心理健康和活力预测医疗保健工作者的脊柱疼痛
A Espin1,2,3, R Núñez-Cortés1,4,5, J Irazusta2,3
1Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.
Occupational medicine (Oxford, England)
|September 4, 2023
概括
心理健康和活力显著影响医护人员的脊柱疼痛. 适度的心理健康和较低的活力预测在一年内增加腰部,上背部和部疼痛.
科学领域:
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
- 流行病学 流行病学
背景情况:
- 对于医疗保健工作者脊柱疼痛,人体工程学因素得到了充分研究.
- 这种人群中脊柱疼痛的心理风险因素不太了解.
研究的目的:
- 为了前性地研究心理健康,活力和脊柱疼痛的发展之间的联系.
- 在医疗保健工作者中识别脊柱疼痛的心理预测因素.
主要方法:
- 一项针对1950名丹麦医疗保健工作者在19家医院进行的前性队列研究.
- 基线和1年的随访评估使用简单-36健康调查 (心理健康,活力) 和0-10疼痛强度等级.
- 调整为混因素的累积后勤回归被用于计算几率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 在随访时,中度心理健康与腰部 (OR:1.41),上背部 (OR:1.63) 和部疼痛 (OR:1.31) 的增加有关.
- 适度和低活力与所有脊柱区域的疼痛强度显著增加有关 (下背ORs: 1.54-2.34;上背ORs: 1.72-2.46;部ORs: 1.66-2.06).
结论:
- 心理健康状况中等或活力低/中等的医疗保健工作者面临更高的脊柱疼痛增加的风险.
- 心理健康和活力是预防医疗保健专业人员脊柱疼痛的关键因素.
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