手术室职业性腰背痛医务人员疼痛恐惧、心理韧性与工作生活质量的相关性研究

摘要/Abstract

摘要： 目的调查三级医院手术室职业性腰背痛医务人员疼痛恐惧、心理韧性与工作相关生活质量现状及其相关性,探讨疼痛恐惧、心理韧性对工作相关生活质量的影响。方法采用便利抽样法,于2023年10—12月选取四川省10所三级医院手术室职业性腰背痛医务人员为调查对象,采用疼痛恐惧量表、心理韧性量表与工作相关生活质量量表对237名手术室职业性腰背痛医护人员进行调查。结果 237名职业性腰背痛医务人员疼痛恐惧得分为（80.19±22.86）分,心理韧性得分为（70.92±20.26）分,工作相关生活质量得分为（86.68±19.14）分。单因素分析显示,不同性别、教育水平、工作年限、弯腰频率、参加职业防护培训、接受心理调适培训、感知工作压力及工作满意度的手术室职业性腰背痛医务人员工作相关生活质量得分比较,差异均有统计学意义（均P<0.05）。相关分析显示,手术室职业性腰背痛医务人员工作相关生活质量得分与疼痛恐惧得分均呈负相关（r=-0.206~-0.670,均P<0.05）,与心理韧性得分均呈正相关（r=0.241~0.697,均P<0.05）。多因素分析显示,工作年限、弯腰频率、参加职业防护培训、感知工作压力、工作满意度、疼痛恐惧总分及心理韧性均是手术室职业性腰背痛医务人员工作相关生活质量的主要影响因素（均P<0.05）,共解释总变量的80.9%。结论三级医院手术室职业性腰背痛医务人员工作相关生活质量欠佳,且受多种因素影响,疼痛恐惧和心理韧性是其重要影响因素。管理者应重视医务人员受职业病影响的相关生活质量,降低疼痛恐惧感,提升心理韧性,从而改善医务人员工作相关生活质量。

关键词: 手术室, 医务人员, 职业性腰背痛, 心理韧性, 疼痛恐惧, 影响因素

Abstract: Objective To investigate the current situation and correlation of pain fear,psychological resilience and work-related quality of life among medical staff with occupational low back pain in operating room of tertiary hospitals,explore the influence of pain fear and psychological resilience on work-related quality of life. Methods From October to December 2023,a convenience sampling method was used to select medical workers with occupational low back pain in the operating room of 10 tertiary hospitals in Sichuan Province as the survey objects. Totally 237 medical workers with occupational low back pain in the operating room were investigated by the pain fear scale,psychological resilience scale and work-related quality of life scale. Results The scores of pain fear,psychological resilience and work-related quality of life among 237 medical workers with occupational low back pain were （80.19±22.86）,（70.92±20.26） and （86.68±19.14）points,respectively. The univariate analysis showed that there were statistically significant differences in the score of work-related quality of life among operating room medical staff with occupational low back pain of different gender,education level,working years,bending frequency,participation in occupational protection training,acceptance of psychological adjustment training,perception of work pressure and job satisfaction（all P<0.05）. The correlation analysis showed that the work-related quality of life score of medical staff with occupational low back pain in operating room was negatively correlated with the pain fear score（r=-0.206--0.670,all P<0.05）,and positively correlated with psychological resilience score（r=0.241-0.697,all P<0.05）. The multivariate analysis showed that working years,frequency of bending,participation in occupational protection training,perceived work pressure,job satisfaction,total score of pain fear and psychological resilience were the main influencing factors of work-related quality of life of medical staff with occupational low back pain in operating room（all P<0.05）,which explained 80.9% of the total variables. Conclusions The work-related quality of life of medical staff with occupational low back pain in the operating room of tertiary hospitals is poor and affected by many factors. The pain fear and psychological resilience are important influencing factors. The managers should pay attention to the quality of life of medical staff affected by occupational diseases,reduce pain fear,and improve psychological resilience,so as to improve the work-related quality of life of medical staff.

Key words: Operating room, Medical staff, Occupational low back pain, Psychological resilience, Fear of pain, Influencing factors

中图分类号:

R192

王娅菲, 梁欢. 手术室职业性腰背痛医务人员疼痛恐惧、心理韧性与工作生活质量的相关性研究. [J]职业与健康, 2024, 40(24): 3377-3383.

WANG Yafei, LIANG Huan. Study on correlation between fear of pain,psychological resilience and quality of work life in medical staff with occupational low back pain in operating room. [J]OCCUPATION AND HEALTH, 2024, 40(24): 3377-3383.

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