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护理工作者患有腰部疼痛的子组特征:基于集群分析的中央敏感性综合征和腰部疼痛的严重程度

Hayato Shigetoh¹, Teppei Abiko², Michie Ohyama³

¹Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University, 34 Yamada-cho, Oyake, Yamashina-ku, Kyoto, 607-8175, Japan. shigeto@tachibana-u.ac.jp.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|February 12, 2024

概括

患有腰部疼痛 (LBP) 和中枢敏感综合征 (CSS) 的护理工作者组成了四个子组. 严重的LBP和CSS与心理痛苦和工作挑战有关,为更好的LBP管理提供了信息.

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:

腰部疼痛 (LBP) 在护理工作者中很普遍.
中央敏感综合征 (CSS) 可以加剧疼痛状况.
了解子组特征对于有针对性的干预至关重要.

研究的目的:

根据中心敏感综合征 (CSS) 和腰部疼痛 (LBP) 的严重程度,对护理工作者的子组进行表征.
调查这些子组与工作状态之间的关系.
为患有LBP的护理工作者提供管理策略的信息.

主要方法:

这是一项涉及660名护理人员的多中心,协作和跨部门研究.
评估LBP强度,持续时间,地点,CSS (中央敏感化清单-9),心理因素 (疼痛灾难化量表,疼痛自我效能问卷) 和工作状态.
根据CSS和LBP严重程度定义子组的等级聚类分析,然后进行基平方测试进行比较.

主要成果:

四个子组出现了:轻度LBP/没有CSS,严重LBP/轻度CSS,轻度LBP/轻度CSS,和中度LBP/严重CSS.
严重的CSS小组报告了更多的疼痛部位,更高的疼痛灾难性,更低的自我效能,以及更大的工作援助需求.
严重的LBP/轻度CSS小组经历了最高的与工作有关的干扰,与低疼痛自我有效性相关.

结论:

存在着患有LBP和CSS的不同小组的护理工作者,他们的心理形象和工作状态影响各不相同.
严重的LBP和严重的CSS分组在与心理因素和工作干扰相关的特征上有共同点和差异.
结果可以指导改善护理工作者经历LBP和CSS的管理策略.

关键词:

护理工作者护理工作者中央敏感性综合征的症状腰部疼痛腰部疼痛腰部疼痛与疼痛相关的因素小组子组分组子组.

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