Sakai Kosuke, Nagata Tomohisa, Nagata Masako, Kajiki Shigeyuki, Fujino Yoshihisa, Mori Koji
Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
J Occup Health. 2021 Jan;63(1):e12272. doi: 10.1002/1348-9585.12272.
The aim of the present study was to clarify the relationship between work functional impairment levels and three coping behaviors of workers with low back pain, which were about seeking medical attention, taking over-the-counter drugs, and taking self-care.
We conducted a cross-sectional study on 14 Japanese companies in 2016. Work function impairment was measured using the Work Functioning Impairment Scale. Logistic regression analyses were conducted for the three coping behaviors and odds ratios (ORs) calculated for work functional impairment levels.
We analyzed 2232 subjects; 226 were women and 790 worked on production lines. 688 workers had sought medical attention, 436 had taken over-the-counter medication, and 1225 had engaged in self-care. Those seeking medical attention were associated with severe work function impairment compared with no work function impairment (adjusted OR = 2.84, 95% confidence interval: 1.82-4.45, p < .001). We observed a trend for the association between over-the-counter drug use with high levels of work function impairment (adjusted OR: 1.19 for low, 1.35 for moderate, 1.65 for severe). There was no apparent relationship between self-care and the degree of work functional impairment.
In workers with low back pain, severe work functional impairment may promote medical attention and over-the-counter medication use, but it would not encourage self-care, such as stretching or exercise. Therefore, workplaces need to provide special support to help them take care of themselves. Therefore, it is desirable to provide good support for self-care in the workplace.
本研究旨在阐明腰痛患者的工作功能损害程度与三种应对行为之间的关系，这三种应对行为分别是寻求医疗帮助、服用非处方药和进行自我护理。
2016年，我们对14家日本公司进行了一项横断面研究。使用工作功能损害量表来测量工作功能损害情况。对三种应对行为进行逻辑回归分析，并计算工作功能损害程度的比值比（OR）。
我们分析了2232名受试者；其中226名是女性，790名在生产线上工作。688名工人寻求过医疗帮助，436名服用过非处方药，1225名进行过自我护理。与无工作功能损害相比，寻求医疗帮助的人与严重工作功能损害相关（调整后的OR = 2.84，95%置信区间：1.82 - 4.45，p <.001）。我们观察到使用非处方药与高水平工作功能损害之间存在关联趋势（低水平调整后的OR为1.19，中等水平为1.35，严重水平为1.65）。自我护理与工作功能损害程度之间没有明显关系。
在腰痛患者中，严重的工作功能损害可能促使他们寻求医疗帮助和使用非处方药，但不会促使他们进行自我护理，如伸展或锻炼。因此，工作场所需要提供特殊支持来帮助他们进行自我护理。所以，在工作场所提供良好的自我护理支持是很有必要的。
