Musculoskeletal Pain and Reported Workplace Assault: A Prospective Study of Clinical Staff in Nursing Homes
Musculoskeletal Pain and Reported Workplace Assault: A Prospective Study of Clinical Staff in Nursing Homes
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DOI：
10.1177/0018720813508778
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发表时间：
2014-02-01
期刊：
影响因子：
3.3
通讯作者：
Gore, Rebecca J.
中科院分区：
文献类型：
--
作者：
Miranda, Helena;Punnett, Laura;Gore, Rebecca J.
目的：本研究前瞻性地考察了工作场所暴力对养老院工作人员肌肉骨骼症状的影响。背景：以前我们报道了工作中的身体攻击与肌肉骨骼疼痛之间的横断面关系。这一跟踪调查提供了更有力的证据，证明工作场所暴力对同一劳动力在两年内的肌肉骨骼结果的影响。方法：连续三次年度调查的养老院工作人员组成了研究队列(n=344)。结果是肌肉骨骼疼痛、广泛性疼痛、疼痛强度、疼痛对工作和睡眠的干扰，以及同时发生的疼痛和抑郁。主要的预测因素是在每次调查前3个月内自我报告的工作时遭受身体攻击。患病率(PR)用对数二项式回归进行评估，调整了其他工作场所和个人因素。结果：每四名养老院工作人员和34%的护理助理报告在过去两年中持续发生工作场所攻击。在经常遭受攻击的受访者中，三分之二的人经历了中度到极度的肌肉骨骼疼痛，超过50%的人感到疼痛干扰了工作和/或睡眠。基线暴露于攻击可以预测一年后的疼痛结果。反复暴露与疼痛强度、工作干扰和睡眠干扰的风险在两年内呈线性增加；同时发生的疼痛和抑郁的调整PR为3.6(95%CI=1.7-7.9)。结论：工作场所强奸，特别是随着时间的推移反复发生，会增加疼痛的风险，这可能会危及工人的就业能力。应用：更有效的攻击预防将保护和支持需要照顾我们日益增长的老年和残疾人口的劳动力。
Objective: This study examined prospectively the effect of workplace violence on musculoskeletal symptoms among nursing home workers.Background: Previously we reported a cross-sectional relationship between physical assaults at work and musculoskeletal pain. This follow-up provides stronger evidence of the effect of workplace violence on musculoskeletal outcomes within the same workforce over two years.Method: Nursing home workers who responded to three consecutive annual surveys formed the study cohort (n = 344). The outcomes were any musculoskeletal pain, widespread pain, pain intensity, pain interference with work and sleep, and co-occurring pain with depression. The main predictor was self-reported physical assault at work during the 3 months preceding each survey. Prevalence ratios (PRs) were assessed with log-binomial regression, adjusting for other workplace and individual factors.Results: Every fourth nursing home worker, and 34% of nursing aides, reported persistent workplace assault over the 2 years. Among respondents assaulted frequently, two thirds experienced moderate to extreme musculoskeletal pain, and more than 50% had pain interfering with work and/or sleep. Baseline exposure to assault predicted pain outcomes 1 year later. Repeated exposure was associated with a linear increase over 2 years in the risks of pain intensity, interference with work, and interference with sleep; co-occurring pain and depression had an adjusted PR of 3.6 (95% CI = 1.7-7.9).Conclusion: Workplace assault, especially when repeated over time, increases the risk of pain that may jeopardize workers' ability to remain employed.Application: More effective assault prevention would protect and support the workforce needed to care for our increasing elderly and disabled population.