Lin MR, Tsauo JY, Wang JD
No. 1, Section 1, Jen-Ai Road, Taipei, Taiwan, R.O.C., 10016.
Int J Occup Environ Health. 1996 Oct;2(4):257-263. doi: 10.1179/oeh.1996.2.4.257.
The objectives of this study were to determine the economic cost related to low back pain (LBP) among nurses, and to identify factors associated with this cost. All 998 nurses at the National Taiwan University Hospital (NTUH) were asked to complete a questionnaire designed to examine whether the nurses had experienced LBP and whether their LBP had been related to the incurring of economic cost between May 1, 1990, and April 30, 1991. Of the 863 respondents, 417 had had LBP and 102 of these had incurred economic costs related to the LBP. Personal interviews of the 102 nurses, as well as of an additional four nurses who had resigned due to LBP within the 12 months, were performed to determine the related economic costs. The total monthly costs over the 12 months ranged from U.S. $105,405 to $149,083. Twenty percent of the 106 cases were responsible for 70% of the total overall cost. There was no difference in demographics between the two groups of non-LBP and LBP-without-cost. However, statistical analysis using logistic regression showed that the occurrence of economic cost was positively associated with subjective pain, lifting and carrying babies and small children at home, and age or work years or parity. In addition, multiple linear regression analysis showed that medical cost was positively associated with parity and sick leave; and productivity loss was associated with sick leave, lifting and carrying babies at home, unspecified housework, patient transport, and performing cardiopulmonary resuscitation.
本研究的目的是确定护士中与腰痛(LBP)相关的经济成本,并确定与此成本相关的因素。台湾大学医院(NTUH)的所有998名护士都被要求填写一份问卷,以调查护士是否经历过腰痛,以及他们的腰痛在1990年5月1日至1991年4月30日期间是否与经济成本的产生有关。在863名受访者中,417人有腰痛,其中102人因腰痛产生了经济成本。对这102名护士以及另外4名在12个月内因腰痛辞职的护士进行了个人访谈,以确定相关的经济成本。12个月期间的每月总成本从105,405美元到149,083美元不等。106例中的20%占总总成本的70%。非腰痛组和无成本腰痛组在人口统计学上没有差异。然而,使用逻辑回归的统计分析表明,经济成本的发生与主观疼痛、在家中抱起和搬运婴儿及小孩、年龄或工作年限或产次呈正相关。此外,多元线性回归分析表明,医疗成本与产次和病假呈正相关;生产力损失与病假、在家中抱起和搬运婴儿、未指明的家务、运送患者以及进行心肺复苏有关。