Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Institute of Psychology, Work and Organizational Psychology, University of Duisburg-Essen, Essen, Germany.
Int Arch Occup Environ Health. 2020 Oct;93(7):877-889. doi: 10.1007/s00420-020-01538-1. Epub 2020 Apr 9.
Research shows that psychosocial factors play a significant role in the emergence of musculoskeletal complaints (MSC). The aim of this study was to determine the long-term effects on unspecific MSC by a combined physiotherapy and coaching intervention compared to physiotherapy alone. The coaching intervention focussed on enabling better strategies for coping with work stressors.
The participants of a previous randomized controlled intervention were invited to participate again in a third follow-up survey 22 months after the end of the intervention. In 2014, 65 nurses completed a 10-week personalised physiotherapy. Additionally, the intervention group (n = 33) passed five individual coaching sessions, plus an opening and closing session. 44 nurses (IG: n = 24; CG: n = 20) passed again a physical examination as well as another questionnaire assessment in 2016. The primary outcome was MSC, secondary outcomes were work ability and work-related well-being. Due to missing data, multiple imputations were conducted using the mice package in R. Data were analysed by ANOVA with two-way repeated measures, t tests for independent samples and Chi-squared tests.
In respect of MSC, stronger improvement of movement in the vertebral column was observed in the IG compared to the CG. No differences between the IG and CG regarding other long-term effects were observed.
The results suggest that the combined intervention of work-related coaching and physiotherapy had only a marginally stronger long-term effect with respect to MSC than physiotherapy alone.
研究表明，心理社会因素在肌肉骨骼疾病（MSC）的出现中起着重要作用。本研究的目的是确定综合物理治疗和辅导干预与单独物理治疗相比，对非特异性 MSC 的长期影响。辅导干预侧重于使应对工作压力源的策略更加有效。
邀请之前参与随机对照干预研究的参与者再次参与第三次随访调查，即在干预结束 22 个月后。2014 年，65 名护士完成了为期 10 周的个性化物理治疗。此外，干预组（n=33）还通过五次个体辅导会议以及一次开幕和闭幕会议进行辅导。2016 年，44 名护士（IG：n=24；CG：n=20）再次接受了体检和另一份问卷调查。主要结果是 MSC，次要结果是工作能力和工作相关幸福感。由于数据缺失，使用 R 中的 mice 包进行了多重插补。采用双向重复测量 ANOVA、独立样本 t 检验和卡方检验进行数据分析。
在 MSC 方面，与 CG 相比，IG 脊柱运动的改善更为明显。IG 和 CG 在其他长期效果方面没有差异。
结果表明，与单独的物理治疗相比，与工作相关的辅导和物理治疗相结合的干预措施对 MSC 的长期效果仅略有增强。
