ประสิทธิภาพของการรักษาทางเวชศาสตร์ฟื้นฟู ในบุคลากรโรงพยาบาลพระมงกุฎเกล้าที่มีภาวะปวดหลังส่วนล่างจากการทำงาน

Abstract

Objectives:  To evaluate the effectiveness of a 8-week rehabilitation program and prevalence of work-related low back pain in the personnel of Phramongkutklao Hospital.

Study Design: Quasi-Experimental research, pre-posttest one group design

Setting: Rehabilitation Medicine Department, Phramongkutklao Hospital

Subjects: The personnel of Phramongkutklao Hospital who had work-related low back pain

Methods: The questionnaires were used to determine the prevalence of the work-related low back pain in Phramongkutklao hospital. Quality of life was assessed using SF-36 questionnaire, back function was assessed using Oswestry Disability Index (ODI) questionnaire, pain severity was assessed using Visual Analog Scale(VAS) and back flexibility was assessed using sit and reach test. The participants participated in the 8-week rehabilitation treatment program. The evaluation were carried out at baseline, immediately at the end of the treatment, at 3 and 6 months follow up.

Results: Twenty three participants were enrolled in the study, females 16 and males 7, age 37.74±9.12 in average, mean duration of work-related low back pain 2.92±2.74 years. The SF-36 in the aspect of role limitations due to physical health, role limitations due to emotional problems, emotional well-being, energy, social, pain and general health domain, the ODI, VAS and sit and reach improved statistically significantly immediately at the end of the treatment, 3 and 6 months follow-up (p<0.001 and p <0.05 up to each category). The prevalence of work-related low back pain in the personnel from Phramongkutklao hospital is 8.48% (95% CI = 7.71-9.30)

Conclusion:  The rehabilitation treatment program improved the quality of life, physical function and decreased pain severity in work-related low back pain among the personnel from Phramongkutklao Hospital.