A LISREL analysis of work-related risk factors and health complaints in the nursing profession

被引:17
作者
Engels, JA
van der Beek, AJ
van der Gulden, JWJ
机构
[1] Univ Nijmegen, Dept Occupat Med, NL-6500 HB Nijmegen, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Coronel Inst Occupat & Environm Hlth, NL-1105 AZ Amsterdam, Netherlands
[3] Erasmus Univ, Dept Publ Hlth, Rotterdam, Netherlands
关键词
multivariate analysis; musculoskeletal complaints; psychosomatic complaints; work postures; work pressure; nurses;
D O I
10.1007/s004200050320
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Objectives: To fit a model which describes the complex interaction between various work-related factors and both musculoskeletal and psychosomatic complaints of nurses simultaneously and to compare the results with those of two LISREL models, in which the health outcome variables are analyzed separately in terms of their correlation with the same set of work-related factors. Materials and methods: Nurses (n = 718) working in four Dutch nursing homes completed a questionnaire about work-related factors and musculoskeletal and psychosomatic complaints (response 81%). LISREL was used to describe and analyse the models. Results: The full model had a reasonable overall fit. The strongest (and statistically significant) correlations were found between work postures and musculoskeletal complaints and between psychosocial work demands and psychosomatic complaints. In the two single models, health outcomes showed statistically significant correlations with the same work-related factors as they did in the full model. The full model could be slightly improved when the variable somatized complaints (e.g., dizzyness, headache) was related both to musculoskeletal complaints and to psychosomatic complaints. Conclusions: Although a model that simultaneously describes more dependent variables appears to provide a better approximation of the complexity of the actual relationship between work-related factors and health effects, the models in which only one health outcome is studied seem to give a proper description of the data at hand. This is an important finding because these single health outcome models resemble the usual analysis strategy by means of standard regression analysis. The adapted version of the full model suggests that musculoskeletal complaints of nurses can partly be understood as non-specific health complaints.
引用
收藏
页码:537 / 542
页数:6
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