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首页> 外文期刊>Occupational and environmental medicine >Work factors as predictors of intense or disabling low back pain; a prospective study of nurses' aides.
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Work factors as predictors of intense or disabling low back pain; a prospective study of nurses' aides.

机译：工作因素可预测剧烈或致残的下腰痛;对护士助手的前瞻性研究。

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AIMS: To identify the work factors that predict intense low back pain (LBP) and LBP related sick leaves in nurses' aides. METHODS: The sample comprised 4266 randomly selected Norwegian nurses' aides, not bothered or only a little bothered by LBP during the previous three months, and not on sick leave when completing a mailed questionnaire in 1999. Of these, 3808 (89.3%) completed a second questionnaire 3 months later and 3651 (85.6%) completed a third questionnaire 15 months later. Intensity of low back symptoms and certified sick leaves attributed to LBP during the observation period were assessed by self reports at the follow ups. RESULTS: After adjustments for LBP during the three months prior to baseline, baseline health complaints, demographic and familial factors, and a series of physical, psychological, and social work factors, logistic regression analyses revealed the following associations: intense low back symptoms were predicted by frequent positioning of patients in bed, perceived lack of support from immediate superior, and perceived lack of pleasant and relaxing culture in the work unit. LBP related sick leaves were predicted by frequent handling of heavy objects, medium level of work demands, perceived lack of supportive and encouraging culture in the work unit, working night shifts, and working in a nursing home. Long term LBP related sick leaves were associated with changes of work or work tasks during the observation period that resulted in a perceived reduction of support and encouragement at work. CONCLUSIONS: Not only frequent mechanical exposures, but also organisational, psychological, and social work factors, such as night shift work, perceived lack of support from superior, and perceived lack of a pleasant and relaxing or supporting and encouraging culture in the work unit, are associated with an increased risk of intense low back symptoms and LBP related sick leaves in nurses' aides.
机译：目的：确定预测护士助手中剧烈下腰痛（LBP）和与LBP相关的病假的工作因素。方法：该样本包括4266名随机选择的挪威护士助手，在过去三个月中没有受到LBP的打扰或仅受到一点打扰，并且在1999年完成邮寄问卷时没有病假。其中3808（89.3％）完成了3个月后提交了第二份问卷，1651年（365.6％）在15个月后完成了第三份问卷。在随访期间通过自我报告评估了腰腿症状的强度和归因于LBP的合格病叶的强度。结果：在基线，基线健康投诉，人口和家庭因素以及一系列身体，心理和社会工作因素之前的三个月中对LBP进行调整后，逻辑回归分析显示出以下关联：预测到强烈的下背部症状由于患者经常躺在床上，感觉不到上级的支持，并且感觉工作单元中缺乏愉快和放松的文化。通过频繁处理重物，中等水平的工作需求，在工作单位中缺乏支持和鼓励的文化，夜班工作以及在疗养院工作来预测与LBP相关的病假。在观察期内，长期与LBP有关的病假与工作或工作任务的变化相关，导致人们感觉到工作上的支持和鼓励减少。结论：不仅频繁的机械暴露，而且组织，心理和社会工作因素（例如夜班工作），上司缺乏支持，工作单位缺乏愉悦，放松或支持和鼓励的文化，与严重的下背部症状和与护士助手中LBP相关的病假风险增加有关。

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