Alnaami Ibrahim, Awadalla Nabil J, Alkhairy Mona, Alburidy Suleiman, Alqarni Abdulaziz, Algarni Almohannad, Alshehri Rawan, Amrah Bodoor, Alasmari Mishal, Mahfouz Ahmed A
Department of Surgery, King Khalid University, Abha, Saudi Arabia.
Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia.
BMC Musculoskelet Disord. 2019 Feb 8;20(1):56. doi: 10.1186/s12891-019-2431-5.
The purpose was to measure the prevalence and related risk factors of low back pain (LBP) among health care workers (HCWs) at different levels of health care in southwestern Saudi Arabia.
A cross-sectional study using a self-administered questionnaire was conducted among HCWs providing primary, secondary and tertiary health care services in the Aseer region, southwestern Saudi Arabia. The questionnaire collected data regarding having LBP in the past 12 months, socio-demographics, work conditions and history of chronic diseases, regular physical exercise and overexertional back trauma. Univariate and multivariable logistic regression analyses were performed.
Out of 740 participants, the overall prevalence of LBP in the past 12 months amounted to73.9% (95% CI: 70.7-77.0). The prevalence of LBP with neurological symptoms reached 50.0%. The prevalence of LBP necessitating medications and or physiotherapy was 40.5%, while the prevalence of LBP requiring medical consultation was 20%. Using multivariable logistic regression, the following risk factors were identified: working in secondary and tertiary hospitals (aOR = 1.32, 95% CI:1.01-1.76), increased BMI (aOR = 1.10, 95% CI:1.01-3.65), and positive history of overexertional back trauma (aOR = 11.52, 95% CI:4.14-32.08). On the other hand, practising regular physical exercise was a significant protective factor (aOR = 0.61, 95% CI: 0.42-0.89).
LBP is a common problem among HCWs. Many preventable risk factors have been identified, including exertional back trauma, increased BMI and lack of regular physical exercise. Occupational health and safety programmes to build ergonomically safe working conditions and encourage regular physical exercise are needed.
目的是测量沙特阿拉伯西南部不同医疗保健水平的医护人员中腰痛（LBP）的患病率及相关危险因素。
在沙特阿拉伯西南部阿西尔地区提供初级、二级和三级医疗保健服务的医护人员中，采用自填式问卷进行了一项横断面研究。该问卷收集了有关过去12个月内是否患有腰痛、社会人口统计学、工作条件、慢性病病史、定期体育锻炼和过度劳累性背部创伤的信息。进行了单变量和多变量逻辑回归分析。
在740名参与者中，过去12个月内腰痛的总体患病率为73.9%（95%置信区间：70.7 - 77.0）。伴有神经症状的腰痛患病率达到50.0%。需要药物治疗和/或物理治疗的腰痛患病率为40.5%，而需要就医咨询的腰痛患病率为20%。通过多变量逻辑回归分析，确定了以下危险因素：在二级和三级医院工作（调整后比值比[aOR]=1.32，95%置信区间：1.01 - 1.76）、体重指数（BMI）增加（aOR = 1.10，95%置信区间：1.01 - 3.65）以及有过度劳累性背部创伤的阳性病史（aOR = 11.52，95%置信区间：4.14 - 32.08）。另一方面，进行定期体育锻炼是一个显著的保护因素（aOR = 0.61，95%置信区间：0.42 - 0.89）。
腰痛是医护人员中的常见问题。已确定了许多可预防的危险因素，包括劳累性背部创伤、BMI增加和缺乏定期体育锻炼。需要开展职业健康与安全计划，以建立符合人体工程学的安全工作条件并鼓励定期体育锻炼。
