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背痛在医护人员中的发生率及其对生活质量的影响。

Occurrence and impact of back pain on the quality of life of healthcare workers.

作者信息

Mroczek Bożena, Łubkowska Wioletta, Jarno Wojciech, Jaraczewska Ewa, Mierzecki Artur

机构信息

Department of Human Sciences in Medicine, Pomeranian Medical University, Szczecin, Poland.

Department of Physical Education and Health, University of Szczecin, Poland.

出版信息

Ann Agric Environ Med. 2020 Mar 17;27(1):36-42. doi: 10.26444/aaem/115180. Epub 2019 Dec 30.

Abstract

INTRODUCTION AND OBJECTIVE

Back pain affects specific occupational groups, among which healthcare workers are the most predisposed. Therefore, the aim of this study was to determine the interdependences between subjective disability and their correlation with pain intensity and quality of life assessment among professionally active medical workers, taking into account working, socio-demographic and health conditions.

MATERIAL AND METHODS

The cross-sectional study enrolled 110 professionally active medical workers (nurses, midwives, paramedics and physiotherapists). The study was conducted by a diagnostic survey method using 4 questionnaires: Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), World Health Organization Quality of Life BREF (WHOQoL-BREF), and the authors' questionnaire.

RESULTS

Back pain was reported by 103 respondents (94%) with the lumbar area indicated the most frequently (72.81%). Severe pain every day was reported by 49.51% of respondents and was associated with longer working time. ODI questionnaire confirmed III and IV degrees of disability in paramedics and nurses, who additionally obtained the lowest results in the quality of life assessment. Correlations between age and VAS were demonstrated (p=0.002), and between VAS and ODI pain (p<0.0001) and ODI disability (p<0.0001).

CONCLUSIONS

Back pain associated with professional activities is the consequence of overload. Health care workers should be included in a preventive programme and attend systematic ergonomics courses. Health care facilities should be retrofitted with equipment enabling work in accordance with the principles of ergonomics. The ODI questionnaire, together with the VAS method and scales for testing the quality of life, are useful tools in the clinical assessment of individuals with back pain.

摘要

引言与目的

背痛影响特定职业群体,其中医护人员最易患病。因此,本研究旨在确定主观残疾之间的相互依存关系,以及它们与在职医护人员的疼痛强度和生活质量评估之间的相关性,同时考虑工作、社会人口统计学和健康状况。

材料与方法

横断面研究纳入了110名在职医护人员(护士、助产士、护理人员和物理治疗师)。该研究采用诊断性调查方法,使用4份问卷:视觉模拟量表(VAS)、奥斯威斯利残疾指数(ODI)、世界卫生组织生活质量简表(WHOQoL-BREF)以及作者自行设计的问卷。

结果

103名受访者(94%)报告有背痛,其中腰部区域最常受累(72.81%)。49.51%的受访者报告每天有剧痛,且与工作时间较长有关。ODI问卷证实护理人员和护士存在III级和IV级残疾,他们在生活质量评估中得分也最低。年龄与VAS之间存在相关性(p=0.002),VAS与ODI疼痛(p<0.0001)和ODI残疾(p<0.0001)之间也存在相关性。

结论

与职业活动相关的背痛是负荷过重的结果。医护人员应纳入预防计划并参加系统的人体工程学课程。医疗机构应配备符合人体工程学原理的设备。ODI问卷、VAS方法以及生活质量测试量表是临床评估背痛患者的有用工具。

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