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波兰北部助产行业中的背痛问题。

Back pain in the midwifery profession in northern Poland.

作者信息

Bryndal Aleksandra, Glowinski Sebastian, Hebel Kazimiera, Grochulska Agnieszka

机构信息

Institute of Health Sciences, Pomeranian University in Slupsk, Slupsk, Poland.

State Higher School of Vocational Education in Koszalin, Koszalin, Poland.

出版信息

PeerJ. 2025 Mar 26;13:e19079. doi: 10.7717/peerj.19079. eCollection 2025.

Abstract

BACKGROUND

Neck pain (NP) and low back pain (LBP) are increasingly significant medical, social, and economic concerns. The midwifery profession, similar to other healthcare occupations, is particularly predisposed to these issues.

METHODS

This study aimed to analyze the prevalence of back pain among midwives and evaluate the associated disability levels using the Neck Disability Index (NDI) and the Oswestry Disability Index (ODI). The study group included 208 actively practicing midwives aged 23 to 67 years (mean ± SD: 48.1 ± 10.7 years). Participants completed an anonymous survey comprising a custom-designed questionnaire, the Polish language versions of the NDI and ODI, and the Visual Analog Scale (VAS) for pain intensity.

RESULTS

The analysis revealed a statistically significant correlation between VAS pain intensity and both age ( = 0.2476) and work experience ( = 0.2758), indicating higher pain scores with increasing age and seniority. No significant association was found between BMI and VAS scores ( = 0.0011). Additionally, NDI and ODI scores correlated significantly with age ( = 0.1731;  = 0.3338), BMI ( = 0.1685;  = 0.2718), and work experience ( = 0.1987;  = 0.4074). Higher values for age, BMI, and seniority were associated with increased disability levels.

CONCLUSIONS

Neck and low back pain represent prevalent and impactful issues for midwives in Poland, contributing to mild to moderate disability, absenteeism, reliance on pain medication, and limited physical activity. Key contributing factors include age, professional experience, BMI, and low levels of physical activity.

摘要

背景

颈部疼痛(NP)和下背部疼痛(LBP)在医学、社会和经济方面的影响日益显著。与其他医疗保健职业类似,助产士职业尤其容易出现这些问题。

方法

本研究旨在分析助产士背痛的患病率,并使用颈部残疾指数(NDI)和奥斯维斯特里残疾指数(ODI)评估相关的残疾程度。研究组包括208名年龄在23至67岁之间(平均±标准差:48.1±10.7岁)的在职助产士。参与者完成了一项匿名调查,该调查包括一份定制问卷、波兰语版的NDI和ODI,以及疼痛强度视觉模拟量表(VAS)。

结果

分析显示,VAS疼痛强度与年龄(=0.2476)和工作经验(=0.2758)之间存在统计学上的显著相关性,表明随着年龄和资历的增加,疼痛评分更高。未发现BMI与VAS评分之间存在显著关联(=0.0011)。此外,NDI和ODI评分与年龄(=0.1731;=0.3338)、BMI(=0.1685;=0.2718)和工作经验(=0.1987;=0.4074)显著相关。年龄、BMI和资历较高与残疾程度增加相关。

结论

颈部和下背部疼痛是波兰助产士中普遍存在且影响较大的问题,导致轻度至中度残疾、旷工、依赖止痛药以及身体活动受限。主要促成因素包括年龄、专业经验、BMI和身体活动水平低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f35/11954461/f8163f5e9e3c/peerj-13-19079-g001.jpg

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