.
This study was aimed at assessing the impact of musculoskeletal pain (MSP) on the quality of life (QL) of community health agents' (CHA) working in Jequié, Bahia, Brazil.
This was a cross-sectional descriptive-analytic census type study in which 316 CHA participated. The instruments used were a questionnaire, containing demographic information regarding occupational and MSP, and the WHOQOL-BREF questionnaire for assessing QL. Descriptive statistics and the Mann Whitney test (5% significance level) were used on the data.
The WHOQOL-BREF physical and environmental domains returned scores lower than the psychological and social ones. MSP prevalence was 84.8% considering the past seven days; the legs was the region reported to suffer most (70.9 %). All QLareas were compromised in the CHA group reporting MSP compared to the group without symptoms (p<0.001physical domain, p<0.001 psychological, p=0.001 social relation ships and p<0.001 environment).
The study showed that MSP could be considered an important factor compromising the QL of CHA working in Jequié, Bahia. Specific public policy must thus be implemented for dealing with this, thereby contributing to improving CHA working conditions and quality of life.
本研究旨在评估肌肉骨骼疼痛（MSP）对在巴西巴伊亚州热基耶工作的社区卫生工作者（CHA）生活质量（QL）的影响。
这是一项横断面描述性分析普查类型的研究，有316名社区卫生工作者参与。所使用的工具包括一份问卷，其中包含有关职业和肌肉骨骼疼痛的人口统计学信息，以及用于评估生活质量的世界卫生组织生活质量简表（WHOQOL-BREF）问卷。对数据使用描述性统计和曼-惠特尼检验（显著性水平为5%）。
世界卫生组织生活质量简表的身体和环境领域得分低于心理和社会领域。考虑过去七天，肌肉骨骼疼痛的患病率为84.8%；腿部是报告受影响最严重的部位（70.9%）。与无症状组相比，报告有肌肉骨骼疼痛的社区卫生工作者组在所有生活质量领域均受到损害（身体领域p<0.001，心理领域p<0.001，社会关系领域p=0.001，环境领域p<0.001）。
该研究表明，肌肉骨骼疼痛可被视为损害在巴西巴伊亚州热基耶工作的社区卫生工作者生活质量的一个重要因素。因此，必须实施具体的公共政策来应对这一问题，从而有助于改善社区卫生工作者的工作条件和生活质量。
