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腰痛を有する介護職員における運動恐怖感とプレゼンティーズムの関連

Tsuboi, Yamato 坪井, 大和 ツボイ, ヤマト 神戸大学

2020.03.25

概要

本研究の目的は、腰痛を有する介護職員において、運動恐怖感とプレゼンティーズム(労働生産性が低下した状態)との関連を検証することである。本研究は、 505人の介護職員(年齢の中央値: 48歳,女性:83.8%) `を対象とした横断研究である。運動恐怖感は、日本・語短縮版Tampa Scale for Kinesiophobia (TSK-11)を用いて評価した。プレゼンティーズムは、日本語版 WorkLimitations Questionnaire (WLQ)を用いて評価した。 WLQは「時間管理」、「身体活動」、「集中カ・対人関係」、「仕事の結果」という 4つの下位項目から成り、アルゴリズムを用いて、労働生産性の低下割合を算出できる。その後、労働生産性の低下割合を、低下なし (<5%)、軽度低下 (5~10.9%)、中等度低下 (11-16.9%)、重度低下 (17%以上)に分類した。統計解析は、年齢、性別、疼痛強度、疼痛機能障害、仕事の要求度、仕事のコントロール、社会的支援を交絡変数とした順序ロジスティック回帰分析を用いて検討した。なお、欠損値は、多重代入法を用いて補完した。統計解析の結果、運動恐怖感が高くなるほど、プレゼンティーズムの程度が増悪する可能性が示された(比例オッズ比= 1.10, 95%信頼区問= 1.06-1.15)。プレゼンティーズムの各下位項目においても同様に、運動恐怖感と有意な関連を認めた。本研究は、腰痛を有する介護職員において、運動恐怖感がプレゼンティーズムと関連する室要な因子であることを示唆した。

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