Characterizing Occupational Low Back Pain among Surgeons Working in Ministry of Health Hospitals: Prevalence, Clinical Features and Risk and Protective Factors

Khaled S. Aseri, A. A. Mulla, R. Alwaraq, R. J. Bahannan
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Abstract

A cross-sectional study was conducted to investigate the prevalence as well as the determinants and clinical features of occupational low back pain among surgeons working at Ministry of Health hospitals in Jeddah, Saudi Arabia by exploring its history combined with time of onset after starting the operating room work and self-appraisal of the relationship with the surgical work. Factors and predictors such as professional, socio-demographic and lifestyle factors, medical history, etc. were collected and analyzed. Two hundred and sixteen surgeons (69.9% males, mean age 39.03 years, median work: 5.00 years) responded. Prevalence of occupational low back pain was 55.8% (95% CI: 49.0%, 62.3%); high rates of inadequate management and self-treatment had a notable impact on all 4 domains. Multivariate regression showed two independent protective factors (regular physical exercise [OR = 0.27, P = 0.002] and back health education [OR = 0.41, P = 0.031] and two independent risk factors (high exposure to risky activities [OR = 1.06, P = 0.048] and presence of chronic pain other than back pain [OR = 2.59, P = 0.012]). More than one in two surgeons are likely to suffer from occupational low back pain. The protective roles of regular physical activity and back health education are highlighted
在卫生部医院工作的外科医生职业性腰痛的特征:患病率、临床特征、风险和保护因素
本研究旨在调查沙特阿拉伯吉达卫生部医院外科医生职业性腰痛的患病率、决定因素和临床特征,探讨其病史、开始手术室工作后发病时间以及与手术工作关系的自我评价。收集并分析职业、社会人口、生活方式、病史等因素及预测因素。216名外科医生回应,其中男性69.9%,平均年龄39.03岁,中位工作时间5.00年。职业性腰痛患病率为55.8% (95% CI: 49.0%, 62.3%);管理和自我治疗不足的高发率对所有4个领域都有显著影响。多因素回归显示两个独立的保护因素(定期体育锻炼[OR = 0.27, P = 0.002]和背部健康教育[OR = 0.41, P = 0.031])和两个独立的危险因素(高危险活动暴露[OR = 1.06, P = 0.048]和存在非背部疼痛的慢性疼痛[OR = 2.59, P = 0.012])。超过二分之一的外科医生可能患有职业性腰痛。强调了定期体育锻炼和背部健康教育的保护作用
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