Sharma Saurab, Shrestha Nischal, Jensen Mark P
Department of Physiotherapy, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Department of Physiotherapy, Dhulikhel Hospital Kathmandu University Hospital, Dhulikhel, Nepal.
Scand J Pain. 2016 Apr;11:36-41. doi: 10.1016/j.sjpain.2015.11.007. Epub 2015 Dec 17.
Chronic low back pain is known to contribute to lost work days (LWDs) in nurses. However, there is a limited understanding of the factors that moderate the impact of low back pain (LBP) on LWDs - in particular factors that are modifiable and that could therefore be the treatment targets of interventions designed to help nurses more effectively manage LBP. This study aims to identify pain-related factors that are associated with LWDs in nurses with LBP, in order to inform the development of interventions that could reduce LBP-related work dysfunction and improve patient care.
A cross sectional study was conducted on 111 female nurses who were asked to answer questions regarding demographic information, work history, presence or absence of LBP, number of LWDs due to illness, and a number of factors that could potentially be related to LWDs including: (1) average and worst pain intensity; (2) the temporal pattern of LBP (constant versus intermittent); (3) pain aggravating factors (lifting, bending, walking, and standing); and (4) pain alleviating factors (medications, rest, exercise).
Sixty-five percent (n=72) of the sample reported LBP. Constancy of pain and having a LBP problem that was alleviated by rest were significantly associated with the number of LWDs, while maximum and average LBP intensity were only weakly associated.
The findings provide important new information regarding what is (and of equal importance) what is not associated with LWDs in nurses with LBP.
To effectively reduce LBP-related work disability, interventions may need to teach nurses how to better manage constant pain and remain active despite pain, rather than focus on pain reduction. Research to examine the potential efficacy of such treatment approaches for nurses with LBP is warranted.
慢性腰痛会导致护士缺勤。然而，对于减轻腰痛（LBP）对缺勤影响的因素，尤其是可改变的因素，进而可能成为旨在帮助护士更有效管理腰痛的干预措施的治疗靶点，人们了解有限。本研究旨在确定与患有腰痛的护士缺勤相关的疼痛相关因素，以便为开发可减少与腰痛相关的工作功能障碍并改善患者护理的干预措施提供依据。
对111名女性护士进行了一项横断面研究，要求她们回答有关人口统计学信息、工作经历、是否存在腰痛、因病缺勤天数以及一些可能与缺勤相关的因素的问题，这些因素包括：（1）平均和最严重疼痛强度；（2）腰痛的时间模式（持续与间歇性）；（3）疼痛加重因素（提举、弯腰、行走和站立）；（4）疼痛缓解因素（药物、休息、锻炼）。
65%（n = 72）的样本报告有腰痛。疼痛的持续性以及休息可缓解的腰痛问题与缺勤天数显著相关，而最大和平均腰痛强度仅呈弱相关。
这些发现提供了重要的新信息，说明了患有腰痛的护士中与缺勤相关（以及同样重要的是与缺勤无关）的因素。
为了有效减少与腰痛相关的工作残疾，干预措施可能需要教导护士如何更好地管理持续性疼痛并在疼痛时保持活动，而不是专注于减轻疼痛。有必要开展研究来检验此类治疗方法对患有腰痛的护士的潜在疗效。
