康复治疗师的工作相关伤害与预防措施。

Work-related injuries of rehabilitation therapists and measures for prevention.

机构信息

Department of Rehabilitation Medicine, Jilin University Second Hospital, Changchun, China.

Department of Neurology and Neuroscience Center, The First Hospital of Jilin University, Changchun, China.

出版信息

Front Public Health. 2024 Jul 31;12:1398948. doi: 10.3389/fpubh.2024.1398948. eCollection 2024.

DOI:10.3389/fpubh.2024.1398948

PMID:39145158

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11322811/

Abstract

BACKGROUND

Rehabilitation therapists often perform physically demanding treatments that may result in work-related injuries, yet related studies are scarce. This study aimed to investigate the work-related injuries of rehabilitation therapists and provide feasible preventive measures.

METHODS

A cross-sectional study was carried out in 34 regions across China using an online questionnaire. The survey gathered responses primarily from 1,198 rehabilitative therapists working in 120 health institutes. Following data collection, descriptive analysis, chi-square tests, logistic regression, and receiver operating characteristic (ROC) curves were employed to analyze the data.

RESULTS

In this study, the incidence of work-related injuries was reported to be 87% ( = 1,041). The top three musculoskeletal issues reported were low back pain (12%), neck pain (10%), and shoulder pain (9%). Logistic regression and ROC curve analysis identified that working as a physiotherapist and years of work experience (OR [95% CI]: 1.03 [0.99-1.07]) were significant contributors to the incidence of work-related injuries. Specifically, neuro-physiotherapists (OR [95% CI]: 3.04 [1.56-5.92]), musculoskeletal physiotherapists (OR [95% CI]: 2.46 [1.16-5.18]), and intensive care physiotherapists (OR [95% CI]: 4.70 [1.24-17.88]) were at higher risk. Furthermore, five factors were proven to be associated with injury prevention as reported by therapists: patient engagement (OR [95% CI]: 0.38 [0.23-0.62]), improving techniques (OR [95% CI]: 0.59 [0.39-0.90]), maintaining exercise habits (OR [95% CI]: 0.59 [0.40-0.86]), utilizing instruments (OR [95% CI]: 0.80 [0.53-1.19]), and strengthening education (OR [95% CI]: 0.43 [0.21-0.90]).

CONCLUSION

The present study investigated the factors contributing to work-related injuries among rehabilitation therapists, with a focus on identifying both risk and preventive measures. These findings offer new perspectives on decreasing injury risk.

摘要

背景

康复治疗师经常进行体力要求高的治疗，可能导致与工作相关的伤害，但相关研究很少。本研究旨在调查康复治疗师的与工作相关的伤害，并提供可行的预防措施。

方法

采用在线问卷调查的方式，对中国 34 个地区的 120 家卫生机构的 1198 名康复治疗师进行了横断面研究。数据收集后，采用描述性分析、卡方检验、logistic 回归和受试者工作特征（ROC）曲线进行分析。

结果

本研究报告的与工作相关的伤害发生率为 87%（=1041）。报告的前三种肌肉骨骼问题是腰痛（12%）、颈部疼痛（10%）和肩部疼痛（9%）。Logistic 回归和 ROC 曲线分析发现，理疗师和工作年限（OR [95%CI]：1.03 [0.99-1.07]）是与工作相关伤害发生率相关的重要因素。具体而言，神经理疗师（OR [95%CI]：3.04 [1.56-5.92]）、肌肉骨骼理疗师（OR [95%CI]：2.46 [1.16-5.18]）和重症监护理疗师（OR [95%CI]：4.70 [1.24-17.88]）的风险更高。此外，治疗师报告了与伤害预防相关的五个因素：患者参与（OR [95%CI]：0.38 [0.23-0.62]）、改进技术（OR [95%CI]：0.59 [0.39-0.90]）、保持锻炼习惯（OR [95%CI]：0.59 [0.40-0.86]）、使用器械（OR [95%CI]：0.80 [0.53-1.19]）和加强教育（OR [95%CI]：0.43 [0.21-0.90]）。