Psihosocialni faktorji in pojavnost bolečine v križu pri poklicnih voznikih

Background and purpose: Professional drivers as a group are exposed to high risk of developing low back pain due to ergonomic factors and work conditions. The purpose of the study was to examine to what extent the low back pain occurs among Slovene professional drivers as a result of the development of various psychosocial factors. Methodology: The study involved 275 respondents (professional bus drivers, car/van drivers, international truck/lorry drivers, and ambulance car drivers). Hypotheses were tested using multivariate statistical method (regression analysis) and analysis of variance. Data were collected by structured questionnaire comprised of three parts: socio-demographic data, basic psychosocial factors causing low back pain, and incidence, duration and severity of low back pain as a result of psychosocial risk factors, was implemented. Results: The results of quantitative survey suggest that low back pain is mostly caused by lifting and carrying heavy loads, inadequate working conditions, poor physical fitness, regular nights out, shift work, and stress. Only the impact of gender on low back pain distress among professional drivers was confirmed, predominantly among bus drivers and lorry drivers on international routes. Low back pain occurrence was less common, albeit not statistically significant, among professional drivers of vans and passenger cars. Conclusion: Our study suggests that psychosocial factors are also important cause for the development of low back pain among professional drivers and can limit the quality of their social and professional lives.Ozadje in namen: Poklicni vozniki predstavljajo poklicno skupino, ki je zelo izpostavljena tveganjem, da razvije bolečino v križu zaradi ergonomski kot tudi psihosocialnih dejavnikov. Namen naše raziskave je ugotoviti pojavnost bolečine v križu pri poklicnih voznikih v Sloveniji kot rezultat različnih psihosocialnih dejavnikov tveganja. Oblikovanje/Metodologija/Pristop: V raziskavi je sodelovalo 275 anketirancev, poklicnih voznikov iz Slovenije (poklicni vozniki avtobusv, poklicni vozniki osebnih avtomobilov, vozniki tovornjakov, taksisti in vozniki reševalnih vozil). Hipoteze smo testirali s pomočjo multivariatne statistične metode (regresijske analize) in analize variance. Podatki so bili pridobljeni s strukturiranim anketnim vprašalnikom, sestavljenim iz treh delov: osnovni demografski podatki, vprašanja v zvezi s psihosocialnimi dejavniki tveganja za bolečino v križu in posledice bolečine v križu, zaradi psihosocialnih dejavnikov. Rezultati: Rezultati kvantitativne raziskave so pokazali, da na bolečino v križu pri poklicnih voznikih najbolj vplivajo naslednji dejavniki: dvigovanje in prenašanje težkih bremen, neprimerni delovni pogoji, slaba telesna pripravljenost, redno ponočevanje, delo v izmeni ter stres. V raziskavi smo ugotovili, da spol vplivaj na pojavnost bolečine v križu. Bolečino v križu imajo najpogosteje vozniki mestnega avtobusa in tovornih vozil na mednarodnih progah, najredkeje pa poklicni vozniki osebnih avtomobilov, vendar razlike niso statistično značilne. Sklep: Naša raziskava opozarja, da so tudi psihosocialni dejavniki tveganja tisti, ki lahko poklicnim voznikom povzročijo pojavljanje bolečine v križu in jim posledično zmanjšajo kvaliteto njihovega zasebnega in poklicnega življenja