Rezaei Bareza, Mousavi Elahe, Heshmati Bahram, Asadi Shaphagh
Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Operating Room, Hamedan Branch, Islamic Azad University, Hamedan, Iran.
Ann Med Surg (Lond). 2021 Sep 30;70:102903. doi: 10.1016/j.amsu.2021.102903. eCollection 2021 Oct.
Health care personnel are exposed to ergonomic hazards, musculoskeletal disorders, and other work-related injuries. Low back pain is the most common musculoskeletal disorder. The aim of this study was to determine the prevalence of low back pain and the risk factors in health care personnel at the hospital in a form of a systematic review and meta-analysis.
In this systematic review and meta-analysis, the articles published in international electronic databases including Web of Knowledge, Embase, Scopus, PubMed were searched until May 2019. We included cohort, case-control and cross-sectional studies estimate the prevalence and risk factors for low back pain in health personnel. Data were analyzed using Stata-14 software and random effect model at 95% confidence level.
154 studies were included in the study for analysis. The estimated lifetime prevalence of lower back pain in health care personnel was 54.8%. The estimated odds ratios were as follows: age 1.23, female gender 1.11, BMI 1.17, lack of regular physical activity 1.56 occupational factors 1.12, patient related factors 1.24, body position at work 2.55, and stress 1.67.
/application to practice: The prevalence of low back pain in health care personnel is high. Body position at work, stress and lack of physical activity were the strongest risk factors, respectively. Future studies and educational programs are required to reduce the incidence of low back pain in health care personnel.
医护人员面临人体工程学危害、肌肉骨骼疾病和其他与工作相关的伤害。腰痛是最常见的肌肉骨骼疾病。本研究旨在通过系统评价和荟萃分析的形式，确定医院医护人员中腰痛的患病率及其危险因素。
在这项系统评价和荟萃分析中，检索了截至2019年5月在国际电子数据库（包括Web of Knowledge、Embase、Scopus、PubMed）上发表的文章。我们纳入了队列研究、病例对照研究和横断面研究，以估计卫生人员腰痛的患病率和危险因素。使用Stata-14软件和95%置信水平的随机效应模型对数据进行分析。
154项研究纳入本研究进行分析。医护人员中腰痛的终生患病率估计为54.8%。估计的优势比分别如下：年龄1.23、女性1.11、体重指数1.17、缺乏规律体育活动1.56、职业因素1.12、患者相关因素1.24、工作时身体姿势2.55和压力1.67。
结论/应用于实践：医护人员中腰痛的患病率很高。工作时的身体姿势、压力和缺乏体育活动分别是最强的危险因素。需要开展进一步的研究和教育项目，以降低医护人员腰痛的发生率。
Zotero 插件
