Nilsson Annika, Lindberg Per, Denison Eva
Department of Caring Science and Sociology, University of Gävle, Gävle, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Scand J Pain. 2010 Jul 1;1(3):160-166. doi: 10.1016/j.sjpain.2010.05.029.
Objective Health care providers, especially registered nurses (RNs), are a professional group with a high risk of musculoskeletal pain (MSP). This longitudinal study contributes to the literature by describing the prevalence and change in MSP, work-related factors, personal factors, self-reported pain, disability and sick leave (>7 days) among RNs working in a Swedish hospital over a 3-year period. Further, results concerning prediction of pain, disability and sick leave from baseline to a 3-year follow-up are reported. Method In 2003, a convenience sample of 278 RNs (97.5% women, mean age 43 years) completed a questionnaire. In 2006, 244 RNs (88% of the original sample) were located, and 200 (82%) of these completed a second questionnaire. Results Logistic regression analyses revealed that pain, disability and sick leave at baseline best predicted pain, disability, and sick leave at follow-up. The personal factors self-rated health and sleep quality during the last week predicted pain at follow-up, while age, self-rated health, and considering yourself as optimist or pessimist predicted disability at follow-up, however weakly. None of the work-related factors contributed significantly to the regression solution. Conclusions The results support earlier studies showing that a history of pain and disability is predictive of future pain and disability. Attention to individual factors such as personal values may be needed in further research.
目的 医疗保健提供者,尤其是注册护士(RNs),是患肌肉骨骼疼痛(MSP)风险较高的专业群体。这项纵向研究通过描述瑞典一家医院的注册护士在3年期间MSP的患病率及变化、与工作相关的因素、个人因素、自我报告的疼痛、残疾和病假(超过7天),为该领域的文献做出了贡献。此外,还报告了从基线到3年随访期疼痛、残疾和病假预测结果。方法 2003年,278名注册护士(97.5%为女性,平均年龄43岁)的便利样本完成了一份问卷。2006年,找到了244名注册护士(占原始样本的88%),其中200名(82%)完成了第二份问卷。结果 逻辑回归分析显示,基线时的疼痛、残疾和病假最能预测随访时的疼痛、残疾和病假。个人因素中,上周的自我健康评分和睡眠质量可预测随访时的疼痛;年龄、自我健康评分以及将自己视为乐观或悲观主义者可预测随访时的残疾,但预测力较弱。没有任何与工作相关的因素对回归模型有显著贡献。结论 研究结果支持了早期的研究,表明疼痛和残疾史可预测未来的疼痛和残疾。在进一步研究中可能需要关注个人价值观等个体因素。