Full Text:

 

영남의대학술지 Vol.24 No.2 p186-196, Dec. 2007

Original Article

종합병원 근무 여성의 요통에 대한 요인 분석

An Epidemiologic Study of Low Back Pain of Women Working at a General Hospital

박동구, 안면환, 안종철?김세동?서재성
영남대학교 의과대학 정형외과학교실
책임저자:안면환, 대구광역시 남구 대명5동 317-1, 영남대학교 의과대학 정형외과학교실
Tel: (053) 620-3643, Fax: (053) 628-4020
E-mail: mwahn@med.yu.ac.kr

December 30, 2007

Abstract

Background:The aim of this study was to confirm the risk factors for low back pain and injury to improve the prevention and treatment of lower back pain.
Materials and Methods:An epidemiologic study of low back pain and injury was performed with questionnaires distributed to 471 women working at Yeungnam university hospital. The differences in low back pain and injuries among various hospital departments were analyzed by a one-way analysis of variance (ANOVA), and the relevant factors included in the questionnaire were determined by a factor analysis.
Results:The frequency of low back pain in women in the department of diet and in the maintenance department was higher than among the other departments. The frequency of low back pain was mainly related to the frequency of psychosomatic symptoms. In addition, the low back pain was partially related to the frequency of psychosomatic symptoms and partially related to the frequency of pushing during the workday. The degree of disability from low back pain was increased by lifting and hard physical work and was related to the frequency of psychosomatic symptoms and the degree of work dissatisfaction. The frequency of low back injury was increased by increased standing time during work and hard physical work. The frequency of low back injury was related to advancing age and in part to psychosomatic symptoms.
Conclusion:Lower back pain and its associated complications are related to psychosomatic factors and type of work. Lower back injury is related to physiological factors such as age. For the prevention and treatment of lower back pain, a multidisciplinary approach is required.

Key Words: Lower back pain, Women, Hospital, Epidemiologic study

References

1. Ryden LA, Molgaard CA, Bobbitt S, Conway J. Occupational low-back injury in a hospital employee population : an epidemiologic analysis of multiple risk factors of high-risk occupational. Spine 1989 Mar;14(3):315-20.

2. Videman T, Rauhala H, Asp S, Cedercreutz G, Kamppi M, Tola S, et al. Patient-handling skill, back injuries, and back pain. An interven- tional study in nursing. Spine 1989 Feb;14(2): 148-56.

3. Frymoyer JW, Pope MH, Clements JH, Wilder DG, MacPherson B, Ashikaga T. Risk factors in low-back pain. An epidemiological survey. J Bone Joint Surg Am 1983 Feb;65(2):213-8.

4. Buckle PW, Kember PA, Wood AD, Wood SN. Factors influencing occupational back pain in Bedfordshire. Spine 1980 May-Jun;5(3):254-8.

5. Bergenudd H, Nilsson B. Back pain in middle age; occupational workload and psychologic factors: an epidemiologic survey. Spine 1988 Jan;13(1):58-60.

6. Riihimaki H, Tola S, Videman T, Hanninen K. Low-back pain and occupation. A cross-sectional questionnaire study of men in machine operating, dynamic physical work, and sedentary work. Spine 1989 Feb;14(2):204-9.

7. Svensson HO, Andersson GB. The relationship of low-back pain, work history, work environ- ment, and stress: A retrospective cross-sectional study of 38- to 64-year-old women. Spine 1989 may;14(5):517-22.

8. Lloyd MH, Gauld S, Soutar CA. Epidemiologic study of back pain in miners and office workers. Spine 1986 Mar;11(2):136-40.

9. Macnab I, McCulloch J. Backache. 2nd ed. Baltimore Hongkong London Sydney Williams & Wilkins 1986;26-44.

10. Manning DP, Mitchell RG, Blanchfield LP. Body movements and events contributing to accidental and nonaccidental back injuries. Spine 1984 Oct:9(7):734-9.

11. Frymoyer JW, Pope MH, Costanza MC, Rosen JC, Goggin JE, Wilder DG. Epidemiologic studies of low-back pain. Spine 1980 Sep;5(5):419-23.

12. Andersson GB. Epidemiologic aspects on low- back pain in industry. Spine 1981 Jan-Feb; 6(1):53-60.

13. Pope MH, Rosen JC, Wilder DG, Frymoyer JW. The relation between biomechanical and psychological factors in patients with low- back pain. Spine 1980 Mar-Apr;5(2):173-8.