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Risk factors for musculoskeletal symptoms of the neck or shoulder alone or neck and shoulder among hospital nurses

机译:医院护士中仅脖子或肩膀或脖子和肩膀的肌肉骨骼症状的危险因素

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Objectives: To investigate the relationship between sociodemographic, individual and work place factors, and neck pain alone, shoulder pain alone, and neck and shoulder pain among nurses working across three public hospitals in Melbourne, Australia. Methods: Information on participant demographics, somatisation tendency, health beliefs, mental and physical health status, workplace physical and psychosocial factors, and musculoskeletal symptoms and pain at several body sites was collected. Results: 1111 participants (response rate 38.6%) were included in the study: 17.2% reported neck pain alone, 11.6% shoulder pain alone and 15.8% both neck and shoulder pain in the past month. Self-reported neck and shoulder pain were independently associated with poorer mental (OR 0.96, 95% CI 0.94 to 0.98) and physical (0.92, 0.90 to 0.95) health and well-being, somatisation (1.77, 1.03 to 3.04) and negative work-causation beliefs (2.51, 1.57 to 3.99). Neck pain alone was more consistently associated with sociodemographic factors, mental (0.97, 0.96 to 0.99) and physical (0.97, 0.94 to 0.99) health and well-being, and shoulder pain alone was associated with physical health and well-being (0.95, 0.92 to 0.98) and fear-avoidance beliefs (0.45, 0.24 to 0.86). Conclusion: Risk factors for self-reported pain between regions of the neck and shoulder alone, and neck and shoulder differed. While neck and shoulder pain was consistently associated with several risk factors, neck and shoulder pain in isolation were both associated with physical health and well-being and individually associated with sociodemographic and health beliefs, respectively. These findings suggest that different factors may be associated with a single pain region versus pain in two regions.
机译:目的:调查在澳大利亚墨尔本三所公立医院工作的护士中,社会人口统计学,个人因素和工作地点因素与颈痛,颈肩痛以及颈肩痛之间的关系。方法:收集有关参与者人口统计学,躯体化趋势,健康信念,心理和身体健康状况,工作场所身体和心理社会因素以及几个身体部位的肌肉骨骼症状和疼痛的信息。结果:1111名参与者(响应率为38.6%)被纳入研究:在过去的一个月中,仅颈痛的报告率为17.2%,仅肩痛的报告为11.6%,颈肩痛的报告率为15.8%。自我报告的脖子和肩膀疼痛分别与较差的智力(OR 0.96,95%CI 0.94至0.98)和身体(0.92,0.90至0.95)健康和福祉,躯体化(1.77,1.03至3.04)和负面工作有关-因果信念(2.51、1.57至3.99)。仅颈部疼痛与社会人口统计学因素,精神健康(0.97,0.96至0.99)和身体健康(0.97,0.94至0.99)和福祉的关联更一致,仅肩膀疼痛与身体健康和福祉(0.95, 0.92至0.98)和避免恐惧的信念(0.45、0.24至0.86)。结论:仅在颈部和肩部之间自我报告疼痛的危险因素,并且颈部和肩部有所不同。尽管颈部和肩部疼痛始终与多种危险因素相关,但孤立的颈部和肩部疼痛既与身体健康和福祉相关,又分别与社会人口统计学和健康观念相关。这些发现表明,与两个区域的疼痛相比,单个疼痛区域可能与不同的因素有关。

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