Prospective cohort study of predictors of incident low back pain in nurses
Prospective cohort study of predictors of incident low back pain in nurses
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护士发生腰痛的预测因素的前瞻性队列研究
DOI：
10.1136/bmj.314.7089.1225
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
D. Coggon
中科院分区：
文献类型：
--
作者：
J. Smedley;P. Egger;Chris Cooper;D. Coggon
摘要 目的：评估护理患者的处理方式和个体易感性指标对护士腰痛风险的影响。设计：前瞻性队列研究，并在两年内每三个月重复进行一次自我管理的问卷调查。地点：NHS 信托大学医院。受试者：961 名女护士，她们在完成基线调查问卷时至少一个月没有腰痛。主要结果指标：随访期间新发腰痛的发生率以及导致缺勤的疼痛发生率。结果：在提供适合分析数据的 838 名女性中，322 名 (38%) 在随访期间（平均 18.6 个月）出现腰痛，其中 93 名 (11%) 因疼痛导致缺勤。新发腰痛的最强预测因素是较早的症状史，如果先前的疼痛总共持续一个月以上并且发生在进入研究前的 12 个月内（随访期间的发生率为 66%），则风险特别高。基线时经常情绪低落与随后因背痛缺勤密切相关（比值比 3.4；95% 置信区间 1.4 至 8.2）。在对早期背痛病史和其他潜在混杂因素进行调整后，报告经常在床和椅子之间手动转移患者、在床上手动重新定位患者以及用升降机将患者抬进或抬出浴缸的护士的风险较高。结论：在所检查的个人易感性指标中，只有背部疾病史才能充分预测，以证明有选择地排除某些护理岗位申请人的合理性。预防护士背部疾病的主要途径可能在于改善人体工程学。关键信息 背痛病史，特别是最近和长期的背痛病史，高度预示着背痛的新发作 有理由将近期和长期背痛的护士排除在对体力要求最高的工作中 年龄、身高和体重对于背痛风险的区分不足以影响护士的选择和任命 背痛在经常不使用机械辅助设备搬运病人的护士中更为常见 需要进行对照试验来评估旨在预防护士背痛的人体工学干预的益处
Abstract Objective: To assess the impact of handling patients and indicators of individual susceptibility on risk of low back pain in nurses. Design: Prospective cohort study with follow up by repeated self administered questionnaires every three months over two years. Setting: NHS university hospitals trust. Subjects: 961 female nurses who had been free from low back pain for at least one month at the time of completing a baseline questionnaire. Main outcome measures: Incidence of new low back pain during follow up and of pain leading to absence from work. Results: Of 838 women who provided data suitable for analysis, 322 (38%) developed low back pain during follow up (mean 18.6 months), including 93 (11%) whose pain led to absence from work. The strongest predictor of new low back pain was earlier history of the symptom, and risk was particularly high if previous pain had lasted for over a month in total and had occurred within the 12 months before entry to the study (incidence during follow up 66%). Frequent low mood at baseline was strongly associated with subsequent absence from work for back pain (odds ratio 3.4; 95% confidence interval 1.4 to 8.2). After adjustment for earlier history of back pain and other potential confounders, risk was higher in nurses who reported frequent manual transfer of patients between bed and chair, manual repositioning of patients on the bed, and lifting patients in or out of the bath with a hoist. Conclusions: Of the indicators of individual susceptibility that were examined, only history of back trouble was sufficiently predictive to justify selective exclusion of some applicants for nursing posts. The main route to prevention of back disorders among nurses is likely to lie in improved ergonomics. Key messages A history of back trouble, particularly if recent and prolonged, is highly predictive of new episodes of back pain There are grounds for excluding nurses with recent and prolonged back pain from the most physically demanding jobs Age, height, and weight are not sufficiently discriminatory for risk of back pain to influence selection and appointment of nurses Back pain is more common in nurses who lift and move patients frequently without the use of mechanical aids Controlled trials are needed to assess the benefits of ergonomic intervention aimed at prevention of back pain in nurses
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影响因子：
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作者：
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DOI：
--
发表时间：
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期刊：
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影响因子：
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作者：
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