{"title":"COVID-19 大流行期间医护人员的颅颈部疼痛、睡眠质量、抑郁症状和体力活动。","authors":"Jade Padilha Silva PT , Anita Almeida Gonzaga M.Sc. , Rafaella Silva dos Santos Aguiar Gonçalves Ph.D. , Luiz Felipe Tavares M.Sc. , Álvaro Campos Cavalcanti Maciel Ph.D. , Karyna Myrelly Oliveira Bezerra Figueiredo-Ribeiro Ph.D.","doi":"10.1016/j.pmn.2024.01.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>An increase in the workload and use of personal protective equipment by healthcare workers was observed during the COVID-19 pandemic. Due to the connections between craniocervical structures, symptoms such as neck pain and temporomandibular symptoms could be influenced by the use of PPE.</p></div><div><h3>Aims</h3><p>To assess the prevalence of craniocervical pain, sleep quality, physical activity, and depressive symptoms and relationship among craniocervical symptoms in healthcare workers before and during the COVID-19 pandemic in Brazil.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Participants</h3><p>Healthcare workers.</p></div><div><h3>Settings</h3><p>An online questionnaire included a self-report of craniocervical pain intensity [orofacial pain, neck pain, and headache (Numerical Rating Scale)], sleep quality (Pittsburgh Sleep Quality Index), depressive symptoms (Patient Health Questionnaire two items) and physical activity (self-report).</p></div><div><h3>Methods</h3><p>The sample analysis was performed by descriptive statistics, the paired t-test was used to compare symptoms intensity before and during the pandemic. The relationship between dependent and independent samples was assessed through McNemar test, Pearson's chi-squared test, and Student's independent t-test. A value of <em>p</em> < .05 was adopted as statistical significance.</p></div><div><h3>Results</h3><p>Overall, 147 participants replied the questionnaires. Headache, neck pain, and orofacial pain complaints increased during the pandemic in healthcare workers (<em>p</em> < 0.001). Craniocervical pain was correlated with poor sleep quality, probable depression, and physical activity during the pandemic (<em>p</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>Healthcare workers self-reported more craniocervical pain during the COVID-19 pandemic compared to before the pandemic. In addition, poor sleep quality, depressive symptoms, and physical inactivity were associated with craniocervical symptoms during this period.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Craniocervical Pain, Sleep Quality, Depressive Symptoms, and Physical Activity in Healthcare Workers During COVID-19 Pandemic\",\"authors\":\"Jade Padilha Silva PT , Anita Almeida Gonzaga M.Sc. , Rafaella Silva dos Santos Aguiar Gonçalves Ph.D. , Luiz Felipe Tavares M.Sc. , Álvaro Campos Cavalcanti Maciel Ph.D. , Karyna Myrelly Oliveira Bezerra Figueiredo-Ribeiro Ph.D.\",\"doi\":\"10.1016/j.pmn.2024.01.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>An increase in the workload and use of personal protective equipment by healthcare workers was observed during the COVID-19 pandemic. Due to the connections between craniocervical structures, symptoms such as neck pain and temporomandibular symptoms could be influenced by the use of PPE.</p></div><div><h3>Aims</h3><p>To assess the prevalence of craniocervical pain, sleep quality, physical activity, and depressive symptoms and relationship among craniocervical symptoms in healthcare workers before and during the COVID-19 pandemic in Brazil.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Participants</h3><p>Healthcare workers.</p></div><div><h3>Settings</h3><p>An online questionnaire included a self-report of craniocervical pain intensity [orofacial pain, neck pain, and headache (Numerical Rating Scale)], sleep quality (Pittsburgh Sleep Quality Index), depressive symptoms (Patient Health Questionnaire two items) and physical activity (self-report).</p></div><div><h3>Methods</h3><p>The sample analysis was performed by descriptive statistics, the paired t-test was used to compare symptoms intensity before and during the pandemic. The relationship between dependent and independent samples was assessed through McNemar test, Pearson's chi-squared test, and Student's independent t-test. A value of <em>p</em> < .05 was adopted as statistical significance.</p></div><div><h3>Results</h3><p>Overall, 147 participants replied the questionnaires. Headache, neck pain, and orofacial pain complaints increased during the pandemic in healthcare workers (<em>p</em> < 0.001). Craniocervical pain was correlated with poor sleep quality, probable depression, and physical activity during the pandemic (<em>p</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>Healthcare workers self-reported more craniocervical pain during the COVID-19 pandemic compared to before the pandemic. In addition, poor sleep quality, depressive symptoms, and physical inactivity were associated with craniocervical symptoms during this period.</p></div>\",\"PeriodicalId\":19959,\"journal\":{\"name\":\"Pain Management Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pain Management Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1524904224000067\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain Management Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1524904224000067","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:在 COVID-19 大流行期间,医护人员的工作量和个人防护设备的使用都有所增加。目的:评估巴西 COVID-19 大流行之前和期间医护人员颅颈疼痛、睡眠质量、体力活动和抑郁症状的发生率以及颅颈症状之间的关系:设计:横断面研究:环境在线问卷包括颅颈疼痛强度[口面部疼痛、颈部疼痛和头痛(数字评分量表)]、睡眠质量(匹兹堡睡眠质量指数)、抑郁症状(患者健康问卷两个项目)和体力活动(自我报告)的自我报告:通过描述性统计进行样本分析,使用配对 t 检验比较大流行前和大流行期间的症状强度。因变量和自变量之间的关系通过 McNemar 检验、皮尔逊卡方检验和学生独立 t 检验进行评估。以 p < .05 为统计显著性:共有 147 人回答了问卷。在大流行期间,医护人员的头痛、颈部疼痛和口面部疼痛主诉有所增加(P < 0.001)。颅颈疼痛与睡眠质量差、可能患有抑郁症以及大流行期间的体力活动有关(P < 0.05):结论:与大流行前相比,医护人员在 COVID-19 大流行期间自我报告的颅颈部疼痛更多。此外,睡眠质量差、抑郁症状和缺乏运动也与这一时期的颅颈部症状有关。
Craniocervical Pain, Sleep Quality, Depressive Symptoms, and Physical Activity in Healthcare Workers During COVID-19 Pandemic
Background
An increase in the workload and use of personal protective equipment by healthcare workers was observed during the COVID-19 pandemic. Due to the connections between craniocervical structures, symptoms such as neck pain and temporomandibular symptoms could be influenced by the use of PPE.
Aims
To assess the prevalence of craniocervical pain, sleep quality, physical activity, and depressive symptoms and relationship among craniocervical symptoms in healthcare workers before and during the COVID-19 pandemic in Brazil.
Design
Cross-sectional study.
Participants
Healthcare workers.
Settings
An online questionnaire included a self-report of craniocervical pain intensity [orofacial pain, neck pain, and headache (Numerical Rating Scale)], sleep quality (Pittsburgh Sleep Quality Index), depressive symptoms (Patient Health Questionnaire two items) and physical activity (self-report).
Methods
The sample analysis was performed by descriptive statistics, the paired t-test was used to compare symptoms intensity before and during the pandemic. The relationship between dependent and independent samples was assessed through McNemar test, Pearson's chi-squared test, and Student's independent t-test. A value of p < .05 was adopted as statistical significance.
Results
Overall, 147 participants replied the questionnaires. Headache, neck pain, and orofacial pain complaints increased during the pandemic in healthcare workers (p < 0.001). Craniocervical pain was correlated with poor sleep quality, probable depression, and physical activity during the pandemic (p < 0.05).
Conclusion
Healthcare workers self-reported more craniocervical pain during the COVID-19 pandemic compared to before the pandemic. In addition, poor sleep quality, depressive symptoms, and physical inactivity were associated with craniocervical symptoms during this period.
期刊介绍:
This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.