本文選題：武警戰(zhàn)士 + 非特異性腰痛��； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討武警戰(zhàn)士這一特定人群執(zhí)勤與訓(xùn)練期間非特異性腰痛(nonspecific low back pain,NLBP)的患病率、危險(xiǎn)因素及其對(duì)生存質(zhì)量的影響,為改善武警部隊(duì)官兵勤務(wù)及訓(xùn)練條件以預(yù)防腰背部訓(xùn)練傷和提高生存質(zhì)量提供理論依據(jù)。方法:2016年9~12月,隨機(jī)整群抽取駐山西武警某部戰(zhàn)士共1385名。制訂專用《腰痛調(diào)查表》,包括調(diào)查對(duì)象的基本信息、腰痛部位、時(shí)間和程度、執(zhí)勤和訓(xùn)練情況、VAS疼痛視覺評(píng)分和Oswestry功能障礙指數(shù)評(píng)估(ODI),生存質(zhì)量測評(píng)采用世界衛(wèi)生組織生存質(zhì)量測定簡表(WHOQOL-BREF)。采用非條件Logistic回歸分析腰痛影響因素,生存質(zhì)量影響因素分析采用多重線性回歸。結(jié)果:本次調(diào)查共發(fā)放問卷1385份,收回有效問卷1327份,應(yīng)答率為95.8%。武警戰(zhàn)士非特異性腰痛整體患病率為36.4%。進(jìn)入與訓(xùn)練相關(guān)腰痛回歸模型的危險(xiǎn)因素有腰部外傷史(Odds Ratio,OR=4.477,95%CI:3.081-6.505)、訓(xùn)練壓力(OR=1.937,95%CI:1.502-1.497)、軍齡(OR=1.343,95%CI:1.697-3.235)、訓(xùn)練滿意度(OR=0.470,95%CI:0.243-0.908)等。腰痛戰(zhàn)士總的生存質(zhì)量及各領(lǐng)域的生存質(zhì)量均明顯低于非腰痛者(P0.001)。訓(xùn)練滿意度與武警戰(zhàn)士的生存質(zhì)量呈正相關(guān),腰外傷史、訓(xùn)練壓力、每天站立時(shí)間與武警戰(zhàn)士的生存質(zhì)量呈負(fù)相關(guān)。結(jié)論:非特異性腰痛會(huì)影響武警戰(zhàn)士的生存質(zhì)量,致腰痛的高危因素,如腰外傷史、訓(xùn)練壓力、訓(xùn)練滿意度、長時(shí)間站崗等直接或間接導(dǎo)致腰痛患者生存質(zhì)量下降。各級(jí)指揮員應(yīng)合理安排訓(xùn)練內(nèi)容和強(qiáng)度,以降低武警戰(zhàn)士非特異性腰痛的發(fā)生,進(jìn)一步改善其生存質(zhì)量。
[Abstract]:Objective: to investigate the prevalence, risk factors and effects of nonspecific low back pain (NLP) on the quality of life (QOL) of armed police soldiers during their duty and training. It provides a theoretical basis for improving the duty and training conditions of the officers and soldiers of the armed police force in order to prevent the injury of the back and waist and improve the quality of life. Methods: from September to December 2016, 1385 soldiers were randomly selected from a unit of Shanxi Armed Police Force. Develop a special "low back pain questionnaire", including basic information on the subjects, location, time and extent of low back pain, VAS pain visual score and Oswestry dysfunction index (Oswestry dysfunction index) were evaluated on duty and training. The quality of life was evaluated by World Health Organization (WHO) summary table of quality of life (WHOQOL-BREFFN). Non-conditional logistic regression analysis was used to analyze the influencing factors of low back pain and multiple linear regression was used to analyze the influencing factors of quality of life. Results: 1385 questionnaires were sent out, 1327 valid questionnaires were collected, and the response rate was 95.8%. The overall prevalence of non-specific low back pain in armed police soldiers was 36. 4%. The risk factors for entering the regression model of low back pain related to training were as follows: the history of waist trauma: Odds Ratiol: 4.477 / 95CII: 3.081-6.505; training stress: 1.937 / 95CIW 1.502-1.497; military experience: 1.34395CIW 1.697-3.235; training satisfaction: 0.470,95CIW 0.243-0.908). The total quality of life (QOL) and quality of life (QOL) of low back pain soldiers were significantly lower than those of non-low back pain patients (P 0. 001). The satisfaction degree of training was positively correlated with the quality of life of armed police soldiers. The history of waist trauma, training pressure and standing time each day were negatively correlated with the quality of life of armed police soldiers. Conclusion: Non-specific low back pain can affect the quality of life of armed police soldiers, and the high risk factors of low back pain, such as history of waist trauma, training pressure, training satisfaction, long time standing on guard, etc, directly or indirectly lead to the decline of the quality of life of patients with low back pain. Commanders at all levels should arrange the training content and intensity reasonably in order to reduce the incidence of non-specific low back pain and further improve the quality of life of armed police soldiers.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R82

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本文編號(hào)：2032025