助产士对职业性下背痛认知的调查  

Awareness of occupational low back pain： a survey of 244 midwives

作　　者：叶朝[1] 郭路[1] 张清梅[2] 耿志洁[3] 尚晓娣[4] 李星[2] 

机构地区：[1]天津市第一中心医院产科,300192 [2]天津市医科大学总医院 [3]天津市第三中心医院 [4]天津市中心妇产科医院

出　　处：《中华劳动卫生职业病杂志》2014年第6期421-424,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的了解助产士对职业性下背痛的认知、预防和保健的知识，调查该人群职业性下背痛的发生率。方法应用调查问卷和中文版Roland—Morris功能障碍调查表（CRMDQ），对某市二、三级医院随机抽取的244名助产士进行问卷调查，并对相关指标进行统计分析。结果参与调查的244名助产士中，了解职业性下背痛的概念、发生机制及危害的仅分别占18．4％、28．3％和54．1％，掌握一种职业性下背痛预防和保健方法的占9．4％．85．2％；能否正确应用人体力学与是否出现职业性下背痛情况密切相关（P〈0．01），244名助产士对应用人体力学原理操作的需求率较高，最高达99．2％；CRMDQ腰痛量表的24个项目均有得分，最低为1分，最高为24分，总得分平均值为（8．5±7．2）分。结论本次调查的244名助产士对职业性下背痛的认知度较低，而职业性下背痛在助产士中有较高的发生率，并对助产士的身体健康及币常执业构成了不同稗摩的影响。Objective To investigate the awareness of occupational low back pain and knowledge of related prevention and healthcare measures among midwives, and to determine the incidence of low back pain among them. Methods A questionnaire survey was carried out with the use of Roland-Morris Disability Questionnaire （Chinese version） （CRMDQ） among 244 midwives from second- and third-class hospitals in Tianjin, China. Related indices were statistically analyzed. Results Among 244 midwives who participated in the survey, only 18.4% knew the definition of occupational low back pain, 28.3% knew the pathogenic mechanism, and 54.1% knew its harm. About 9.4%-$5.2% of midwives mastered at least one method for prevention and health care against occupational low back pain. Proper or improper use of human body mechanics was closely related to the development of occupational low back pain （P〈O.01）. There was a high proportion of midwives with a demand for application of human body mechanics principle in operation, and the proportion was as high as 99.2%. All the 24 items in CRMDQ were scored, with the lowest score of 1, the highest score of 24, and an average score of 8.5±7.2. Conclusion The awareness rate of occupational low back pain was low among the 244 midwives in this study. The incidence of low back pain, which had influenced the health status and occupational practice, was high among them.

关 键 词：助产士 职业性下背痛 认知 Roland—Morris功能障碍调查表 

分 类 号：R47[医药卫生—护理学]