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有背部和颈部疼痛的女性和男性所报告问题的模式:异同点。

Patterns of reported problems in women and men with back and neck pain: similarities and differences.

作者信息

Stenberg Gunilla, Lundquist Anders, Fjellman-Wiklund Anncristine, Ahlgren Christina

机构信息

Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, SE-90187 Umeå, Sweden.

出版信息

J Rehabil Med. 2014 Jul;46(7):668-75. doi: 10.2340/16501977-1830.

DOI:10.2340/16501977-1830
PMID:24909233
Abstract

OBJECTIVE

To examine similarities and differences in problem areas reported by women and men who seek physiotherapy for back or neck pain.

METHODS

Principal component analysis (PCA) was used to analyse questionnaire data including demographics, pain, domestic work, stress, health status, physical disability, psychosocial and physical workload, kinesiophobia and self- efficacy. Most of the questions were recruited from a number of scales, e.g. EuroQol (EQ-5D), Neck Disability Index (NDI), Oswestry Disability Questionnaire (ODQ), Tampa Scale for Kinesiophobia, and Functional-Efficacy-Scale.

RESULTS

A total of 118 patients (84 women, 34 men) completed the questionnaire. Men and women scored similarly on physical disability, functional self-efficacy and kinesiophobia, but women scored higher on stress reactions and pain intensity. PCA showed that questions about physical disability and functional self-efficacy comprised the first component and explained most of the variance in this patient group. Questions about stress and social support at work constituted the second component. Questions about domestic workload and pain comprised the third component. Gender differences were found in the second and third components.

CONCLUSION

In general, women and men answered questions similarly, but there were differences: more women reported stress, pain and low support at work and more men reported a lower domestic workload.

摘要

目的

研究因背部或颈部疼痛寻求物理治疗的女性和男性所报告的问题领域的异同。

方法

采用主成分分析(PCA)对问卷数据进行分析,这些数据包括人口统计学信息、疼痛、家务劳动、压力、健康状况、身体残疾、心理社会和身体工作量、运动恐惧和自我效能感。大多数问题取自多个量表,如欧洲生活质量量表(EQ-5D)、颈部残疾指数(NDI)、奥斯威斯瑞残疾问卷(ODQ)、坦帕运动恐惧量表和功能效能感量表。

结果

共有118名患者(84名女性,34名男性)完成了问卷。男性和女性在身体残疾、功能自我效能感和运动恐惧方面得分相似,但女性在压力反应和疼痛强度方面得分更高。主成分分析表明,关于身体残疾和功能自我效能感的问题构成了第一个成分,并解释了该患者群体中的大部分差异。关于工作压力和社会支持的问题构成了第二个成分。关于家务工作量和疼痛的问题构成了第三个成分。在第二个和第三个成分中发现了性别差异。

结论

总体而言,女性和男性对问题回答相似,但存在差异:更多女性报告工作中有压力、疼痛和低支持,更多男性报告家务工作量较低。

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