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职业劳动者的慢性下背痛:护士主导干预下放松技巧对工作生活质量、疼痛及残疾程度的影响

Chronic lower back pain among occupational workers: effect of relaxation technique on quality of working life, pain and disability level with nurse-led intervention.

作者信息

Sabola Nabila ELSayed, Wifaq Kamal, Alruwaili Musaad M, Sweelam Rasha Kamal Mohamed, El-Amrosy Sabah Hassan, Abdelwahed Amal Yousef

机构信息

Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Al Menoufia, Egypt.

Occupational Medicine, Department of Medicine, Faculty of Medicine and Pharmacy - Hassan II, University of Casablanca, Casablanca, Morocco.

出版信息

BMC Nurs. 2025 Feb 3;24(1):122. doi: 10.1186/s12912-025-02753-2.

Abstract

BACKGROUND

Lower back pain (LBP) is the main cause of workplace impairment and a significant contributor to absenteeism. Implementing relaxation techniques in the workplace can be considered an investment because it can eventually lower the incidence of chronic LBP (chronic lower back pain).

AIM

The purpose of the current study was to evaluate the effect of relaxation techniques on the quality of working life, pain and disability level, with nurse-led interventions among occupational workers with chronic lower back pain (CLBP).

METHOD

A quasi-experimental design with a pre- and post-test method was used.

SETTING

The study took place at a yarn and textile factory in Kafr El-Sheikh City, Kafr El-Sheikh Governorate, Egypt.

SAMPLE

A purposive sample of 100 industrial workers with persistent LBP was chosen. The participants were matched and sorted into two equal groups: the study group and the control group.

INSTRUMENTS

The study used a structured interview questionnaire, the Visual Analogue Scale (VAS), the Quality of Working Life Scale (QWL), and the Oswestry Disability Index.

RESULTS

Participants' average age was 41.4 ± 8.7 years in the study group and 40.5 ± 7.8 years in the control group. Following the relaxation technique intervention, the study group's pain intensity, frequency, and duration were significantly lower than in the control group. Following the intervention, the study group's overall quality of working life improved statistically significantly, with the mean score rising from 72% in the pretest to 93.3% in the post-test. The research group's daily activities and the overall quality of working life improved dramatically when compared to the control group. Furthermore, after the intervention, the study group's disability levels decreased significantly, with only 46% having a disability compared to 86% before the intervention.

CONCLUSIONS

The implementation of relaxation techniques greatly improved the quality of working life in the study group when compared to the control group. There was a notable and statistically significant difference in pain intensity between the study group and the controls. Following the intervention, industrial workers' daily living activities improved, despite persistent LBP.

RECOMMENDATION

Health education and awareness programs should be conducted to improve the quality of life for industrial workers with LBP. Additionally, occupational health nurses' roles in the early detection and referral of LBP patients in diverse industrial settings should be strengthened.

摘要

背景

下背痛(LBP)是工作场所功能受损的主要原因,也是旷工的一个重要因素。在工作场所实施放松技巧可被视为一项投资,因为它最终可降低慢性下背痛(CLBP)的发病率。

目的

本研究的目的是评估放松技巧对慢性下背痛(CLBP)职业工人工作生活质量、疼痛和残疾水平的影响,并由护士主导进行干预。

方法

采用前后测试法的准实验设计。

地点

研究在埃及卡夫尔谢赫省卡夫尔谢赫市的一家纱线和纺织厂进行。

样本

选取了100名患有持续性下背痛的产业工人作为有目的的样本。参与者经过匹配后被分成两个相等的组:研究组和对照组。

工具

本研究使用了结构化访谈问卷、视觉模拟量表(VAS)、工作生活质量量表(QWL)和奥斯威斯利残疾指数。

结果

研究组参与者的平均年龄为41.4±8.7岁,对照组为40.5±7.8岁。经过放松技巧干预后,研究组的疼痛强度、频率和持续时间显著低于对照组。干预后,研究组的整体工作生活质量在统计学上有显著改善,平均分从前测的72%提高到后测的93.3%。与对照组相比,研究组的日常活动和整体工作生活质量有显著改善。此外,干预后,研究组的残疾水平显著降低,只有46%的人有残疾,而干预前这一比例为86%。

结论

与对照组相比,放松技巧的实施极大地改善了研究组的工作生活质量。研究组和对照组在疼痛强度上存在显著的统计学差异。干预后,尽管下背痛持续存在,但产业工人的日常生活活动有所改善。

建议

应开展健康教育和提高认识项目,以改善患有下背痛的产业工人的生活质量。此外,应加强职业健康护士在不同工业环境中早期发现和转诊下背痛患者方面的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb20/11792697/e3152a652605/12912_2025_2753_Fig1_HTML.jpg

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