Analysis on current status and influencing factors of unhelpful beliefs among nurses with occupational low back pain in Hunan Province

Abstract

Abstract: Objective To investigate the current status of unhelpful beliefs among nurses with occupational low back pain and analyze its factors influencing. Methods A total of 223 nurses in two tertiary hospitals in Hunan Province were selected as research subjects from May to July 2023 by conveience sampling method. A general information questionnaire and a low back pain attitude questionnaire were used to investigate and analyze the data. Results The score of low back pain attitude among 223 nurses with occupational low back pain was（118.89±6.93）points. Whether to seek medical attention,the frequency of weekly exercise,the number of days of sick leave,work intensity,and the duration of low back pain were the influencing factors of unhelpful belief among nurses with occupational low back pain（all P<0.05）,which could explain 19.1% of the total variation. Conclusion Totally 223 occupational low back pain nurses generally had high levels of unhelpful beliefs. Nursing managers should strengthen evidence-based education training based on nurses' occupational characteristics and the unhelpful beliefs they hold,and develop targeted interventions to help nurses change their attitudes toward low back pain,reduce the level of unhelpful beliefs,and promote the healthy development of the nursing workforce.

Key words: Nurse, Low back pain, Attitude, Occupational health, Unhelpful beliefs

CLC Number:

R181.3⁺1

XIE Xing, LU Shuzhen, CHEN Le, FU Jingjing, GAO Zhe, LI Guifei. Analysis on current status and influencing factors of unhelpful beliefs among nurses with occupational low back pain in Hunan Province. [J]OCCUPATION AND HEALTH, 2024, 40(14): 1950-1955.

References

[1] 粟亚男,田凌云,李莞,等.护士腰背痛现状及干预研究进展[J].中国护理管理,2021,21(5):770-774.
[2] KNEZEVIC N N,CANDIDO K D,VLAEYEN J W S,et al.Low back pain[J].Lancet,2021,398(10294):78-92.
[3] CHRISTE G,PIZZOLATO V,MEYER M,et al.Unhelpful beliefs and attitudes about low back pain in the general population:A cross-sectional survey[J].Musculoskeletal Sci Pract,2021,52:102342.
[4] DARLOW B,PERRY M,MATHIESON F,et al.The development and exploratory analysis of the Back Pain Attitudes Questionnaire(Back-PAQ)[J].BMJ Open,2014,4(5):e005251.
[5] CANEIRO J P,BUNZLI S,O'SULLIVAN P.Beliefs about the body and pain:the critical role in musculoskeletal pain management[J].Braz J Phys Ther,2021,25(1):17-29.
[6] DARLOW B.Beliefs about back pain:The confluence of client,clinician and community[J].Int J Osteopath Med,2016,20:53-61.
[7] LIN I,WILES L,WALLER R,et al.What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines:systematic review[J].Br J Sports Med,2020,54(2):79-86.
[8] VALENZUELA-PASCUAL F,MOLINA F,CORBI F,et al.The influence of a biopsychosocial educational internet-based intervention on pain,dysfunction,quality of life,and pain cognition in chronic low back pain patients in primary care:a mixed methods approach[J].BMC Med Inform Decis Mak,2015,15:97.
[9] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,45(4):378-380.
[10] University of Otago,Wellington.Department of Primary Health Care & General Practice.Back Pain Attitude Questionnaire(Back-PAQ)[EB/OL].(2023-05-30)[2023-08-04].https://www.otago.ac.nz/wellington/departments/primaryhealthcaregeneralpractice/research/otago656643.html.
[11] PIEROBON A,POLICASTRO P O,SOLINO S,et al.Beliefs and attitudes about low back pain in Argentina:A cross-sectional survey using social media[J].Musculoskelet Sci Pract,2020,49:102183.
[12] CHRISTE G,NZAMBA J,DESARZENS L,et al.Physiotherapists' attitudes and beliefs about low back pain influence their clinical decisions and advice[J].Musculoskelet Sci Pract,2021,53:102382.
[13] RAY B M,KOVALESKI A,KELLERAN K J,et al.An exploration of low back pain beliefs in a Northern America based general population[J].Musculoskelet Sci Pract,2022,61:102591.
[14] SWAIN C T V,PAN F,OWEN P J,et al.No consensus on causality of spine postures or physical exposure and low back pain:A systematic review of systematic reviews[J].J Biomech,2020,102:109312.
[15] O'SULLIVAN P B,CANEIRO J P,O'SULLIVAN K,et al.Back to basics:10 facts every person should know about back pain[J].Br J Sports Med,2020,54(12):698-699.
[16] SETCHELL J,COSTA N,FERREIRA M,et al.Individuals' explanations for their persistent or recurrent low back pain:A cross-sectional survey[J].BMC Musculoskeletal Disord,2017,18(1):466.
[17] FOSTER N E,ANEMA J R,CHERKIN D,et al.Prevention and treatment of low back pain:evidence,challenges,and promising directions[J].Lancet,2018,391(10137):2368-2383.
[18] NKHATA L A,BRINK Y,ERNSTZEN D,et al.Nurses back pain beliefs,coping strategies and factors associated with participant activation for self-management of back pain[J].J Adv Nurs,2021,77(9):3772-3783.
[19] 郭淑萍,郑栋莲,王艳,等.护士职业性腰背痛自我管理积极度现状及影响因素分析[J].护理学杂志,2022,37(23):63-66.
[20] 杜世正,胡雁,金克峙,等.护士职业性腰背痛预防和护理临床实践指南[J].护士进修杂志,2021,36(13):1227-1236.
[21] 顾蕊,王岩,陈伯华.中国非特异性腰背痛临床诊疗指南[J].中国脊柱脊髓杂志,2022,32(3):258-268.
[22] HUANG R,NING J,CHUTER V H,et al.Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism:systematic review and network meta-analysis of randomised controlled trials(RCTs) aimed at preventing back pain[J].Br J Sports Med,2020,54(13):766-770.
[23] STEFFENS D,MAHER C G,PEREIRA L S,et al.Prevention of low back pain:A systematic review and meta-analysis[J].JAMA Intern Med,2016,176(2):199-208.
[24] 林海鸟,贾曼,李群,等.职业性腰背痛护士的疼痛恐惧与工作心理负荷的相关性研究[J].中华全科医学,2022,20(2):336-339,343.
[25] 廖俪雯,王琳.护士心理弹性干预的研究进展[J].中华护理杂志,2023,58(8):942-949.