MANUAL HANDLING ACTIVITIES AND RISK OF LOW-BACK-PAIN IN NURSES
MANUAL HANDLING ACTIVITIES AND RISK OF LOW-BACK-PAIN IN NURSES
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DOI：
10.1136/oem.52.3.160
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发表时间：
1995-03-01
影响因子：
4.9
通讯作者：
COGGON, D
中科院分区：
文献类型：
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作者：
SMEDLEY, J;EGGER, P;COGGON, D
调查医院护士腰痛的危险因素，特别强调的作用，具体nursingactivity.Methods-A横断面调查的2405名护士受雇于一组教学医院进行。自我管理的问卷调查被用来收集有关职业活动，非职业性危险因素的背部症状，和历史的腰痛。结果的总体应答率为69%。在1616名妇女中，背痛的终生患病率为60%，一年患病率为45%。10%的人因背痛而缺勤超过4周。男性的发病率与女性大致相似。在女性中，过去12个月的背痛与身高的相关性很弱，并且在那些经常报告头痛和情绪低落等非肌肉骨骼症状的人中更常见。在调整身高和非肌肉骨骼症状后，发现与手动移动床上患者，手动在床和椅子之间转移患者以及手动将患者从地板上抬起的频率有显着相关性。相比之下，没有发现与用帆布和杆子转移患者、手动将患者抬入和抬出浴缸或使用机械辅助装置抬出患者有关的风险明显增加。这些研究结果的确认，现在正在寻求在同一population. Conclusions的前瞻性研究，这项研究证实，腰痛是非常普遍的护士，并与高水平的疾病缺席。经常报告非肌肉骨骼症状的人更有可能报告腰痛。特定的手动操作任务与背痛风险增加相关;然而，与机械化患者转移没有发现这种关联。
Objective-To investigate the risk factors for low back pain in hospital nurses, with particular emphasis on the role of specific nursing activities.Methods-A cross sectional survey of 2405 nurses employed by a group of teaching hospitals was carried out. Self administered questionnaires were used to collect information about occupational activities, non-occupational risk factors for back symptoms, and history of low back pain.Results-The overall response rate was 69%. Among 1616 women, the lifetime prevalence of back pain was 60% and the one year period prevalence 45%. 10% had been absent from work because of back pain for a cumulative period exceeding four weeks. Rates in men were generally similar to those in women. In women back pain during the previous 12 months was weakly associated with height, and was significantly more common in those who reported frequent non-musculoskeletal symptoms such as headache and low mood. After adjustment for height and non-musculoskeletal symptoms, significant associations were found with frequency of manually moving patients around on the bed, manually transferring patients between bed and chair, and manually lifting patients from the floor. In contrast, no clear increase in risk was found in relation to transfer of patients with canvas and poles, manually lifting patients in and out of the bath, or lifting patients with mechanical aids. Confirmation of these findings is now being sought in a prospective study of the same population.Conclusions-This study confirms that low back pain is highly prevalent among nurses and is associated with a high level of sickness absence. People who often report non-musculoskeletal symptoms were significantly more likely to report low back pain. Specific manual handling tasks were associated with an increased risk of back pain; however, no such association was found with mechanised patient transfers.