本研究之目的在於找出護理人員下背痛之盛行率與相關之危險因子,以期提供護理人員預防職業性下背痛之原則與方法。本研究之對象為某醫學中心之護理人員,共發出問卷998份,回收之有效問卷為863份,回收率為86.4%。在受訪前一年中,共有48.3%的受訪者曾發生下背痛。單變項logistic迥歸之分析結果顯示,年齡、工作年資、執行心肺復甦術、彎腰拾物、幫病人翻身、轉位及搬動家俱或器材都與下背痛之發生相關。為了同時估計工作量與工作姿勢的影響,作者發展出不良姿勢指數。由多變項分析結果顯示,為病人轉位及搬動家俱或器材之不良姿勢指數最高的一組及工作時走動時間多者,較易引發下背痛。由以上之研究結果,作者的結論為為病人轉位及搬動家俱或器材之不良姿勢是護理人員得到下背痛之最重要的危險因子。
A survey of nurses was conducted to assess the frequency and severity of low back pain (LBP) and to determine the risk factors. Nearly half (48.3%) of the respondents have experienced low back pain in the past year. Univariate logistic regression revealed that aging, length of employment, cardiopulmonary resuscitation, bending to pick-up objects, rolling or transferring patients, and moving furniture, equip- merit were most important factors associated with occurrence of LBP. Multivariate logistic regression showed that a high score of index of inappropriate posture (IIP) in moving furniture or equipment, transfer of patients and greater walking duration in service hours are significantly associated with the prevalence of LBP. We concluded that inappropriate postures during transfer of patients and moving of equipment are the most important risk factors of nurses to get LBP.