Neupane Subas, Nygård Clas-Håkan, Oakman Jodi
School of Health Sciences, University of Tampere, Tampere, Finland.
Gerontology Research Center, University of Tampere, Tampere, Finland.
Work. 2016 Jun 16;54(3):689-97. doi: 10.3233/WOR-162320.
Work-related musculoskeletal pain is a major occupational problem. Those with pain in multiple sites usually report worse health outcomes than those with pain in one site.
This study explored prevalence and associated predictors of multi-site pain in health care sector employees.
Survey responses from 1348 health care sector employees across three organisations (37% response rate) collected data on job satisfaction, work life balance, psychosocial and physical hazards, general health and work ability. Musculoskeletal discomfort was measured across 5 body regions with pain in ≥ 2 sites defined as multi-site pain. Generalized linear models were used to identify relationships between work-related factors and multi-site pain.
Over 52% of the employees reported pain in multiple body sites and 19% reported pain in one site. Poor work life balance (PRR = 2.33, 95% CI = 1.06-5.14). physical (PRR = 7.58, 95% CI = 4.89-11.77) and psychosocial (PRR = 1.59, 95% CI = 1.00-2.57) hazard variables were related to multi-site pain (after controlling for age, gender, health and work ability. Older employees and females were more likely to report multi-site pain.
Effective risk management of work related multi-site pain must include identification and control of psychosocial and physical hazards.
与工作相关的肌肉骨骼疼痛是一个主要的职业问题。多部位疼痛的人通常比单部位疼痛的人报告更差的健康结果。
本研究探讨了医疗保健部门员工多部位疼痛的患病率及相关预测因素。
对来自三个组织的1348名医疗保健部门员工的调查回复（回复率为37%）收集了关于工作满意度、工作生活平衡、心理社会和身体危害、总体健康和工作能力的数据。在5个身体区域测量肌肉骨骼不适，疼痛部位≥2个定义为多部位疼痛。使用广义线性模型来确定与工作相关因素和多部位疼痛之间的关系。
超过52%的员工报告多个身体部位疼痛，19%报告一个部位疼痛。工作生活平衡差（PRR = 2.33，95%CI = 1.06 - 5.14）、身体（PRR = 7.58，95%CI = 4.89 - 11.77）和心理社会（PRR = 1.59，95%CI = 1.00 - 2.57）危害变量与多部位疼痛相关（在控制年龄、性别、健康和工作能力后）。年长员工和女性更有可能报告多部位疼痛。
对与工作相关的多部位疼痛进行有效的风险管理必须包括识别和控制心理社会和身体危害。
