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Facteurs associés aux plaintes rachidiennes des étudiants hospitaliers en médecine

Authors: Carole Pelissier; Joséphine Lemaitre; Paul Vercherin; Frédéric Dutheil; Anne Maitre; V. Bonneterre; Alain Bergeret; +2 Authors

Facteurs associés aux plaintes rachidiennes des étudiants hospitaliers en médecine

Abstract

Introduction Les plaintes rachidiennes constituent une pathologie multifactorielle complexe et un veritable enjeu socio-economique. L’objectif est de determiner la prevalence des plaintes rachidiennes aupres des etudiants hospitaliers en medecine et les facteurs professionnels associes. Materiel et methodes Une etude observationnelle transversale a ete menee aupres d’etudiants en 4e et 5e annee de medecine de la region Auvergne-Rhone-Alpes (dans les facultes de Clermont-Ferrand, Grenoble, Lyon-Sud et Saint-Etienne). Les etudiants hospitaliers en medecine participent a l’activite hospitaliere dans le cadre de deroulement de stages hospitaliers et suivent un enseignement a la faculte de medecine. Un auto-questionnaire s’appuyant sur le questionnaire de type Nordique a ete elabore et transmis par email aux etudiants a la fin de leur stage hospitalier. Les tests statistiques du Chi2, de Student et Kruskal–Wallis ont ete utilises en analyse univariee et une regression logistique en analyse multivariee. L’etude a recu un avis favorable d’un comite ethique et a ete approuvee par la CNIL. Resultats Huit cents questionnaires ont ete recueillis sur 1456 etudiants interroges. La Prevalence des plaintes rachidiennes dans les 7 derniers jours etait de 49,4 %pour les lombalgies, 47,7 % pour les cervicalgies et 33,5 % pour les dorsalgies. La Prevalence des plaintes rachidiennes dans les 12 derniers mois etait de 70,1 % pour les lombalgies, de 59 % pour les cervicalgies et de 46,6 % pour les dorsalgies. La charge horaire quotidienne de travail etait de 9,5 heures en moyenne (ecart type = 1,8). 29 % des etudiants declaraient realiser des activites de manutention de personnes. Les etudiants clermontois, a la difference des etudiants des autres facultes, alternaient les periodes de cours et les stages hospitaliers a temps plein. Ils presentaient une prevalence de plaintes rachidiennes aigues (66,2 %) et chroniques (80,3 %) significativement plus faibles que les autres etudiants (75,8 %; 89,1 %). Le genre feminin (OR = 2,18 IC95 % 1,53–3,12), les antecedents rachidiens (OR = 12,45 IC95 % 3,00–51,72), la charge horaire de travail (OR = 1,09 IC95 % 0,99–1,21), le stress (OR 1,56 IC95 % 1,05–2,32) etaient associes a la presence de plaintes rachidiennes aigues apres analyse multivariee. Conclusion Cette etude met en evidence une prevalence des plaintes rachidiennes aigues et chroniques sur un echantillon d’etudiants en medecine francais qui est superieure aux donnees anterieures de la litterature. La relation entre les plaintes rachidiennes et les facteurs psycho-organisationnels lies au travail hospitalier et universitaire pourrait etre approfondie lors d’une etude longitudinale.

Country
France
Subjects by Vocabulary

ACM Computing Classification System: ComputingMilieux_MISCELLANEOUS

Keywords

[SDV]Life Sciences [q-bio], Public Health, Environmental and Occupational Health

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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