Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis
Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis
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DOI：
10.1016/j.ijnurstu.2013.08.009
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发表时间：
2014-04-01
影响因子：
8.1
通讯作者：
Rudman, Ann
中科院分区：
文献类型：
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作者：
Lovgren, Malin;Gustavsson, Petter;Rudman, Ann
背景资料：虽然这是众所周知的，肌肉骨骼疾病是常见的注册护士，很少进行纵向研究，以探讨这个问题，从护理教育工作lifes.Objectives：目的是调查的患病率和发病率的颈部/肩部和背部疼痛的护理学生在他们的最后一个学期，毕业后的一年和两年。此外，为了确定颈/肩和背部疼痛的共同轨迹，并探讨社会人口和生活方式相关的因素，背景因素和健康结果，可能是个人在不同的trajectors.Design特征：纵向研究以下护理学生从他们的最后一年的研究，与后续行动的一年和两年毕业后。2002年毕业于瑞典26所大学提供本科护理教育的护理专业学生被邀请参加（N=1700）。被问到的，1153给他们的知情consent.Methods：参与者回答每年一次的邮政调查。描述性统计被用来分析患病率和疼痛的发病率，和增长混合模型被应用到识别不同的同质集群的个人以下类似的轨迹在疼痛发展的时间across time.Results：颈部/肩部和背部疼痛的患病率保持不变，随着时间的推移（约50%的颈部/肩部疼痛和背部疼痛刚刚超过40%）。每种症状有六种不同的发展轨迹，反映了稳定的疼痛水平或随时间变化的疼痛水平模式：一个无疼痛组，两个疼痛减少组，两个疼痛增加组和一个慢性疼痛组。除了少数例外，相同的因素（性别，儿童，慢性病，加班，缺勤，疾病存在，身体负荷，抑郁，自我评估的健康，睡眠质量和肌肉紧张）与颈/肩和背部疼痛轨迹相关。不同类型的物理负荷特点新护士与颈/肩痛和背痛force.Conclusions：高患病率的疼痛之间的护理专业学生和新毕业的护士，这表明它将是有效的实施预防策略已经在护理教育，但他们也应该最好继续毕业后。与颈肩和背部疼痛相关的许多因素似乎是可以改变的，因此构成了预防战略的目标。(C)2013爱思唯尔有限公司保留所有权利。
Background: Although it is well known that musculoskeletal disorders are common among registered nurses, little longitudinal research has been conducted to examine this problem from nursing education to working life.Objectives: The aim was to investigate the prevalence and incidence of neck/shoulder and back pain in nursing students in their final semester, and one and two years after graduation. Furthermore, to identify common trajectories of neck/shoulder and back pain, and explore sociodemographic and lifestyle-related factors, contextual factors and health outcome that might be characteristic of individuals in the various trajectories.Design: Longitudinal study following nursing students from their final year of studies, with follow-ups one and two years after graduation.Settings and participants: Nursing students who graduated from the 26 universities providing undergraduate nursing education in Sweden 2002 were invited to participate (N=1700). Of those asked, 1153 gave their informed consent.Methods: The participants answered postal surveys at yearly intervals. Descriptive statistics were used to analyze prevalence and incidence of pain, and growth mixture modeling was applied to identify different homogeneous clusters of individuals following similar trajectories in pain development across time.Results: The prevalence of neck/shoulder and back pain remained constant over time (around 50% for neck/shoulder pain and just over 40% for back pain). Six different development trajectories for each symptom were found, reflecting patterns of stable pain levels or variation in levels over time: one symptom-free group, two decreasing pain groups, two increasing pain groups, and one chronic pain group. With few exceptions, the same factors (sex, children, chronic disease, working overtime, work absence, sickness presence, physical load, depression, self-rated health, sleep quality and muscular tension) were associated with neck/shoulder and back pain trajectories. Different types of physical load characterized new nurses with neck/shoulder pain and back pain respectively.Conclusions: The high prevalence of pain among nursing students and among new graduate nurses, suggests that it would be effective to implement preventive strategies already during nursing education, but they should also preferably continue after graduation. Many factors associated with pain in the neck/shoulder and back seem to be modifiable, and thereby constitute targets for preventive strategies. (C) 2013 Elsevier Ltd. All rights reserved.