Mental health and vitality predict spinal pain in healthcare workers.

IF 2.4 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
A Espin, R Núñez-Cortés, J Irazusta, A Rodriguez-Larrad, J Torres-Unda, J Vinstrup, M D Jakobsen, L L Andersen
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引用次数: 0

Abstract

Background: Despite extensive investigation of ergonomic risk factors for spinal pain in healthcare workers, limited knowledge of psychological risk factors exists.

Aims: To assess the prospective association of mental health and vitality with development of spinal pain in healthcare workers.

Methods: A prospective cohort study was carried out involving 1950 healthcare workers from 19 hospitals in Denmark. Assessments were done at baseline and at 1-year follow-up. Mental health and vitality were measured using the Short Form-36 Health Survey, while spinal pain intensity was measured using a 0-10 scale in the low-back, upper-back and neck, respectively. Cumulative logistic regressions adjusted for several confounding factors were applied, reporting risk estimates as odds ratios (ORs) and 95% confidence intervals (CIs).

Results: Using good mental health as reference, moderate (but not poor) mental health at baseline was associated with increased pain intensity in the low-back (OR: 1.41 [95% CI: 1.21-1.77]), upper-back (OR: 1.63 [95% CI: 1.31-2.02]) and neck (OR: 1.31 [95% CI: 1.07-1.61]) at 1-year follow-up. Likewise, using high vitality as reference, both moderate and low vitality at baseline were associated with increased pain intensity in the low-back (OR: 1.54 [95% CI: 1.22-1.94] and OR: 2.34 [95% CI: 1.75-3.12], respectively), upper-back (OR: 1.72 [95% CI: 1.34-2.23] and OR: 2.46 [95% CI: 1.86-3.25], respectively) and neck (OR: 1.66 [95% CI: 1.34-2.06] and OR: 2.06 [95% CI: 1.61-2.63], respectively) at 1-year follow-up.

Conclusions: Compared to healthcare workers with good mental health and high vitality, those with moderate mental health and low/moderate vitality, respectively, were more likely to increase spinal pain intensity at 1-year follow-up. These components should also be considered in the prevention of spinal pain in healthcare workers.

心理健康和活力可预测医护人员的脊柱疼痛。
背景:目的:评估心理健康和活力与医护人员脊柱疼痛发生的前瞻性关联:方法:对丹麦 19 家医院的 1950 名医护人员进行了前瞻性队列研究。在基线和随访 1 年时进行了评估。心理健康和活力采用短表-36健康调查进行测量,脊柱疼痛强度采用0-10分制,分别测量腰部、上背部和颈部的疼痛程度。采用累积逻辑回归法对几种混杂因素进行调整,以几率比(OR)和95%置信区间(CI)的形式报告风险估计值:以良好的心理健康状况为参照,基线心理健康状况中等(而非较差)与随访一年时腰背部(OR:1.41 [95% CI:1.21-1.77])、上背部(OR:1.63 [95% CI:1.31-2.02])和颈部(OR:1.31 [95% CI:1.07-1.61])疼痛强度增加有关。同样,以高活力为参照,基线活力为中度和低度时,腰背部疼痛强度增加(OR:1.54 [95% CI:1.22-1.94] 和 OR:2.34 [95% CI:1.75-3.12]),上背部疼痛强度增加(OR:1.63 [95% CI:1.31-2.02]),颈部疼痛强度增加(OR:1.31 [95% CI:1.07-1.61])。12])、上背部(OR:1.72 [95% CI:1.34-2.23]和 OR:2.46 [95% CI:1.86-3.25])和颈部(OR:1.66 [95% CI:1.34-2.06]和 OR:2.06 [95% CI:1.61-2.63])的疼痛强度:结论:与精神健康状况良好和活力较高的医护人员相比,精神健康状况中等和活力较低/中等的医护人员在 1 年随访时脊柱疼痛强度更有可能增加。在预防医护人员脊柱疼痛时也应考虑这些因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Occupational Medicine-Oxford
Occupational Medicine-Oxford 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
3.90%
发文量
120
审稿时长
4-8 weeks
期刊介绍: Occupational Medicine is an international peer-reviewed journal which provides vital information for the promotion of workplace health and safety. The key strategic aims of the journal are to improve the practice of occupational health professionals through continuing education and to raise the profile of occupational health with key stakeholders including policy makers and representatives of employers and employees. Topics covered include work-related injury and illness, accident and illness prevention, health promotion, occupational disease, health education, the establishment and implementation of health and safety standards, monitoring of the work environment, and the management of recognized hazards. Contributions are welcomed from practising occupational health professionals and research workers in related fields.
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