Intervertebral Disc Disease of the Lumbar Spine in Health Personnel with Occupational Exposure to Patient Handling-A Systematic Literature Review and Meta-Analysis.

职业暴露于患者处理的卫生人员的腰椎间盘疾病 - 系统文献综述和荟萃分析。

• 影响指数: 4.614
• 发表时间: 07 2020 4
• 来源期刊: Int J Environ Res Public Health
• DOI: 10.3390/ijerph17134832
• PMID: 32635557
• 文章类型: Journal Article
• 作者列表: Schröder C,Nienhaus A

关键词: Health personnel; disc degeneration; intervertebral disc disease; musculoskeletal disorders; occupational exposure; patient handling

Mesh: Aged; Female; Health Personnel; Humans; Intervertebral Disc Degeneration / etiology; Intervertebral Disc Displacement / etiology; Lumbar Vertebrae / physiopathology; Male; Moving and Lifting Patients / adverse effects; Musculoskeletal Diseases / etiology; Occupational Diseases; Occupational Exposure / adverse effects

Abstract

Lifting or carrying loads or working while the trunk is in a bent position are well established risk factors for the development of disc disease of the lumbar spine (LDD). Patient handling is associated with certain hazardous activities, which can result in exposure to heavy loads and high pressure for the discs of the lumbar spine of the nurses performing these tasks. The purpose of this review was to examine the occurrence of work-related LDD among health personnel (HP) with occupational exposure to patient handling activities in comparison to un-exposed workers. A systematic literature search was conducted using the following databases: PubMed, CINAHL, Scopus, and Web of Science. A meta-analysis of odds ratios (OR) was conducted by stratifying for various factors. Five studies reported a higher prevalence for LDD among nurses and geriatric nurses (11.3-96.3%) compared to all controls (3.78-76.47%). Results of the meta-analysis showed a significantly increased OR for LDD among HP compared to all controls (OR 2.45; 95% confidence interval (CI) 1.41, 4.26). In particular, the results of this review suggest that nurses have a higher probability of developing disc herniation than office workers.

摘要

在躯干处于弯曲位置时抬起或承载负荷或工作是腰椎椎间盘疾病（LDD）发展的公认风险因素。患者处理与某些危险活动有关，这可能导致执行这些任务的护士的腰椎椎间盘暴露于沉重的负荷和高压。这项审查的目的是研究与未接触工人相比，职业暴露于患者处理活动的卫生人员（HP）与工作相关的LDD的发生。使用以下数据库进行了系统的文献检索：PubMed，CINAHL,Scopus,和WebofScience。通过对各种因素进行分层，对比值比（OR）进行荟萃分析。五项研究报告，与所有对照组（3.78-76.47％）相比，护士和老年护士的LDD患病率更高（11.3-96.3％）。荟萃分析结果显示，与所有对照组相比，HP中LDD的OR显着增加（OR2.45；95％置信区间（CI）1.41，4.26）。特别是,这篇综述的结果表明，护士比办公室工作人员发生椎间盘突出的可能性更高。