持续严重背部疼痛的背景因素:德国雇员之间的纵向分析
Julia-Marie Zimmer1, David Fauser2, André Golla1
1Institute for Rehabilitation Medicine, Interdisciplinary Centre of Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
European journal of pain (London, England)
|November 23, 2023
概括
慢性背痛通常在员工中持续存在,影响日常生活和工作. 老年,健康状况不佳和心理健康问题等因素预测长期疼痛停滞.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 疼痛管理 疼痛管理
- 精神病体医学是一种精神病体医学.
背景情况:
- 慢性背痛显著影响员工参与社会,日常和工作活动.
- 很大一部分人经历持续的严重背痛,影响生活质量.
研究的目的:
- 为了在两年后评估背部疼痛的严重程度.
- 确定中年员工持续严重背痛的预测因素.
主要方法:
- 一项前性队列研究,采用德国养老保险保险人的随机抽样.
- 在基线和两年后的随访时采集基于问卷的数据.
- 多变量逻辑回归分析以确定疼痛停滞的预测因素.
主要成果:
- 在基线时有48%的严重背痛患者在两年后经历了疼痛停滞.
- 持续性疼痛的预测因素包括年龄较大,一般健康状况较差,并发病,抑郁症状和照顾者的负担.
- 较低的自我效能和更高的恐惧回避信念也与停滞的严重背痛有关.
结论:
- 心理健康,社会和个人因素对于理解高风险个体的长期背痛进展至关重要.
- 识别患有停滞性疼痛的个体需要考虑背景因素和同时存在的健康问题.
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