丹麦初级保健整脊疗法实践中与工作相关的急性身体损伤、慢性过度使用性疾病及心理社会工作环境——一项横断面研究
Work-related acute physical injuries, chronic overuse complaints, and the psychosocial work environment in Danish primary care chiropractic practice - a cross-sectional study.
作者信息
Hansen Mille Charlotte, Aagaard Tine, Christensen Henrik Wulff, Hartvigsen Jan
机构信息
Private practice of chiropractic, Ballerup, Denmark.
2Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, DK-5230 Odense M, Denmark.
出版信息
Chiropr Man Therap. 2018 Feb 13;26:4. doi: 10.1186/s12998-018-0174-2. eCollection 2018.
BACKGROUND
Little is known about the physical and psychosocial work environment of chiropractors and their work-related health complaints, and this has never been described for Danish chiropractors. The aim of this study was, therefore, to describe work-related acute physical injuries, overuse complaints, and psychosocial stress in Danish chiropractic work settings.
METHODS
We developed a questionnaire specifically for this study and distributed it electronically in August 2016 using SurveyXact to all 575 members of the Danish Chiropractors' Association working in primary care clinics. Chiropractors were asked about their work-related acute physical injuries and overuse complaints as well as any psychosocial stress they experienced at work during the previous year. We described our sample and variables using means, medians, ranges, and confidence intervals where appropriate. Statistically significant differences between genders, types of complaints and injuries, and between clinic owners and associates were examined using Chi-square and Fischer's exact tests, where appropriate, or by examining confidence intervals for non-overlap.
RESULTS
355 (65.2%) chiropractors answered the survey. Of these, 216 (61%, 95% CI 56-66) had experienced a work-related acute physical injury and/or overuse complaint during the previous year. Work-related overuse complaints were most commonly reported in the low back, wrist, thumb, and shoulder, and were more common among women (63%, 95% CI 56-70) than men (51%, 95% CI 43-59). Chiropractors with more than five years in practice (59%, 95% CI 52-64) reported significantly fewer work-related acute injuries and overuse complaints during the previous year compared with chiropractors with less than five years in practice (83%, 95% CI 73-91). In general, these practicing Danish chiropractors reported having a good psychosocial work environment, and 90% of chiropractors "always" or "often" felt that they were motivated and committed to their work.
CONCLUSION
This sample of Danish practicing chiropractors commonly reported work-related acute physical injuries or overuse complaints. Overuse complaints were most commonly reported in the low back, wrist, thumb, and shoulder and were more common among women than men. Newly educated chiropractors reported more overuse complaints than experienced chiropractors. Collectively, this sample of Danish chiropractors reported that they had a good psychosocial work environment.
背景
关于脊椎按摩师的身体和心理社会工作环境及其与工作相关的健康问题知之甚少，丹麦的脊椎按摩师从未有过相关描述。因此，本研究的目的是描述丹麦脊椎按摩工作环境中与工作相关的急性身体损伤、过度使用损伤以及心理社会压力。
方法
我们专门为该研究设计了一份问卷，并于2016年8月通过SurveyXact以电子方式分发给在初级保健诊所工作的丹麦脊椎按摩师协会的所有575名成员。询问脊椎按摩师他们过去一年中与工作相关的急性身体损伤和过度使用损伤，以及他们在工作中经历的任何心理社会压力。我们在适当的情况下使用均值、中位数、范围和置信区间来描述我们的样本和变量。在适当的情况下，使用卡方检验和费舍尔精确检验来检验性别、损伤和投诉类型之间以及诊所所有者和员工之间的统计学显著差异，或者通过检查置信区间是否不重叠来检验。
结果
355名（65.2%）脊椎按摩师回答了调查。其中，216名（61%，95%置信区间56 - 66）在过去一年中经历过与工作相关的急性身体损伤和/或过度使用损伤。与工作相关的过度使用损伤最常发生在腰部、手腕、拇指和肩部，女性（63%，95%置信区间56 - 70）比男性（51%，95%置信区间43 - 59）更常见。从业超过五年的脊椎按摩师（59%，95%置信区间52 - 64）报告的过去一年中与工作相关的急性损伤和过度使用损伤明显少于从业少于五年的脊椎按摩师（83%，95%置信区间73 - 91）。总体而言，这些丹麦从业脊椎按摩师报告他们有良好的心理社会工作环境，90%的脊椎按摩师“总是”或“经常”觉得他们有工作动力并全身心投入工作。
结论
该样本中的丹麦从业脊椎按摩师普遍报告有与工作相关的急性身体损伤或过度使用损伤。过度使用损伤最常发生在腰部、手腕、拇指和肩部，女性比男性更常见。新获得资格的脊椎按摩师报告的过度使用损伤比经验丰富的脊椎按摩师更多。总体而言，该样本中的丹麦脊椎按摩师报告他们有良好的心理社会工作环境。
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