French P, Flora L F, Ping L S, Bo L K, Rita W H
Institute of Advanced Nursing Studies, Hospital Authority, Hong Kong.
J Adv Nurs. 1997 Aug;26(2):380-8. doi: 10.1046/j.1365-2648.1997.1997026380.x.
It is well known that many patient-oriented tasks contribute to occupational back pain in nurses and this is borne out by previous studies. In order to know whether the incidence of back pain and the contributing factors are the same in Hong Kong, a descriptive study was adopted to investigate the situation locally. This study explored the prevalence and perceived contributing factors of back pain, utilizing a non-experimental survey approach. Baseline data for this study were gathered by means of a questionnaire. The questionnaire elicited characteristics of the subjects' history and contributing factors to back pain. Of 47 nursing staff at an acute care hospital, the reported occurrence of some form of back pain during their career was found to be 80.9%. Approximately one-third of nurses with back-pain experienced pain at least once a month. The top two dynamic factors contributing to back pain were lifting patients and transferring patients. Meanwhile, stooping was identified as the most common static factor contributing to back pain. In addition of those who had experienced some form of back pain, 92.1% stated that they have never reported their back pain to their employers. Contributing factors such as transferring patients from bed to chair and lifting patients within bed without assistance indicate poor practice which should be eliminated by the existence of continuing in-service education.
众所周知，许多以患者为导向的任务会导致护士出现职业性背痛，先前的研究也证实了这一点。为了了解香港背痛的发生率及相关因素是否相同，我们采用了一项描述性研究来调查当地情况。本研究采用非实验性调查方法，探讨背痛的患病率及感知到的相关因素。本研究的基线数据通过问卷调查收集。该问卷引出了受试者的病史特征以及背痛的相关因素。在一家急症医院的47名护理人员中，据报告他们在职业生涯中曾出现某种形式背痛的发生率为80.9%。约三分之一有背痛的护士每月至少经历一次疼痛。导致背痛的前两个动态因素是扶起患者和转移患者。同时，弯腰被确定为导致背痛最常见的静态因素。此外，在那些经历过某种形式背痛的人中，92.1%表示他们从未向雇主报告过自己的背痛。诸如将患者从床上转移到椅子上以及在没有协助的情况下在床上扶起患者等相关因素表明存在不良做法，而持续在职教育的存在应可消除这些做法。
