重症监护护士腰痛的患病率：一项荟萃分析。

Prevalence of low back pain among intensive care nurses: A meta-analysis.

机构信息

Intensive Care Unit, Shengjing Hospital of China Medical University, Shenyang City, Liaoning Province, China.

出版信息

Nurs Crit Care. 2021 Nov;26(6):476-484. doi: 10.1111/nicc.12646. Epub 2021 May 25.

DOI:10.1111/nicc.12646

PMID:34036704

Abstract

BACKGROUND

Low back pain (LBP) is a ubiquitous health problem affecting most of healthcare staff. However, there have been not effort to derive robust prevalence estimates of LBP among intensive care unit (ICU) nurses.

AIMS AND OBJECTIVES

To determine the prevalence of LBP among ICU nurses.

METHODS

A systematic review and meta-analysis was conducted. Five databases were searched: Web of Science, PubMed, MEDLINE (Ovid), Embase, and CINHAL databases. Original research that reported the prevalence of LBP among ICU nurses using a 12-month recall period were included. In order to assess methodological quality, we used a quality rating system which is specifically developed for LBP studies. Cochran's Q and the I test were applied to assess heterogeneity. Subgroup analysis was applied to identify factors that may contribute to heterogeneity. Presence of potential publication bias was assessed by using Egger's test and visual inspection of the symmetry in funnel plots.

RESULTS

Twenty-seven studies reporting data from 2004 to 2020 on the prevalence of LBP in a defined ICU nurses were included (participants:6258; range: 3-1345). Twenty-one (77.8%) studies were of "high" quality. Among the included studies, the lowest and the highest prevalence were found to be 34.5% and 100.0%, respectively. Meta-analysis of included studies yielded a pooled prevalence of 12-month LBP at 76.0% (95% CI, 69.0%-81.8%). (I = 96.0%, Chi-squared = 722, P-value < .01).

CONCLUSION

LBP is prevalent among ICU nurses. Greater attention is urgently needed to address this burdensome health problem among ICU nurses, particularly with an emphasis to develop preventive strategies.

RELEVANCE TO CLINICAL PRACTICE

The results of our meta-analysis have important consequences for ICU nurse managers. Our finding of high prevalence rate of LBP among ICU nurses suggests that more attention should be devoted to develop and apply prevention programs for ICU nurses to manage this global issue.

摘要

背景

下腰痛（LBP）是一个普遍存在的健康问题，影响着大多数医护人员。然而，目前还没有努力得出重症监护病房（ICU）护士中 LBP 的可靠患病率估计。

目的和目标

确定 ICU 护士中 LBP 的患病率。

方法

进行了系统评价和荟萃分析。检索了五个数据库：Web of Science、PubMed、MEDLINE（Ovid）、Embase 和 CINHAL 数据库。纳入了使用 12 个月回顾期报告 ICU 护士中 LBP 患病率的原始研究。为了评估方法学质量，我们使用了专门为 LBP 研究开发的质量评分系统。应用 Cochran's Q 和 I 检验评估异质性。应用亚组分析确定可能导致异质性的因素。应用 Egger 检验和漏斗图对称性的视觉检查评估潜在的发表偏倚。

结果

纳入了 27 项研究，这些研究报告了 2004 年至 2020 年期间在特定 ICU 护士中 LBP 患病率的数据（参与者：6258 人；范围：3-1345）。21 项（77.8%）研究质量为“高”。在所纳入的研究中，最低和最高患病率分别为 34.5%和 100.0%。对纳入研究的荟萃分析得出 12 个月 LBP 的总体患病率为 76.0%（95%CI，69.0%-81.8%）。（I = 96.0%，卡方检验= 722，P 值 < 0.01）。