期刊
JOURNAL OF OCCUPATIONAL HEALTH
卷 46, 期 2, 页码 100-108出版社
WILEY
DOI: 10.1539/joh.46.100
关键词
low-back pain; lumbar hernia; nursing staff; biomechanical overload; scoliosis; psychosomatic symptoms; psychosocial factors
Associations of Psychosocial and Individual Factors with Three Different Categories of Back Disorder among Nursing Staff: Francesco S. VIOLANTE, et al. Alma Mater Studiorum-University of Bologna, Occupational Medicine Unit, Sant'Orsola-Malpighi Hospital, Italy-Although back disorders are a major occupational problem for nursing staff, few studies distinguish different types. By means of a structured questionnaire, we performed a cross-sectional study on the prevalence of diagnosed lumbar disc hernia, chronic low-back pain (LBP) (at least 90 d in the preceding 12 months) and acute LBP (intense pain for at least 1 d) with respect to physical, individual and psychosocial factors among female nurses (n = 587), nursing aides (n = 228) and head-nurses (n = 43) working in a university hospital (95% of the female workforce). Almost all respondents reported known high-risk occupational activities. Overall prevalence of reported back disorders was 44% (acute LBP 19%, chronic LBP 17%, lumbar hernia 8%). On multinomial logistic regression analysis, scoliosis and commonly stress-related psychosomatic symptoms were associated with all three types of back disorder; trauma/ fractures of the spine, pelvis and/or legs and a global work-environment/job-satisfaction score with acute LBP; increasing age with lumbar disc hernia. While confirming the relevance of considering different definitions of back disorder, our data indicate items for investigation in cohort studies. These include: identification of specific risk factors for lumbar hernia; avoidance of possible work-environment risk factors such as hurried execution of different tasks at the same time; and influence on job suitability of underlying spinal pathologies such as scoliosis.
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