Gashawbeza Biruk, Ezo Elias
Department of Public Health, Paramed College, Arba Minch, Ethiopia.
Department of Comprehensive Nursing, School of Nursing, College of Medicine and Health Sciences, Wachemo University, Hosaena, Ethiopia.
SAGE Open Med. 2022 Jul 22;10:20503121221114311. doi: 10.1177/20503121221114311. eCollection 2022.
To assess prevalence and factors associated with low back pain among health care providers in public hospitals of Gamo zone, Southern Ethiopia, 2021.
An institution-based cross-sectional study design was employed from August 1 to September 10, 2021. The total sample size was 470 and a multi-stage sampling technique was used. Data were collected through face-to-face interviews and taking Anthropometric measurements. Epi data version 3.1 for data entry and SPSS version 25 for analysis were used. The fitness of the model was checked using the Hosmer-Lemeshow goodness of fit test. A binary logistic regression analysis was done, and variables with a p-value of less than .025 in univariate analysis were taken to bivariate analysis. Statistically significant was declared at a p-value of less than .05 with an adjusted odds ratio and 95% confidence interval.
The 1-year prevalence of low back pain among health care providers was 44.2% (95% CI 39.5-48.3). Past medical history of systemic illness, most commonly adopted posture, a job never requiring repeating motions within 60 s difference, belief that working health profession activities at night aggravate low back pain, and job satisfaction were significantly associated with low back pain, believing that working at night aggravated low back pain, (often lift, push, pull carry or move) more than 10 kg alone, and job satisfaction were important risk factors for low back pain.
About four in 10 health care providers in public hospitals in the Gamo zone were suffering from low back pain. Therefore, using ergonomic equipment and lifting techniques and alternating posture while caring for patients may reduce the burden.
评估2021年埃塞俄比亚南部加莫地区公立医院医护人员中腰痛的患病率及相关因素。
采用基于机构的横断面研究设计，时间为2021年8月1日至9月10日。总样本量为470，采用多阶段抽样技术。通过面对面访谈和人体测量收集数据。使用Epi数据3.1版进行数据录入，SPSS 25版进行分析。使用Hosmer-Lemeshow拟合优度检验检查模型的拟合情况。进行二元逻辑回归分析，单因素分析中p值小于0.025的变量纳入多因素分析。p值小于0.05且调整后的比值比和95%置信区间具有统计学意义。
医护人员中腰痛的1年患病率为44.2%（95%CI 39.5 - 48.3）。全身性疾病既往史、最常采用的姿势、工作中无需在60秒内重复动作、认为夜间从事医疗工作会加重腰痛以及工作满意度与腰痛显著相关，认为夜间工作会加重腰痛、独自（经常提起、推、拉、搬运或移动）超过10千克重物以及工作满意度是腰痛的重要危险因素。
加莫地区公立医院约十分之四的医护人员患有腰痛。因此，在照顾患者时使用符合人体工程学的设备和搬运技术并交替姿势可能会减轻负担。
