心肺復甦術對救護技術員背痛之影響評估

Cardiopulmonary Resuscitation and Back Pain among Emergency Medical Technicians

胡耿瑋(Keng-Wei Hu) ； 郭浩然(How-Ran Guo) ； 李欣玲(Hsin-Ling Lee) ； 廖晉堃(Chin-Kun Liao) ； 陳國泰(Kuo-Tai Chen) ； 林宏榮(Hung-Jung Lin) ； 符凌斌(Ning-Ping Foo)

《中華民國急救加護醫學會雜誌》 19卷3期 (2008/09) Pp. 93-101

https://doi.org/10.30018/JECCM.200809.0001

摘要

Introduction: Back pain is one of the common occupational diseases. There has been no previous study of the prevalence of back pain among emergency medical technicians (EMTs) in Taiwan.
Objective: To determine the prevalence of back pain among EMTs and the relationship between back pain and the carrying out of cardiopulmonary resuscitation (CPR).
Methods: This was a cross sectional study in which a questionnaire was sent to EMTs across southern Taiwan between March 2006 and May 2006. The content focused on musculoskeletal discomfort over the last year and the association between CPR and back pain. The dataset was analyzed by descriptive and logistic regression, which were used to compare the association between back pain and CPR associated factors.
Result: The mean age of the EMTs was 35.59±7.96 years old and a EMT-2 level of training predominated (80.2%), More than a half of them had worked for more than 10 years as an EMT. The prevalence of musculoskeletal discomfort over the last year was 62.6% and the prevalence of back pain was 54.1%. Moreover, 15.7% of the personnel had asked for leave, 40.4% of personnel had taken bed rest and 44.3% of personnel had taken medication in order to control the pain. In addition, 58.1% of personnel had experienced back pain after CPR and 68.7% of them considered the cause of their back pain to be related to CPR. Among the respondents, 52% of them had performed CPR alone without any assistance. Overall, there was a significant risk of increased back pain among EMTs who carried out CPR alone (Odds ratio 1.60, 95% Confidence interval 1.03~2.47, p value 0.036). Notwithstanding this, there was no statistical significant correlation between back pain and age, marital status, CPR posture and frequency of carrying out CPR.
Conclusions: It is clear that back pain is a common problem among EMTs who work in southern Taiwan and in some cases this has already impacted on their daily life and work. CPR without assistance was a significant risk factor for the presence of back pain. We recommend the fire bureau reconstruct the three ambulance offices where the mission rescuers work in order to reduce the prevalence of back pain among EMTs.

關鍵字

背痛 ； 救護人員 ； 心肺復甦術

並列摘要

Introduction: Back pain is one of the common occupational diseases. There has been no previous study of the prevalence of back pain among emergency medical technicians (EMTs) in Taiwan.
Objective: To determine the prevalence of back pain among EMTs and the relationship between back pain and the carrying out of cardiopulmonary resuscitation (CPR).
Methods: This was a cross sectional study in which a questionnaire was sent to EMTs across southern Taiwan between March 2006 and May 2006. The content focused on musculoskeletal discomfort over the last year and the association between CPR and back pain. The dataset was analyzed by descriptive and logistic regression, which were used to compare the association between back pain and CPR associated factors.
Result: The mean age of the EMTs was 35.59±7.96 years old and a EMT-2 level of training predominated (80.2%), More than a half of them had worked for more than 10 years as an EMT. The prevalence of musculoskeletal discomfort over the last year was 62.6% and the prevalence of back pain was 54.1%. Moreover, 15.7% of the personnel had asked for leave, 40.4% of personnel had taken bed rest and 44.3% of personnel had taken medication in order to control the pain. In addition, 58.1% of personnel had experienced back pain after CPR and 68.7% of them considered the cause of their back pain to be related to CPR. Among the respondents, 52% of them had performed CPR alone without any assistance. Overall, there was a significant risk of increased back pain among EMTs who carried out CPR alone (Odds ratio 1.60, 95% Confidence interval 1.03~2.47, p value 0.036). Notwithstanding this, there was no statistical significant correlation between back pain and age, marital status, CPR posture and frequency of carrying out CPR.
Conclusions: It is clear that back pain is a common problem among EMTs who work in southern Taiwan and in some cases this has already impacted on their daily life and work. CPR without assistance was a significant risk factor for the presence of back pain. We recommend the fire bureau reconstruct the three ambulance offices where the mission rescuers work in order to reduce the prevalence of back pain among EMTs.

並列關鍵字

back pain ； cardiopulmonary resuscitation ； emergency medical technicians