Yokoyama Daiki, Tamura Shuntaro, Fujisaki Kazuki, Mitsuyama Kenichiro, Sato Tomohiko, Kobayashi Kazura, Otani Tomohiro
Department of Physical Therapy, Ota College of Medical Technology: 1373 Higashinagaoka-cho, Ota-shi, Gunma 373-0812, Japan.
Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Japan.
J Phys Ther Sci. 2024 Sep;36(9):577-582. doi: 10.1589/jpts.36.577. Epub 2024 Sep 5.
[Purpose] The aim in this study was to evaluate the impact of caregiver understanding of their ability to perform activities of daily living (ADLs), movement abilities, diseases, and attitudes on the prevalence of occupational low back pain. [Participants and Methods] A cross-sectional survey was conducted of caregivers of older adults living in residential care facilities. Of the 150 questionnaires distributed, 71 were valid. The survey collected data on demographics, low back pain status using a numerical rating scale, and familiarity with ten ADLs and five diseases (stroke, rheumatoid arthritis, fractures, Parkinson's disease, and dementia). [Results] In this study, 52% of the participants reported lower back pain. Significant factors included an understanding of repositioning in ADLs, familiarity with stroke and rheumatoid arthritis, and attitudes toward using patients' residual functions. Participants with limited knowledge of repositioning and stroke, a better understanding of rheumatoid arthritis, and those who did not consider residual function were more prone to lower back pain. [Conclusion] Our findings highlight the importance of enhancing caregiver education on ADL movements and disease specifics, particularly stroke and rheumatoid arthritis, and promoting the use of patients' residual capabilities. Improved training and information sharing among caregivers may reduce the risk of occupational low back pain.
[目的] 本研究旨在评估护理人员对其进行日常生活活动(ADL)的能力、运动能力、疾病以及态度的理解对职业性腰痛患病率的影响。[参与者与方法] 对居住在养老机构中的老年人的护理人员进行了横断面调查。在分发的150份问卷中,71份有效。该调查收集了关于人口统计学、使用数字评分量表的腰痛状况以及对十项ADL和五种疾病(中风、类风湿性关节炎、骨折、帕金森病和痴呆症)的熟悉程度的数据。[结果] 在本研究中,52%的参与者报告有腰痛。重要因素包括对ADL中重新定位的理解、对中风和类风湿性关节炎的熟悉程度以及对利用患者残余功能的态度。对重新定位和中风知识有限、对类风湿性关节炎理解较好以及不考虑残余功能的参与者更容易患腰痛。[结论] 我们的研究结果强调了加强护理人员关于ADL动作和疾病细节(特别是中风和类风湿性关节炎)的教育以及促进利用患者残余能力的重要性。护理人员之间改进培训和信息共享可能会降低职业性腰痛的风险。