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首页> 外文期刊>Journal of occupational health. >Effort-reward Imbalance and Low Back Pain among Eldercare Workers in Nursing Homes: A Cross-sectional Study in Kagawa Prefecture, Japan
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Effort-reward Imbalance and Low Back Pain among Eldercare Workers in Nursing Homes: A Cross-sectional Study in Kagawa Prefecture, Japan

机译：养老院工作人员的努力奖赏失衡和腰痛：日本香川县的横断面研究

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Objectives: To clarify effort-reward imbalance among eldercare workers in nursing homes and to examine the association between the effort-reward imbalance (ERI) and low back pain (LBP) among them. Methods: A total of 549 questionnaires were distributed to a random sample comprising 23% of the 79 special elderly nursing homes in Kagawa in 2013. A total of 467 eldercare workers (response rate 85%) participated in this study. Of the 467 eligible respondents, 372 (80%) completed all items of the ERI questionnaire. Complete data were available for 342 (73%) eldercare workers. Results: Of the 342 respondents, 215 (63%) had LBP at the time of the study, and 291 (85%) showed a critical “high cost/low gain” condition as determined by an effort-reward ratio >1. Multiple logistic regression analyses adjusted for age, gender, previous LBP experience, high-risk work and K6 score showed that eldercare workers with a high ERI had a higher risk for LBP than workers with a low ERI (OR, 1.96; 95% CI, 1.02–3.77). Conclusions: Most eldercare workers have a high ERI, and their LBP is associated with their ERI. Balancing effort and reward may be an important factor for improving LBP among eldercare workers in nursing homes.(J Occup Health 2014; 56: 197-204)
机译：目的：澄清养老院工作人员中的工作量回报不平衡，并检查其中的工作量回报不平衡（ERI）与下腰痛（LBP）之间的关联。方法：2013年，共向随机样本分发了549份问卷，占香川县79所特殊敬老院的23％。共有467名老年人护理人员（答复率为85％）参加了这项研究。在467位合格的受访者中，有372位（80％）完成了ERI调查问卷的所有项目。有342名（73％）的老年护理工作者的完整数据。结果：在342名受访者中，有215名（63％）的人在研究时患有LBP，而291名（85％）的人表现出严重的“高成本/低收益”状况，这是由努力回报率大于1决定的。对年龄，性别，以前的LBP经历，高风险工作和K6得分进行校正的多项逻辑回归分析表明，ERI高的老年护理人员的LBP风险高于ERI低的老年护理人员（OR为1.96; CI为95％， 1.02-3.77）。结论：大多数老年人护理人员的ERI很高，他们的LBP与他们的ERI相关。努力与奖励的平衡可能是改善养老院工作人员LBP的重要因素。（J Occup Health 2014; 56：197-204）

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