Abstract:

Objective To explore the current status and influencing factors of self-management activity in operating room nurses with occupational low back pain（LBP） and provide a theoretical basis for improving their self-management capabilities. Methods A convenience sampling method was used to survey 335 operating room nurses from six hospitals in Guangdong Province from February and March 2025 using a general information questionnaire and the Chinese version of participants activation for self-management of back pain（PAMQ），and the data were analyzed. Results The self-management activity score for occupational LBP among operating room nurses was （40.54±10.58）points，indicating a moderately high level. The average number of night shifts per month（B=-2.349，P<0.01），the need for assistance in transferring surgical patients post-operation（B=5.962，P<0.01），the requirement to remove the bed tailboard alone during lithotomy position surgery（B=6.521，P<0.01），the number of days off due to LBP in the past two months（B=-4.419，P<0.01），and participation in occupational disease prevention training（B=-3.255，P<0.01） were the main influencing factors，collectively explaining 79.9% of the variance. Conclusion The self-management activity level of operating room nurses with occupational LBP is moderately high，with strong self-management beliefs but room for improvement in awareness and professional knowledge. Nursing managers should optimize workflows，provide assistive devices，and enhance occupational protection training to improve self-management activity of operating room nurses with occupational LBP.

Key words: Operating room nurses, Occupational low back pain, Self-management, Activity Level, Gurrent status, Influencing factors