大学生手机使用与颈痛的关系:使用数字评分量表评估颈痛的横断面研究。
Association between mobile phone use and neck pain in university students: A cross-sectional study using numeric rating scale for evaluation of neck pain.
机构信息
Department of Special Surgery, School of Medicine, University of Jordan, Amman, Jordan.
School of Medicine, University of Jordan, Amman, Jordan.
出版信息
PLoS One. 2019 May 20;14(5):e0217231. doi: 10.1371/journal.pone.0217231. eCollection 2019.
OBJECTIVE
Mobile phones are reliable devices for communication and entertainment. However, their utilization for prolonged periods in flexed neck position is linked to neck and shoulders pain. The main purpose of this study is to investigate the association between neck pain and the duration of device use, taking into consideration gender, age, and the most frequent position in which students use their devices.
SUBJECTS AND METHODS
Based on a self-administered online questionnaire, we filled 500 questionnaires between February 15th, 2017 and March 18th, 2017. The study sample included healthy students from health care faculties regardless of their age, gender, or handedness.
RESULTS
Analysis of the predictors for pain severity showed that age (p = 0.04) and duration of use (p = 0.001) were significantly associated with the severity of neck pain, while only the duration of use was significantly associated with pain duration (p = 0.036). Subjects were divided into two groups according to the pain score, 75.8% had pain severity equal or less than 4/10 and 24.2% had pain severity more than 4/10. Of those with pain severity >4, 5.8% of students sought medical help at the emergency department and 12.4% visited clinics, compared to only 0.3% seeking medical advice at an emergency department and 4.2% visiting clinics in the group with pain severity of ≤4 (p<0.001). Regarding the use of analgesia in the two groups, 44.6% of subjects with pain severity of >4 used analgesia, compared to only 12.1% in subjects with pain severity of ≤4 (p< 0.001).
CONCLUSION
This study demonstrates a significant positive correlation between the duration of mobile phone use and the duration and severity of neck pain. Furthermore, the increased severity of neck pain places a huge burden on the healthcare system.
目的
手机是可靠的通讯和娱乐设备。然而,将其长时间用于弯曲颈部位置会导致颈部和肩部疼痛。本研究的主要目的是调查颈部疼痛与设备使用时间之间的关系,同时考虑性别、年龄以及学生使用设备时最常见的姿势。
受试者和方法
基于在线自我管理问卷,我们在 2017 年 2 月 15 日至 3 月 18 日之间填写了 500 份问卷。研究样本包括来自医疗保健专业的健康学生,无论其年龄、性别或惯用手如何。
结果
分析疼痛严重程度的预测因素表明,年龄(p = 0.04)和使用时间(p = 0.001)与颈部疼痛的严重程度显著相关,而只有使用时间与疼痛持续时间显著相关(p = 0.036)。根据疼痛评分将受试者分为两组,75.8%的受试者疼痛严重程度等于或小于 4/10,24.2%的受试者疼痛严重程度大于 4/10。在疼痛严重程度大于 4 的学生中,5.8%的学生到急诊室就诊,12.4%的学生到诊所就诊,而疼痛严重程度为≤4 的学生中只有 0.3%的学生到急诊室就诊,4.2%的学生到诊所就诊(p<0.001)。在两组使用镇痛药方面,44.6%疼痛严重程度大于 4 的受试者使用镇痛药,而疼痛严重程度小于等于 4 的受试者中只有 12.1%使用镇痛药(p<0.001)。
结论
本研究表明,手机使用时间的长短与颈部疼痛的持续时间和严重程度呈显著正相关。此外,颈部疼痛严重程度的增加给医疗保健系统带来了巨大的负担。