Citko Anna, Górski Stanisław, Marcinowicz Ludmiła, Mateusz Cybulski, Matylda Sierakowska
Akademia Medyczna Nauk Stosowanych i Holistycznych, Warsaw, Mazowieckie Voivodeship, Poland.
European University of Applied Medical and Social Sciences, Olsztyn, Warminsko-Mazurskie Voivodeship, Poland.
Front Med (Lausanne). 2024 Dec 9;11:1466370. doi: 10.3389/fmed.2024.1466370. eCollection 2024.
Both mechanical and psychological overload are inherent to the work of nurses and paramedics, resulting spondylogenic pain.
To identify potential risk factors influencing the prevalence of non-specific cervical spine pain in professionally active nurses and paramedics.
324 nurses (53.2% of the total) and 285 paramedics (46.8%) were included in the study-609 people in total. The study was carried out using an auditorium survey technique supervised by the researchers. The methods used were: Nordic Musculoskeletal Questionnaire, a spinal pain questionnaire validated according to IEA guidelines, a short version of the IPAQ and the author's survey questionnaire, concerning sociodemographic data, chronic diseases including metabolic syndrome (MetS). A univariate logistic regression model was used in the statistical analysis. The level of statistical significance was taken as < 0.05.
Recurrent NP was significantly more common in paramedics compared to nurses (29.5 % vs. 9.3 %; < 0.0001). In a univariate logistic regression model, the risk of NP was significantly increased by: length of service > 15 years ( < 0.024), presence of: low back pain ( < 0.0001), type 2 diabetes ( = 0.013), hypertension ( < 0.001), depression ( < 0.01). Of the modifiable factors, the risk of NP was significantly increased by high physical activity and short sleep <7 h ( < 0.001).
护士和护理人员的工作中存在机械性和心理性负荷过重的情况，会引发脊椎源性疼痛。
确定影响在职护士和护理人员非特异性颈椎疼痛患病率的潜在风险因素。
本研究纳入了324名护士（占总数的53.2%）和285名护理人员（占46.8%），共计609人。研究采用在研究人员监督下的礼堂调查技术进行。使用的方法包括：北欧肌肉骨骼问卷、根据国际能源机构指南验证的脊柱疼痛问卷、IPAQ简版以及作者的调查问卷，内容涉及社会人口统计学数据、包括代谢综合征（MetS）在内的慢性病。统计分析采用单变量逻辑回归模型。统计学显著性水平设定为<0.05。
与护士相比，护理人员中复发性非特异性疼痛更为常见（29.5%对9.3%；<0.0001）。在单变量逻辑回归模型中，以下因素会显著增加非特异性疼痛的风险：工作年限>15年（<0.024）、存在以下情况：腰痛（<0.0001）、2型糖尿病（=0.013）、高血压（<0.001）、抑郁症（<0.01）。在可改变的因素中，高强度体力活动和短睡眠时间<7小时会显著增加非特异性疼痛的风险（<0.001）。
