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斯洛文尼亚医院护士的下背痛:横断面研究。

Low back pain among nurses in Slovenian hospitals: cross-sectional study.

机构信息

Fakulteta za zdravstvo Angele Boškin/Angela Boškin Faculty of Health Care, Jesenice, Slovenia.

出版信息

Int Nurs Rev. 2017 Dec;64(4):544-551. doi: 10.1111/inr.12376. Epub 2017 Apr 26.

Abstract

AIM

The study investigated the prevalence and factors predicting low back pain among nurses in Slovenian hospitals.

BACKGROUND

The risk factors for low back pain are physical and psychosocial. Implementation of interventions for reducing low back pain calls for management support, accessible equipment, education, knowledge and risk assessment.

INTRODUCTION

Low back pain prevalence and incidence among healthcare workers is very high compared to the general population and is a strong risk factor for long-term sickness absence.

METHODS

A cross-sectional study design was utilized. We used validated instruments: Nordic Musculoskeletal Disorder Questionnaire, Stanford Presenteeism Scale and Perceived Stress Scale. The sample included 1744 nursing employees from 16 Slovenian hospitals, ranging from practical nurses, registered nurses, nurses with a bachelor's degree and those with a master's degree.

FINDINGS

Results revealed a prevalence of low back pain among 85.9% of respondents. Relevant risk factors included female gender, age, length of employment, years in current position, shift work and the number of nurses per shift. In the regression model, factors predicting low back pain included presenteeism with a negative effect on work, presenteeism and maintaining work productivity, inability to control daily life, number of nurses per shift and respondents' age.

CONCLUSIONS

Future activities should be oriented towards eliminating or reducing risks for low back pain incidents and towards different strategies, guidelines and actions which empower individuals and provide knowledge to manage and prevent low back pain.

IMPLICATIONS FOR MANAGEMENT AND HEALTH POLICY

Slovenian healthcare system planning needs a national strategy to successfully promote LBP preventive and controlling strategies. Management can plan preventive and curative measures to reduce low back pain prevalence among nursing personnel. Management should also implement policies reflecting research findings.

摘要

目的

本研究调查了斯洛文尼亚医院护士腰痛的患病率和相关预测因素。

背景

腰痛的危险因素包括生理和心理社会因素。实施减少腰痛的干预措施需要管理层的支持、易于使用的设备、教育、知识和风险评估。

引言

与普通人群相比,医疗保健工作者腰痛的患病率和发病率非常高,是长期病假的一个强有力的危险因素。

方法

采用横断面研究设计。我们使用了经过验证的工具:北欧肌肉骨骼疾病问卷、斯坦福出席量表和感知压力量表。样本包括来自 16 家斯洛文尼亚医院的 1744 名护理员工,包括实习护士、注册护士、拥有学士学位的护士和拥有硕士学位的护士。

结果

结果显示,85.9%的受访者患有腰痛。相关的危险因素包括女性、年龄、工龄、当前职位年限、轮班工作和每班护士人数。在回归模型中,预测腰痛的因素包括出勤对工作的负面影响、出勤和保持工作生产力、无法控制日常生活、每班护士人数和受访者年龄。

结论

未来的活动应针对消除或减少腰痛事件的风险,并针对不同的策略、指南和行动,赋予个人权力并提供管理和预防腰痛的知识。

管理和健康政策的影响

斯洛文尼亚医疗保健系统规划需要国家战略来成功推广 LBP 预防和控制策略。管理层可以计划预防和治疗措施,以降低护理人员腰痛的患病率。管理层还应实施反映研究结果的政策。

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