...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal of occupational and environmental health : >Work-relatedness of low back pain in nursing personnel: A systematic review
【24h】

Work-relatedness of low back pain in nursing personnel: A systematic review

机译：护理人员下腰痛的工作相关性：系统评价

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Although non-specific low back pain (LBP) is known to be multifactorial, studies from across the globe have documented their higher prevalence in nurses. This systematic review was conducted to ascertain whether this much-documented association constitutes a causal relationship, and whether there is a discernible threshold of exposures associated with this elevated risk. Methods: PRISMA guidelines were followed and standard critical appraisal tools were applied. The outcome of interest was non-specific LBP or back injury; exposure was "performing nursing duties." Applicable studies, published in English during 1980-2012, were identified through database searches, screened against preset inclusion/exclusion criteria. Ergonomic assessments of nursing tasks were included along with epidemiological studies. Bradford Hill considerations for causation were utilized as a framework for discussing findings. Findings: Of 987 studies identified, 89 qualified for inclusion, comprising 21 longitudinal, 36 cross-sectional analytic, 23 descriptive biomechanical/ergonomic, and 9 review studies. Overall studies showed that nursing activities conferred increased risk for, and were associated with back disorders regardless of nursing technique, personal characteristics, and non-work-related factors. Patient handling appears to confer the highest risk, but other nursing duties are also associated with elevated risk, and confound dose- response assessments related to patient handling alone. Associations were strong, consistent, temporally possible, plausible, coherent, and analogous to other exposure-outcomes, with risk estimates ranging from 1.2 to 5.5 depending on definitions. A threshold of nursing activities below which the risk of back disorders is not elevated has not been established. Interpretation: Notwithstanding the bio-psycho-social nature of LBP, and complexities of studying this area, sufficient evidence exists of a causal relationship between nursing tasks and back disorders to warrant new policies.
机译：背景：尽管非特异性下背痛（LBP）是多因素引起的，但来自全球的研究已证明其在护士中的患病率较高。进行了系统的审查，以确定这种文献记载的关联是否构成因果关系，以及是否存在与这种升高的风险相关的暴露阈值。方法：遵循PRISMA指南，并使用标准的关键评估工具。感兴趣的结果是非特异性LBP或背部损伤。暴露是“履行护理职责”。通过数据库搜索确定了1980-2012年间以英语发表的适用研究，并针对预设的纳入/排除标准进行了筛选。护理工作的人体工程学评估以及流行病学研究也包括在内。布拉德福德·希尔（Bradford Hill）对因果关系的考虑被用作讨论发现的框架。结果：在鉴定的987项研究中，有89项符合纳入条件，包括21项纵向研究，36项横截面分析，23项描述性生物力学/人体工程学研究和9项综述研究。总体研究表明，无论护理技术，个人特征和与工作无关的因素如何，护理活动都会增加患上背部疾病的风险，并与之相关。病人的处理似乎带来最高的风险，但其他护理职责也与风险增加相关，并且仅与病人处理相关的剂量反应评估混杂。关联性强，一致，暂时性，合理，连贯，与其他暴露结果相似，根据定义，风险估计范围为1.2到5.5。尚未建立护理活动的阈值，在该阈值以下不会增加背部疾病的风险。解释：尽管LBP具有生物学，社会心理的性质，并且研究该领域很复杂，但有充分的证据表明护理任务和背部疾病之间存在因果关系，因此有必要采取新的政策。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号