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下背痛和身体活动不足的患病率:家庭健康战略所服务孕妇中心理社会因素的影响

Prevalence of lower back pain and physical inactivity: the impact of psychosocial factors in pregnant women served by the Family Health Strategy.

作者信息

Rodrigues Wilma Ferreira Guedes, Silva Leila Rangel da, Nascimento Maria Aparecida de Luca, Pernambuco Carlos Soares, Giani Tania Santos, Dantas Estélio Henrique Martin

机构信息

Centro Universitário de João Pessoa - UNIPÊ, João Pessoa, PB, BR.

Alfredo Pinto School of Nursing, Universidade Federal do Estado do Rio de Janeiro - UNIRIO, Rio de Janeiro, RJ, BR.

出版信息

Einstein (Sao Paulo). 2011 Dec;9(4):489-93. doi: 10.1590/S1679-45082011AO2186.

Abstract

OBJECTIVE

This study analyzed the impact of psychosocial factors on pregnant women with lower back pain and an associated lack of physical activity prior to pregnancy.

METHODS

The sample included 66 pregnant women who were randomly selected from a total of 84 patients in the waiting rooms of the Family Health Units in Cuitegí, Paraíba, from September to November 2009. An epidemiological questionnaire adapted from the Quebec Back Pain Disability Scale was used for data collection. The questions about back pain, physical activity, and psychosocial factors were emphasized. SPSS 16.0 was used for the data analysis. The prevalence of lower back pain and its relationship to gestational age, habitual physical activity, and psychosocial factors were studied using the descriptive statistics and relative percentages in the SPSS Crosstabs procedure. The odds ratio and 95% confidence interval for lower back pain were calculated.

RESULTS

The prevalence of lower back pain was 75%, which suggests that psychosocial factors were related to the presence of pain. Anxiety was reported in 42.8% of the women with lower back pain, and 38.7% of the women with lower back pain experienced physical fatigue at the end of the day. A higher percentage of pain (53%) was noted in the women who did not exercise prior to pregnancy.

CONCLUSION

Lower back pain prior to pregnancy is associated with lack of physical activity and with psychosocial factors in the Family Health Strategy patients of Cuitegí county.

摘要

目的

本研究分析了社会心理因素对孕前患有腰痛及相关身体活动不足的孕妇的影响。

方法

样本包括从2009年9月至11月在帕拉伊巴州库特吉家庭健康单位候诊室的84名患者中随机选取的66名孕妇。采用改编自魁北克腰痛残疾量表的流行病学调查问卷收集数据。重点关注有关背痛、身体活动和社会心理因素的问题。使用SPSS 16.0进行数据分析。在SPSS交叉表程序中,使用描述性统计和相对百分比研究腰痛的患病率及其与孕周、习惯性身体活动和社会心理因素的关系。计算腰痛的比值比和95%置信区间。

结果

腰痛的患病率为75%,这表明社会心理因素与疼痛的存在有关。42.8%的腰痛女性报告有焦虑情绪,38.7%的腰痛女性在一天结束时感到身体疲劳。孕前未进行锻炼的女性中疼痛的比例更高(53%)。

结论

在库特吉县家庭健康战略的患者中,孕前腰痛与身体活动不足和社会心理因素有关。

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