四川省三级甲等医院职业性腰背疼痛医务人员疼痛困扰、工作压力与睡眠质量的关系分析

Analysis on relationship between pain distress,work stress and sleep quality among medical staff with occupational low back pain in grade-A tertiary hospitals in Sichuan Province

目的 调查四川省三级甲等医院职业性腰背痛医务人员疼痛困扰、工作压力与睡眠质量的现状,并分析其睡眠质量影响因素。方法 采用便利抽样法,选取2021年12月四川省三级甲等医院427名职业性腰背痛医务人员为调查对象,采用一般资料调查问卷、疼痛困扰量表、工作压力量表和睡眠质量指数量表进行数据收集,并对数据进行分析。结果 427名职业性腰背痛医务人员睡眠质量得分为(9.68±3.67)分,其中84.54%职业性腰背痛医务人员睡眠质量得分≥5分,疼痛困扰得分为(48.86±14.85)分,工作压力得分为(30.58±12.57)分。不同婚姻状况、教育水平、职称、疼痛病程、近1月疼痛频率、是否经常锻炼的职业性腰背痛医务人员睡眠质量得分比较,差异均有统计学意义(均P<0.05)。427名职业性腰背痛医务人员睡眠质量各维度得分和总分与疼痛困扰、工作压力各维度得分及总分均呈正相关(r>0,均P<0.05)。疼痛困扰、工作压力、疼痛病程、近1月疼痛频率、是否经常锻炼均是职业性腰背痛医务人员睡眠质量的主要影响因素(均P<0.05),可解释总变异的37.64%。结论 四川省三级甲等医院职业性腰背痛医务人员睡眠质量较差,疼痛困扰与工作压力与睡眠质量显著相关,医疗管理者可根据影响因素采取针对性干预措施改善医务人员职业性腰背痛及睡眠质量,提升其身心健康水平。

Objective To investigate the status of pain,work stress and sleep quality of medical staff with occupational low back pain in grade-A tertiary hospitals in Sichuan Province,analyze the influencing factors of sleep quality.Methods Using convenience sampling method,a total of 427 medical workers with occupational low back pain in grade-A tertiary hospitals in Sichuan Province in December 2021 were selected as subjects.The general information questionnaire,pain distress scale,work stress scale and sleep quality index scale were used to collect data,and the data were analyzed.Results The sleep quality score of 427 medical workers with occupational low back pain was(9.68±3.67)points,of which 84.54%had sleep quality score≥5 points.The pain distress score was(48.86±14.85)points,and work stress score was(30.58±12.57)points.There were statistically significant differences in sleep quality score among medical workers with different marital status,education level,professional title,duration of pain,frequency of pain in recent month and regular exercise or not(P<0.05).The total scores of sleep quality and scores of each dimension in 427 medical workers with occupational low back pain were positively correlated with the total scores of pain distress and work stress and scores of each dimension(r>0,all P<0.05).The pain distress,work stress,duration of pain,frequency of pain in recent month and regular exercise were the main factors affecting sleep quality of medical staff with occupational low back pain(all P<0.05),which could explain 37.64%of the total variance.Conclusion The sleep quality of medical staff with occupational low back pain in grade-A tertiary hospitals in Sichuan Province is poor,the pain distress and working pressure are significantly related to sleep quality,and the medical managers should take targeted interventions to improve the occupational low back pain and sleep quality of medical staff according to influencing factors,and improve their physical and mental health.