社会心理因素与职业性下背痛关系的Meta分析
Meta analysis on relationship between psychosocial factors and occupational low back pain
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摘要:
目的 评价社会心理因素与职业性下背痛的关联，为减少及预防职业性下背痛提供依据。
方法 通过计算机文献检索、人工查阅的方法，并根据预设的纳入和排除标准，纳入2000-2016年21篇有关社会心理因素与职业性下背痛关联的队列研究文献，进行综合定量Meta分析。
结果 高工作需求、低同事支持、低领导支持、低工作满意度和工作压力大与职业性下背痛的发生有关联，合并RR值分别为1.168（1.047~1.304）、1.200（1.096~1.315）、1.182（1.094~1.277）、1.320（1.206~1.446）和1.543（1.190~2.000）。
结论 部分社会心理因素与职业性下背痛的发生有明显关联，因此建议改善工作组织和制度、关注心理负荷、减轻工作压力、提高应激能力，从而预防职业性下背痛的发生。
Abstract:Objective To evaluate the relationship between psychosocial factors and occupational low back pain, and to provide evidence for the reduction and prevention of occupational low back pain.
Methods Through computer and manual database retrieval and followed pre-set inclusion and exclusion criteria, 21 obtained cohort studies on association between psychosocial risk factors and low back pain from 2000 to 2016 were analyzed synthetically by meta analysis.
Results High job demands, low coworker support, low supervisor support, low job satisfaction, and high job stress were significantly associated with occupational low back pain occurring, whose pooled relative risk values were 1.168 (1.047-1.304), 1.200 (1.096-1.315), 1.182 (1.094-1.277), 1.320 (1.206-1.446), and 1.543 (1.190-2.000), respectively.
Conclusion Several psychosocial factors are remarkably associated with the occurrence of occupational low back pain. It is recommended to adjust work organization and system, pay attention to mental load, reduce work stress, and improve the ability to cope with stress for the prevention of occupational low back pain.
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