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埃塞俄比亚默克莱市阿伊德综合专科医院护士的踝关节和足部疼痛及其相关因素:横断面研究

Ankle and Foot Pain and Associated Factors Among Nurses at Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia: Cross-Sectional Study.

作者信息

Getie Kefale, Kahsay Gebreslassie, Kassaw Alemu, Gomera Gidey, Alamer Abayneh, Hailu Tesfay

机构信息

Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.

School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.

出版信息

J Pain Res. 2021 Jan 19;14:83-92. doi: 10.2147/JPR.S283580. eCollection 2021.

Abstract

BACKGROUND

Ankle-foot pain is a significant public health problem in nurse professionals and has great burdens to the individuals, healthcare systems, and community at large. However, there is limited evidence on the prevalence of ankle-foot pain and its associated factors among nurses in Ethiopia. Thus, the finding of this study will help to address health problems resulting from ankle-foot pain among nurses.

PURPOSE

The aim of this study was to determine the prevalence and associated factors of ankle-s-foot pain among nurse working in Ayder Comprehensive Specialized Hospital, Tigray, Ethiopia.

PATIENTS AND METHODS

An institutional-based cross-sectional study was conducted on a total of 366 nurses, and a simple random sampling technique was used to recruit study participants. Data were collected by using a self-administered adapted standardized Nordic questionnaire. Descriptive statistics and a bivariate logistic regression model were done to identify factors associated with ankle-foot pain. Those variables with a -value less than 0.05 with 95% CI in multivariate model were taken as statistically significant. Finally, AOR with 95% confidence interval at a -value of <0.05 was reported.

RESULTS

The prevalence of self-reported ankle-foot pain among nurses was 43.7% (95% CI=38.5-49.1). Older age (AOR=7.669, 95% CI=2.316-25.390), low shoe comfort (AOR=4.215, 95% CI=2.031-8.745), multiple foot conditions (AOR=6.102 95% CI=1.959-19.008), working night shifts (AOR=2.047, 95% CI=1.098-3.816), high physical demand (AOR=3.487, 95% CI=1.988-6.116), and nurses working in the intensive care unit (AOR=2.402, 95% CI=1.219-4.732) showed a statistically significant association with ankle-foot pain.

CONCLUSION

This study indicated that the prevalence of ankle-foot pain is commonly reported among nurses working in Ayder Comprehensive Specialized Hospital. Therefore, awareness and prevention of ankle and foot pain in nurses should be prioritized to reducing risk factors. Nurses should give attention to comfortable footwear, and further longitudinal research is recommended.

摘要

背景

踝足疼痛是护士群体中一个严重的公共卫生问题,给个人、医疗系统以及整个社区都带来了巨大负担。然而,关于埃塞俄比亚护士中踝足疼痛的患病率及其相关因素的证据有限。因此,本研究的结果将有助于解决护士中因踝足疼痛导致的健康问题。

目的

本研究的目的是确定在埃塞俄比亚提格雷州阿伊德综合专科医院工作的护士中踝足疼痛的患病率及其相关因素。

患者与方法

对总共366名护士进行了一项基于机构的横断面研究,并采用简单随机抽样技术招募研究参与者。通过使用自行填写的经过改编的标准化北欧问卷收集数据。进行描述性统计和二元逻辑回归模型以确定与踝足疼痛相关的因素。在多变量模型中,P值小于0.05且95%置信区间的变量被视为具有统计学意义。最后,报告P值<0.05时的95%置信区间的调整后比值比(AOR)。

结果

护士中自我报告的踝足疼痛患病率为43.7%(95%CI = 38.5 - 49.1)。年龄较大(AOR = 7.669,95%CI = 2.316 - 25.390)、鞋子舒适度低(AOR = 4.215,95%CI = 2.031 - 8.745)、多种足部疾病(AOR = 6.102,95%CI = 1.959 - 19.008)、值夜班(AOR = 2.047,95%CI = 1.098 - 3.816)、体力需求高(AOR = 3.487,95%CI = 1.988 - 6.116)以及在重症监护病房工作的护士(AOR = 2.402,95%CI = 1.219 - 4.732)与踝足疼痛存在统计学上的显著关联。

结论

本研究表明,在阿伊德综合专科医院工作的护士中,踝足疼痛的患病率普遍较高。因此,应优先提高对护士踝足疼痛的认识和预防,以降低风险因素。护士应注意舒适的鞋类,建议进一步开展纵向研究。

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