護理人員下背痛問題之探討(I)：問卷調查分析

Low Back Pain in Nursing Personnel -- A Questionnaire Study of Risk Factors --

本研究利用問卷訪談之方式，收集3,159位護理人員下背痛罹患，認知與習慣等相關資料，流行病學分析結果顯示，69.7%的受訪者在過去一年有發生下背痛的經驗。如此高的罹患率，對於平均年齡僅25歲的護理人員而言是一令人警惕的訊息。分析結果顯示搬運重物、年紀、工作年資、坐姿習慣是造成下背痛的主要誘發因素。在調查之不同病房中，加護單位及神經科病房的護理人員，其罹患下背痛之比率較高。由於研究結果顯示，護理人員下背痛之問題認知良好者，並無法免除於下背痛之問題之外，因此工作環境的硬體改善以及工作方法軟體改善，應是降低問題的根本之道。而進一步的工作姿勢分析可提供改善上的參考依據。

Nursing personnel have a relatively high prevalence of low back pain (LBP). The one-year prevalence of LBP was found to be 69.7% in a study of 3,159 young nurses (mean age 24.8) in Taiwan. Risk factors for LBP, through forward stepwise logistic regression, were identified as lifting heavy objects, work experience, age, and sitting-habit. The analysis showed a significant adjusted odds ratio of 2.81 (confidence interval = 1.88, 4.20) indicating that with each increase in the ‘ lifting heavy objects’ risk factor, there was a were held constant in the analysis. The study indicated that nurses ‘ wit high knowledge scores were not necessary be classified in the non- LBP group, therefore, matching the hob demands to a nurse’s physical characteristics is recommended as an effective method for reducing the risk of LBP.