PURPOSE To assess the association of back pain and treatment-seeking behavior for such pain with work-related emotional burden (regret about care), regret coping strategies, and physical burden among newly practicing nurses. METHODS We used data from the Impact of Care-related Regret Upon Sleep (ICARUS) cohort collected between 05.2017 and 07.2018 using web-based surveys (weekly for measures of emotional burden, physical burden and coping strategies, and monthly for back pain and seeking care). We investigated immediate associations and temporal influences between burdens and back pain with linear mixed models and cross-lagged Bayesian models, respectively. Coefficients were standardized to allow comparison between burdens. Logistic regression was used to examine the association of burdens with seeking care. RESULTS Among 105 nurses with an average follow-up of 3 months, 80 reported at least one episode of back pain. Neither physical nor emotional burdens had an immediate association with back pain. However, number of days with back pain in a given month was associated with an increase in both burdens during the previous month, with similar degrees of association (emotional: b = 0.24, physical: b = 0.21). Decision to seek treatment was associated with an increase in back pain frequency (OR 1.12, p = 0.04) and intensity (OR 1.80, p = 0.002) and a decrease in emotional burden (OR 0.95, p = 0.03). Coping strategies were associated neither with the occurrence of back pain nor with care-seeking. CONCLUSION While both emotional and physical burdens were associated with increased frequency of back pain the following month, emotional burden additionally showed a negative association with the decision to seek care.

中文翻译：

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护士的背痛发生和寻求治疗的行为：与工作有关的情绪负担的作用。

目的评估背痛和此类疼痛的寻求治疗行为与工作相关的情绪负担（对护理的后悔），后悔应对策略和新开业护士的身体负担之间的关系。方法我们使用基于网络的调查（2017年5月至2017年7月7日之间收集的护理相关的后悔对睡眠的影响（ICARUS）队列中的数据）（基于网络的调查（每周一次用于测量情绪负担，身体负担和应对策略，每月一次进行背部疼痛和就医治疗） ）。我们分别使用线性混合模型和交叉滞后贝叶斯模型研究了负担与背痛之间的直接关联和时间影响。系数被标准化以允许在负担之间进行比较。Logistic回归用于检验负担与寻求护理的关联。结果在105位平均随访3个月的护士中，有80位报告了至少1次背痛发作。无论是身体上还是情绪上的负担都与腰痛没有直接关系。然而，给定月份背痛的天数与前一个月两个负担的增加相关，关联度相似（情绪：b = 0.24，身体：b = 0.21）。寻求治疗的决定与背痛频率增加（OR 1.12，p = 0.04）和强度（OR 1.80，p = 0.002）以及情绪负担减少（OR 0.95，p = 0.03）相关。应对策略既与背痛的发生也不与寻求护理有关。结论虽然情绪和身体负担均与下个月出现的背痛增加有关，