Mekonnen Tesfaye Hambisa
Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Pain Ther. 2019 Dec;8(2):239-247. doi: 10.1007/s40122-019-0129-x. Epub 2019 Jun 28.
Low back pain (LBP) is yet the persistent public health challenges around the globe. It substantially affects quality of life and poses disability, particularly to the global working population. The profound losses in productivity and compensation premiums due to the condition have also been a challenge to contemporary occupational health. As such, it no doubt demands informed management and due response. The objective of this research was therefore to investigate the prevalence and work-related factors associated with low back pain among nurses in public hospitals in western Ethiopia.
A health facility-based cross-sectional study was conducted from March to April 2017. A sample of 422 nurses was selected using systematic random sampling technique. The standardized Nordic Musculoskeletal survey was interviewer-administered for data collection. The association of different explanatory variables with LBP was explored using a binary logistic regression analysis. The significance of associations was ascertained at a p value of < 0.05 and odds ratios (OR) with 95% confidence intervals (CI).
The response rate was 99% (N = 418). The mean age was 31.39 (standard deviation ± 7.01) years. The prevalence of LBP in the past 12 months was 63.6% (N = 266) [95% CI (58.9, 68.2)]. About 34.2% (n = 91) of the victims had sought medical care. The prevalence in the last 7 days was 53.4% (n = 142). The majority, 72.2% (n = 192), indicated that their activity was limited. Work experience [AOR 4.332; 95% CI (2.550, 7.360)], shift work [AOR 2.118; 95% CI (1.165, 3.850)], and health and safety training [AOR 2.058; 95% CI (1.127, 3.063)] were significantly associated with low back pain.
The prevalence of low back pain was high, as in many other studies. The finding implies that practices and implementations that focus on the prevention and control of back pain injuries should target proper management of workplace conditions, like shift work and provision of health and safety training.
腰痛仍是全球持续存在的公共卫生挑战。它严重影响生活质量并导致残疾，尤其是对全球劳动人口而言。由于这种情况导致的生产力大幅损失和赔偿费用增加，也给当代职业健康带来了挑战。因此，毫无疑问需要明智的管理和适当的应对措施。本研究的目的是调查埃塞俄比亚西部公立医院护士中腰痛的患病率及其与工作相关的因素。
2017年3月至4月进行了一项基于医疗机构的横断面研究。采用系统随机抽样技术选取了422名护士作为样本。由访谈员实施标准化的北欧肌肉骨骼调查问卷以收集数据。使用二元逻辑回归分析探讨不同解释变量与腰痛之间的关联。在p值<0.05以及具有95%置信区间（CI）的比值比（OR）的情况下确定关联的显著性。
回复率为99%（N = 418）。平均年龄为31.39（标准差±7.01）岁。过去12个月中腰痛的患病率为63.6%（N = 266）[95% CI（58.9，68.2）]。约34.2%（n = 91）的受害者寻求过医疗护理。过去7天内的患病率为53.4%（n = 142）。大多数人，即72.2%（n = 192），表示他们的活动受到限制。工作经验[AOR 4.332；95% CI（2.550，7.360）]、轮班工作[AOR 2.118；95% CI（1.165，3.850）]以及健康与安全培训[AOR 2.058；95% CI（1.127，3.063）]与腰痛显著相关。
与许多其他研究一样，腰痛的患病率很高。这一发现意味着，侧重于预防和控制背痛损伤的实践和实施措施应针对工作场所条件的适当管理，如轮班工作以及提供健康与安全培训。
