Abel Andualem, Abebe Yonas, Gezahegn Kokeb, Mengist Shegaw Tesfa
St. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Department of Nursing, Wolkite University, Wolkite, Ethiopia
BMJ Open. 2025 Mar 3;15(3):e096986. doi: 10.1136/bmjopen-2024-096986.
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Low back pain (LBP) is a discomfort in the spinal area around the 12th rib and the inferior gluteal folds with or without radiation to the lower extremities. It is a widespread public health problem throughout the world, especially a prominent problem for healthcare providers working in prehospital areas. Now, it is a major problem in low- and middle-income countries, but the magnitude and its determinant factors have not been researched in Ethiopia.
To assess the prevalence of LBP and associated factors among prehospital healthcare providers in selected ambulance service centres in Addis Ababa, Ethiopia, 2024.
A cross-sectional study was conducted from a total of 150 prehospital healthcare providers working in Addis Ababa, Ethiopia from 1 to 30 April 2024. A simple random sampling method was used to select the study participants. Data were collected using a standardised self-administered questionnaire by certified degree nursing professionals. The collected data were imported into EpiData V. 3.1 and exported to SPSS V. 25 for analysis. To determine whether there is a significant relationship between the dependent and independent variables, bivariable and multivariable logistic regression was carried out.
The overall prevalence of LBP among prehospital healthcare providers was 80%. Working in a twisting position (AOR: 5.763 (95% CI 1.544 to 21.515)) and several call missions >6 times per week (AOR: 12.437 (95% CI 2.603 to 59.423)) were positive predictors, while using ergonomic manual guidelines (AOR: 0.159 (95% CI 0.032 to 0.787)) was a negative predictor of LBP.
There was a high prevalence of LBP among prehospital healthcare providers. Also, predictors of twisting position, using ergonomic manual guidelines and call missions per week were significantly associated with LBP. Healthcare facilities should be retrofitted with equipment enabling work based on the principles of back ergonomics.
疼痛是一种与实际或潜在组织损伤相关的不愉快的感觉和情感体验。腰痛（LBP）是指第12肋和臀下皱襞周围脊柱区域的不适，伴有或不伴有下肢放射痛。它是一个全球性的公共卫生问题，尤其是在院前急救领域工作的医护人员面临的一个突出问题。目前，这是低收入和中等收入国家的一个主要问题，但在埃塞俄比亚，其严重程度及其决定因素尚未得到研究。
评估2024年埃塞俄比亚亚的斯亚贝巴选定的救护服务中心院前医护人员中腰痛的患病率及其相关因素。
2024年4月1日至30日，对埃塞俄比亚亚的斯亚贝巴的150名院前医护人员进行了一项横断面研究。采用简单随机抽样方法选择研究参与者。数据由具有专业资质的护理人员使用标准化的自填问卷收集。收集到的数据被导入EpiData V. 3.1，并导出到SPSS V. 25进行分析。为了确定因变量和自变量之间是否存在显著关系，进行了双变量和多变量逻辑回归分析。
院前医护人员中腰痛的总体患病率为80%。处于扭转姿势工作（调整后比值比[AOR]：5.763（95%置信区间[CI]为1.544至21.515））以及每周出诊任务超过6次（AOR：12.437（95%CI为2.603至59.423））是腰痛的阳性预测因素，而使用符合人体工程学的操作指南（AOR：0.159（95%CI为0.032至0.787））是腰痛的阴性预测因素。
院前医护人员中腰痛的患病率较高。此外，扭转姿势、使用符合人体工程学的操作指南以及每周出诊任务次数与腰痛显著相关。医疗机构应配备能够基于背部人体工程学原理开展工作的设备。
