当院職員における腰痛及び股関節痛の実態調査

Abstract

今回，臨床研究に参加した医療従事者に対して，患者立脚型の質問票を用いて腰痛や股関節痛の実態調査を実施した．また， X 線学的評価手法を用いて腰椎及び股関節の可動域を評価し，疼痛の要因を検討した．結果は，質問票に回答のあった 119 名 の対象者において，腰痛有病率は 38%，股関節痛有病率は 11%，腰痛と股関節の両方に疼痛を抱える対象者は 9% であった．ま た，職種別で腰痛有病者の割合を比較すると，看護に携わる職種に腰痛有病者が多かった（看護師 43%，看護補助 43% ）．多 変量解析の結果，腰椎可動域は腰痛の有無に影響する要因であった．病院として運動療法プログラムを組み，介入することで 腰痛有病率が低下する可能性がある．

Health care workers who participated in this clinical study were investigated for lower back pain and hip pain using pa tient-reported outcome measures. In addition, the range of motion of the lumbar spine and hip joint was assessed using radiologi cal assessment techniques to determine the factors contributing to the pain. Of the 119 health care workers who responded to the questionnaire, the prevalence of lower back pain and hip pain was 38% and 11%, respectively. Nine percent of the subjects had pain in both lower back and hip joint. The largest proportion of subjects with prevalence of lower back pain by occupation were nurses (43%) and nursing assistants (43%). Multivariate analysis revealed that lumbar range of motion was a factor affecting the presence or absence of lower back pain. Hospital-based exercise therapy programmes and interventions may reduce the prevalence of lower back pain.