Yoshimoto Takahiko, Oka Hiroyuki, Ochiai Hirotaka, Ishikawa Shuhei, Kokaze Akatsuki, Muranaga Shingo, Matsudaira Ko
Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan.
Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
J Pain Res. 2020 Nov 19;13:2979-2986. doi: 10.2147/JPR.S269529. eCollection 2020.
A decrease in work productivity due to presenteeism among healthcare workers with low back pain (LBP) is a major problem in the workplace. It is important to determine the factors associated with presenteeism to successfully manage work productivity among nursing staff with LBP. This study aimed to identify the factors associated with presenteeism among nursing personnel with LBP through the evaluation of several aspects, including individual, occupational, and psychological factors.
We conducted a cross-sectional study with 668 nursing personnel who had experienced LBP within the 4 weeks before study enrollment at a tertiary hospital in Japan. Information on demographics (eg, sex, age, height, weight, etc.), LBP intensity (Numerical Rating Scale, NRS), kinesiophobia (Tampa Scale for Kinesiophobia-11, TSK-11), depressive condition (K6), workaholism, overworking hours, frequency of shift work, sleep problem, work-related stress, and presenteeism (Work Productivity and Activity Impairment-General Health) were collected using a self-administered questionnaire. Multiple linear regressions were applied to examine the factors related to presenteeism. We further used a multiple imputation by chained equations for missing data in the model.
Multiple linear regression analysis after adjusting for covariates showed that NRS (regression coefficient β = 2.275), TSK-11 (1.112), K6 (0.616), and sleep duration (-1.990) were significantly associated with presenteeism. These results with complete-case analyses were similar to those with multiple imputation analyses.
Psychological factors, such as kinesiophobia and depressive symptoms, were associated with presenteeism independently of LBP intensity among nursing staff with LBP. Our findings suggest that the above-mentioned factors may need to be considered for the development of strategies to increase work productivity among nursing staff with LBP.
因腰痛（LBP）导致医护人员出勤主义而使工作效率下降是工作场所的一个主要问题。确定与出勤主义相关的因素对于成功管理患有LBP的护理人员的工作效率很重要。本研究旨在通过评估包括个人、职业和心理因素在内的几个方面，确定患有LBP的护理人员中与出勤主义相关的因素。
我们对日本一家三级医院在研究入组前4周内经历过LBP的668名护理人员进行了横断面研究。使用自填式问卷收集人口统计学信息（如性别、年龄、身高、体重等）、LBP强度（数字评分量表，NRS）、运动恐惧（坦帕运动恐惧量表-11，TSK-11）、抑郁状况（K6）、工作狂、加班时长、轮班工作频率、睡眠问题、工作相关压力和出勤主义（工作效率和活动障碍-一般健康）。应用多元线性回归来检查与出勤主义相关的因素。我们还对模型中的缺失数据使用了链式方程多重插补法。
调整协变量后的多元线性回归分析表明，NRS（回归系数β = 2.275）、TSK-11（1.112）、K6（0.616）和睡眠时间（-1.990）与出勤主义显著相关。这些完全病例分析的结果与多重插补分析的结果相似。
在患有LBP的护理人员中，运动恐惧和抑郁症状等心理因素与出勤主义相关，且独立于LBP强度。我们的研究结果表明，在制定提高患有LBP的护理人员工作效率的策略时，可能需要考虑上述因素。
