fa ارزیابی ریسک به روش MAPOو PTAI و ارتباط آن‌ با شیوع کمردرد در کارکنان پرستاری تخصصي Special پژوهشي Orginal <strong><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;">هدف</span></span></strong><strong><span style="font-family:B Nazanin;">:</span></strong> <span style="font-family:B Yagut;"><span style="font-size:11.0pt;">این مطالعه باهدف بررسی عوامل ایجادکننده کمردرد در پرستاران و ارائه اقداماتی جهت کنترل و اصلاح این عوامل با استفاده از دو روش ارزیابی ریسک </span></span>&nbsp;<span dir="LTR"><span style="font-size:10.0pt;">MAPO</span></span><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">و </span></span><span dir="LTR"><span style="font-size:10.0pt;">PTAI</span></span> <span style="font-family:B Yagut;"><span style="font-size:11.0pt;">انجام شده است.</span></span><span style="font-family:B Yagut;"></span><br> <strong><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;">روش‌ها</span></span></strong><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:10.0pt;">:</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">این مطالعه مقطعی بین 480 نفر</span></span></span><span style="font-family:B Nazanin;"> (</span><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">با استفاده از روش نمونه گیری تصادفی طبقه بندی) از کارکنان پرستاری بیمارستان‌های دولتی خوزستان انجام و اطلاعات آن ازطریق پرسشنامه در چهار بخش جمع‌آوری گردید. پرسشنامه نوردیک، اطلاعات دموگرافیک و</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">چک‌لیست‌های</span></span></span> <span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">MAPO</span></span></span>&nbsp; <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">و </span></span></span><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">PTAI</span></span></span><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;"> که شامل دو بخش بوده، از طریق بازدید میدانی و مشاهده تکمیل‌شده است. </span></span></span><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">داده‌ها با استفاده از نسحه 16 نرم‌افزار </span></span></span><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">SPSS‌</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">تجزیه و تحلیل شدند.</span></span></span><span style="font-family:B Yagut;"><span style="font-size:11.0pt;"></span></span><br> <strong><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;">نتایج</span></span></strong><span dir="LTR" style="letter-spacing:-.4pt;"><span style="font-family:CG Times,serif;"><span style="font-size:10.0pt;">:</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">پرسشنامه نوردیک نشان داد 92/72 درصد از افراد مورد مطالعه دارای کمردرد بوده‌اند. براساس ارزیابی‌های انجام ‌شده توسط روش </span></span></span><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">MAPO</span></span></span><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">، 66/16درصد از افراد در سطح ریسک پایین، 41/60درصد</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">در</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">سطح متوسط و 91/22درصد</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">در</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">سطح بالا قرار دارند. در حالی ‌که روش </span></span></span><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">PTAI‌</span></span></span><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;"> نشان داد 95/23درصد از افراد در سطح ریسک یک، 08/52درصد در سطح دو و 95/23درصد</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">در سطح سه قرار دارند. براساس آزمون کای‌دو نیز بین سطوح ریسک هر دو روش </span></span></span><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">MAPO</span></span></span><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;"> و </span></span></span><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">PTAI</span></span></span><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;"> و کمردرد از نظر آماری رابطه معنا‌داری وجود دارد.</span></span></span><strong><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"></span></span></strong><br> <strong><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;">نتیجه‌گیری</span></span></strong><span dir="LTR" style="letter-spacing:-.4pt;"><span style="font-family:CG Times,serif;"><span style="font-size:10.0pt;">:</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">یافته‌ها نشان داد با افزایش سطوح شاخص در هر دو روش</span></span></span><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">MAPO</span></span></span> <span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">&nbsp;و </span></span></span><span dir="LTR" style="letter-spacing:-.5pt;"><span style="font-family:CG Times,serif;"><span style="font-size:9.0pt;">PTAI</span></span></span><span style="letter-spacing:-.4pt;"><span style="font-family:B Yagut;"><span style="font-size:11.0pt;">، میزان اختلالات اسکلتی- عضلانی در ناحیه کمر افزایش می‌یابد. در نتیجه می‌توان به‌ دقت و مناسبت این روش‌ها اطمینان حاصل نمود و دریافت که هر دو روش&nbsp; مورد بررسی در طبقه‌بندی سطح ریسک و شناسایی عوامل تأثیرگذار، کارآمد و قابل‌اطمینان می‌باشند.</span></span></span><span style="font-family:B Yagut;"><span style="font-size:11.0pt;"></span></span><br> &nbsp; <strong>Introduction</strong>: The aim of this study was to investigate the causes of low back pain (LBP) among nurses and to provide solutions to control the LBP risk factors using MAPO and PTAI risk assessment methods.<br> <strong>Methods</strong>: This cross-sectional study was conducted on 480 nurses working in public hospitals in Khuzestan Province who were selected using a stratified random sampling method. Data were collected through a questionnaire consisting of four sections, including the Nordic Musculoskeletal Questionnaire(NMQ), a demographic characteristic information form, and MAPO and PTAI checklists which were completed using field visits and observations. Data analysis was performed using SPSS version 16 software.<br> <strong>Results</strong>: According to the results, 72.92% of the nurses were suffering from LBP. Based on the evaluations performed by the MAPO method, 16.66% of the respondents were at low-risk level, 60.41% at moderate-risk level, and 22.91% at high-risk level. However, the findings of the PTAI revealed that 23.95% of the respondents were at risk level I, 52.08% at risk level II, and 23.95% at risk level III. According to the Chi-square test results, there was a statistically significant relationship between risk levels of both MAPO and PTAI methods and LBP.<span dir="RTL"></span><br> <strong>Conclusion</strong>: The results showed that an increase in the risk levels in both MAPO and PTAI methods, results in an increase in the prevalence of musculoskeletal disorders in the lumbar region. Therefore, the accuracy and the appropriateness of these techniques are assured and it is concluded that both techniques are efficient and reliable to determine the musculoskeletal risk levels.<span dir="RTL"></span><br> &nbsp; روشMAPO ,روش PTAI, کمردرد, پرستاران. MAPO, PTAI, Low Back Pain, Nurses.  62 53 http://jpm.hums.ac.ir/browse.php?a_code=A-10-1-124&slc_lang=fa&sid=1 Seyed Moslem Abedini سید مسلم عابدینی 10031947532846005352 10031947532846005352 No MSc, Occupational Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahwaz, Iran. Jamileh Driss جمیله دریس 10031947532846005353 10031947532846005353 No MSc, Occupational Health Engineering, Abadan Faculty of Medical Sciences, Abadan, Iran. Ramin Tabibi رامین طبیبی 10031947532846005354 10031947532846005354 No Department of Health, Safety and Environmental Management, School of Health, Abadan Faculty of Medical Sciences, Abadan, Iran. Sanaz Karimpour ساناز کریم پور sanaz.karimpour@yahoo.com 10031947532846005355 10031947532846005355 Yes MSc, Occupational Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahwaz, Iran. 2. MSc, Occupational Health Engineering, Abadan Faculty of Medical Sciences, Abadan, Iran.