Araştırma Makalesi
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SAĞLIK ÇALIŞANLARININ KAS İSKELET SİSTEMİ RAHATSIZLIKLARININ DEĞERLENDİRİLMESİ: BİR ÜNİVERSİTE HASTANESİ ÖRNEĞİ

Yıl 2022, Cilt 7, Sayı 1, 1 - 14, 31.01.2022
https://doi.org/10.35232/estudamhsd.904240

Öz

Bu çalışmanın amacı, çalışma koşulları nedeniyle pek çok ergonomik riskle karşı karşıya olan hekim dışı sağlık çalışanlarında kas iskelet sistemi rahatsızlıklarını ve ilişkili faktörleri değerlendirmektir. Araştırma kesitsel bir çalışmadır ve Nisan-Ağustos 2017 tarihleri arasında yürütülmüştür. Araştırmanın bağımlı değişkeni Cornell Kas İskelet Rahatsızlık puanıdır. Çalışanların işlerinde sırasıyla sol diz, bel ve sol uyluk ağrısının %23,1, %16,8 ve %11,5 en rahatsız edici olduğu belirlendi. Çok değişkenli doğrusal regresyon modeline göre, önemli değişkenler ergonomik risk faktörleri, çalışma süresi, görev dışı çalışma, sekiz saatten fazla çalışma idi ve anlamlılık indirgenmiş son modelde de devam etti (p<0,05). Sadece sol ön kol ağrı skoru ile ergonomik maruziyet arasında orta derecede bir korelasyon tespit edildi (Rho=0,445). Sırt ve bel ağrısı skorları en yüksek skordu. Bu sorunları önlemek için ergonomik düzenlemeler yapmak, hastaları taşımak için yardımcı ekipman kullanmak, yüksekliği ayarlanabilir elektrikli hasta yatakları kullanmak ve çalışanlara ergonomi ilkeleri konusunda eğitim vermek çok önemlidir.

Kaynakça

  • 1. Bilir N. İş Sağlığı ve Güvenliği (Occupational health and Safety). 1. Baskı ed. N B, editor. Ankara: Güneş Medical Bookstores; 2016. pp.480.
  • 2. Shariata A, Clelandc J, Danaeed M, Kargarfarde M, Sangelajif B, Tamrina S. Effects of stretching exercise training and ergonomic modifications on musculoskeletal discomforts of office workers: a randomized controlled trial. Brazilian Journal of Physical Therapy. 2018;22(2):144-53. doi: https://doi.org/10.1515/amb-2016-0007
  • 3. Safe patient handling & lifting standards for a safer American workforce, (2010).
  • 4. Ouni M, Elghali M, Abid N, Aroui H, Dabebbi F. Prevalence and Risk Factors of Musculoskeletal Disorders Among Tunisian Nurses. La Tunisie medical. 2020;98(3):225-31.
  • 5. Waehrer G, Leigh JP, Miller TR. Costs of occupational injury and illness within the health services sector. Int J Health Serv. 2005;35(2):343-59. doi: https://doi.org/10.2190/rnq3-0c13-u09mtenp
  • 6. Bell JL, Collins JW, Tiesman HM, Ridenour M, Konda S, Wolf L, et al. Slip, trip, and fall injuries among nursing care facility workers. Workplace health & safety. 2013;61(4):147-52. doi: https://doi.org/10.3928/21650799-20130318-28
  • 7. Cornell University Ergonomics Web. Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) 2020 [Available from: http://www.ergo.human.cornell.edu/ahmsquest.html.
  • 8. Sanne B, Torp S, Mykletun A, Dahl AA. The Swedish Demand—Control— Support Questionnaire (DCSQ): Factor structure, item analyses, and internal consistency in a large population. Scandinavian journal of public health. 2005;33(3):166-74. doi: https://doi.org/10.1080/1403494041001 9217
  • 9. Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: Cross-cultural adaptation and validation. Work. 2011;39:251-60. doi: https://doi.org/10.3233/wor-2011-1173
  • 10. Long MH, Johnston V, Bogossian F. Work-related upper quadrant musculoskeletal disorders in midwives, nurses and physicians: A systematic review of risk factors and functional consequences. Appl Ergon. 2012;43(3):455-67. doi: https://doi.org/10.1016/j.apergo.2011.07. 002
  • 11. Genevay S, Cedraschi C, Courvoisier DS, Perneger TV, Grandjean R, Griesser AC, et al. Work related characteristics of back and neck pain among employees of a Swiss University Hospital. Joint Bone Spine. 2011;78(4):392-7. doi: https://doi.org/10.1016/j.jbspin.2010.09.022
  • 12. D'Agostin F, Negro C. [Musculoskeletal disorders and work-related injuries among hospital day- and shift workers]. Med Lav. 2014;105(5):346-56. doi:
  • 13. İlçe A. Yoğun Bakım Ünitesi Hemşirelerinde İşle İlişkili Kas İskelet Sistemi Hastalıklarının Belirlenmesi (Determination of Work-Related Musculoskeletal Diseases in Intensive Care Unit Nurses). Anatolian Journal of Clinical Investigation 2014;8(2):68-76.
  • 14. Choobineh A, Movahed M, Tabatabaie SH, Kumashiro M. Perceived demands and musculoskeletal disorders in operating room nurses of Shiraz city hospitals. Ind Health. 2010;48(1):74-84. doi: https://doi.org/10.2486/indhealth.48.74
  • 15. Çalık B, Atalay O, Başkan E, Gökçe B. Bilgisayar Kullanan Masa Başı Çalışanlarında Kas İskelet Sistemi Rahatsızlıkları, İşin Engellenmesi ve Risk Faktörlerinin İncelenmesi (Investigation of Musculoskeletal System Disorders, Work Blocking and Risk Factors in Computer-Using Desk Workers). Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2013;3(4):208-14. doi: https://doi.org/10.5455/musbed.20131215111048
  • 16. Ardahan M, Simsek H. Analyzing musculoskeletal system discomforts and risk factors in computer using office workers Pak J Med Sci. 2016;32(6):1425-9. doi: https://doi.org/10.12669/pjms.326.11436
  • 17. Kromark K, Dulon M, Beck BB, Nienhaus A. Back disorders and lumbar load in nursing staff in geriatric care: a comparison of home-based care and nursing homes. J Occup Med Toxicol. 2009;4:33. doi: https://doi.org/10.1186/1745-6673-4-33
  • 18. Maumet S, De Gaudemaris R, Caroly S, Balducci F. Risk factors related to musculo skeletal disorders in health care workers. Elements to take into consideration of risk assessment procedures. Archives des Maladies Professionnelles et de L'Environnement. 2005;66:236-43. doi: https://oshwiki.eu/wiki/Risk_factors_for_musculoskeletal_disorders_in_manual_handling_of_loads
  • 19. Bejia I, Younes M, Jamila HB, Khalfallah T, Ben Salem K, Touzi M, et al. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine. 2005;72(3):254-9. doi: https://doi.org/10.1016/j.jbspin.2004.06.001
  • 20. Jellad A, Lajili H, Boudokhane S, Migaou H, Maatallah S, Frih Z. Musculoskeletal disorders among Tunisian hospital staff:Prevalence and risk factors. The Egyptian Rheumatologist. 2013;35:59-63. doi: http://dx.doi.org/10.1016/j.ejr.2013.01.002
  • 21. Daraiseh N, Cronin S, Davis L, Shell R, Karwowski W. Low Back Symptoms among Hospital Nurses Associations to Individual Factors and Pain in Multiple Body Regions International Journal of Industrial Ergonomics 2010;40:19-24. doi: https://doi.org/10.1016/j.ergon.2009.11.004
  • 22. Irurhe N, Okafor U, Adekola O, Odebiyi D, Habeebu M, Sowunmi A. Work Related Musculoskeletal Discomforts (WRMD) in Ultrasonologists: Prevalence and Risk Factors. World Journal of Medical Sciences 2013;8(3). doi: https://www.idosi.org/wjms/8(3)13/6.pdf
  • 23. Leggat PA, Smith DR, Clark MJ. Prevalence and correlates of low back pain among occupational therapy students in Northern Queensland. Can J Occup Ther. 2008;75(1):35-41. doi: https://doi.org/10.2182/cjot.07.014
  • 24. Smith DR, Wei N, Ishitake T, Wang RS. Musculoskeletal disorders among Chinese medical students. Kurume Med J. 2005;52(4):139-46. doi: https://doi.org/10.2739/kurumemedj.52.1 39
  • 25. Taşpınar F, Taşpınar B, Aksoy C. Determination of Work-Related Musculoskeletal Diseases in Intensive Care Unit Nurses. Journal of Exercise Therapy and Rehabilitation. 2014;1(2):55-60. doi: https://dergipark.org.tr/tr/download/article-file/210343
  • 26. Messing K. Ergonomic studies provide information about occupational exposure differences between women and men. J Am Med Womens Assoc (1972). 2000;55(2):72-5. doi: https://pubmed.ncbi.nlm.nih.gov/10808655/
  • 27. Lorusso A, Vimercati L, L'Abbate N. Musculoskeletal complaints among Italian Xray technology students: a cross-sectional questionnaire survey. BMC Research Notes. 2010;3:114-7. doi: https://doi.org/10.1186/1756-0500-3-114
  • 28. Erdinc O. Upper extremity musculoskeletal discomfort among occupational notebook personal computer users: work interference, associations with risk factors and the use of notebook computer stand and docking station. Work. 2011;39(4):455-63. doi: https://doi.org/10.3233/wor-2011-1195
  • 29. Yıldırım Y, Gelecek N, Özcan A, Altın Ö, Kılıç M. Bilgisayar kullananlarda boyun ağrısına etki eden risk faktörleri (Risk factors affecting neck pain in computer users). Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2004;15(3):114-9.

EVALUATION OF MUSCULOSKELETAL COMPLAINTS OF HEALTH WORKERS IN TRAINING AND RESEARCH HOSPITAL SAMPLE

Yıl 2022, Cilt 7, Sayı 1, 1 - 14, 31.01.2022
https://doi.org/10.35232/estudamhsd.904240

Öz

The aim of this study was to evaluate the musculoskeletal disorders and their related factors among health workers who face many ergonomic risks due to their working conditions. The research was a cross-sectional study and conducted between April and August 2017. The dependent variables of the research were Cornell Musculoskeletal Discomfort Questionnaire points. It was determined that left knee, waist, and left thigh pain were the most disruptive in the work of the workers with a percentage of 23.1%, 16.8%, and 11.5% respectively. According to multivariate linear regression model, the significant variables were ergonomic risk factors, working time, off-duty work, more than eight hours of work, and the significance persisted also on the degraded final model (p<0.05). A moderate correlation was detected only between the left forearm pain score and ergonomic exposure (Rho=0.445). Back and low back pain scores were the highest score. Making ergonomic arrangements, using assistive equipment for transporting patients, using electric patient beds with adjustable height, and providing training on ergonomics principles to employees is crucial for preventing these problems.

Kaynakça

  • 1. Bilir N. İş Sağlığı ve Güvenliği (Occupational health and Safety). 1. Baskı ed. N B, editor. Ankara: Güneş Medical Bookstores; 2016. pp.480.
  • 2. Shariata A, Clelandc J, Danaeed M, Kargarfarde M, Sangelajif B, Tamrina S. Effects of stretching exercise training and ergonomic modifications on musculoskeletal discomforts of office workers: a randomized controlled trial. Brazilian Journal of Physical Therapy. 2018;22(2):144-53. doi: https://doi.org/10.1515/amb-2016-0007
  • 3. Safe patient handling & lifting standards for a safer American workforce, (2010).
  • 4. Ouni M, Elghali M, Abid N, Aroui H, Dabebbi F. Prevalence and Risk Factors of Musculoskeletal Disorders Among Tunisian Nurses. La Tunisie medical. 2020;98(3):225-31.
  • 5. Waehrer G, Leigh JP, Miller TR. Costs of occupational injury and illness within the health services sector. Int J Health Serv. 2005;35(2):343-59. doi: https://doi.org/10.2190/rnq3-0c13-u09mtenp
  • 6. Bell JL, Collins JW, Tiesman HM, Ridenour M, Konda S, Wolf L, et al. Slip, trip, and fall injuries among nursing care facility workers. Workplace health & safety. 2013;61(4):147-52. doi: https://doi.org/10.3928/21650799-20130318-28
  • 7. Cornell University Ergonomics Web. Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) 2020 [Available from: http://www.ergo.human.cornell.edu/ahmsquest.html.
  • 8. Sanne B, Torp S, Mykletun A, Dahl AA. The Swedish Demand—Control— Support Questionnaire (DCSQ): Factor structure, item analyses, and internal consistency in a large population. Scandinavian journal of public health. 2005;33(3):166-74. doi: https://doi.org/10.1080/1403494041001 9217
  • 9. Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: Cross-cultural adaptation and validation. Work. 2011;39:251-60. doi: https://doi.org/10.3233/wor-2011-1173
  • 10. Long MH, Johnston V, Bogossian F. Work-related upper quadrant musculoskeletal disorders in midwives, nurses and physicians: A systematic review of risk factors and functional consequences. Appl Ergon. 2012;43(3):455-67. doi: https://doi.org/10.1016/j.apergo.2011.07. 002
  • 11. Genevay S, Cedraschi C, Courvoisier DS, Perneger TV, Grandjean R, Griesser AC, et al. Work related characteristics of back and neck pain among employees of a Swiss University Hospital. Joint Bone Spine. 2011;78(4):392-7. doi: https://doi.org/10.1016/j.jbspin.2010.09.022
  • 12. D'Agostin F, Negro C. [Musculoskeletal disorders and work-related injuries among hospital day- and shift workers]. Med Lav. 2014;105(5):346-56. doi:
  • 13. İlçe A. Yoğun Bakım Ünitesi Hemşirelerinde İşle İlişkili Kas İskelet Sistemi Hastalıklarının Belirlenmesi (Determination of Work-Related Musculoskeletal Diseases in Intensive Care Unit Nurses). Anatolian Journal of Clinical Investigation 2014;8(2):68-76.
  • 14. Choobineh A, Movahed M, Tabatabaie SH, Kumashiro M. Perceived demands and musculoskeletal disorders in operating room nurses of Shiraz city hospitals. Ind Health. 2010;48(1):74-84. doi: https://doi.org/10.2486/indhealth.48.74
  • 15. Çalık B, Atalay O, Başkan E, Gökçe B. Bilgisayar Kullanan Masa Başı Çalışanlarında Kas İskelet Sistemi Rahatsızlıkları, İşin Engellenmesi ve Risk Faktörlerinin İncelenmesi (Investigation of Musculoskeletal System Disorders, Work Blocking and Risk Factors in Computer-Using Desk Workers). Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2013;3(4):208-14. doi: https://doi.org/10.5455/musbed.20131215111048
  • 16. Ardahan M, Simsek H. Analyzing musculoskeletal system discomforts and risk factors in computer using office workers Pak J Med Sci. 2016;32(6):1425-9. doi: https://doi.org/10.12669/pjms.326.11436
  • 17. Kromark K, Dulon M, Beck BB, Nienhaus A. Back disorders and lumbar load in nursing staff in geriatric care: a comparison of home-based care and nursing homes. J Occup Med Toxicol. 2009;4:33. doi: https://doi.org/10.1186/1745-6673-4-33
  • 18. Maumet S, De Gaudemaris R, Caroly S, Balducci F. Risk factors related to musculo skeletal disorders in health care workers. Elements to take into consideration of risk assessment procedures. Archives des Maladies Professionnelles et de L'Environnement. 2005;66:236-43. doi: https://oshwiki.eu/wiki/Risk_factors_for_musculoskeletal_disorders_in_manual_handling_of_loads
  • 19. Bejia I, Younes M, Jamila HB, Khalfallah T, Ben Salem K, Touzi M, et al. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine. 2005;72(3):254-9. doi: https://doi.org/10.1016/j.jbspin.2004.06.001
  • 20. Jellad A, Lajili H, Boudokhane S, Migaou H, Maatallah S, Frih Z. Musculoskeletal disorders among Tunisian hospital staff:Prevalence and risk factors. The Egyptian Rheumatologist. 2013;35:59-63. doi: http://dx.doi.org/10.1016/j.ejr.2013.01.002
  • 21. Daraiseh N, Cronin S, Davis L, Shell R, Karwowski W. Low Back Symptoms among Hospital Nurses Associations to Individual Factors and Pain in Multiple Body Regions International Journal of Industrial Ergonomics 2010;40:19-24. doi: https://doi.org/10.1016/j.ergon.2009.11.004
  • 22. Irurhe N, Okafor U, Adekola O, Odebiyi D, Habeebu M, Sowunmi A. Work Related Musculoskeletal Discomforts (WRMD) in Ultrasonologists: Prevalence and Risk Factors. World Journal of Medical Sciences 2013;8(3). doi: https://www.idosi.org/wjms/8(3)13/6.pdf
  • 23. Leggat PA, Smith DR, Clark MJ. Prevalence and correlates of low back pain among occupational therapy students in Northern Queensland. Can J Occup Ther. 2008;75(1):35-41. doi: https://doi.org/10.2182/cjot.07.014
  • 24. Smith DR, Wei N, Ishitake T, Wang RS. Musculoskeletal disorders among Chinese medical students. Kurume Med J. 2005;52(4):139-46. doi: https://doi.org/10.2739/kurumemedj.52.1 39
  • 25. Taşpınar F, Taşpınar B, Aksoy C. Determination of Work-Related Musculoskeletal Diseases in Intensive Care Unit Nurses. Journal of Exercise Therapy and Rehabilitation. 2014;1(2):55-60. doi: https://dergipark.org.tr/tr/download/article-file/210343
  • 26. Messing K. Ergonomic studies provide information about occupational exposure differences between women and men. J Am Med Womens Assoc (1972). 2000;55(2):72-5. doi: https://pubmed.ncbi.nlm.nih.gov/10808655/
  • 27. Lorusso A, Vimercati L, L'Abbate N. Musculoskeletal complaints among Italian Xray technology students: a cross-sectional questionnaire survey. BMC Research Notes. 2010;3:114-7. doi: https://doi.org/10.1186/1756-0500-3-114
  • 28. Erdinc O. Upper extremity musculoskeletal discomfort among occupational notebook personal computer users: work interference, associations with risk factors and the use of notebook computer stand and docking station. Work. 2011;39(4):455-63. doi: https://doi.org/10.3233/wor-2011-1195
  • 29. Yıldırım Y, Gelecek N, Özcan A, Altın Ö, Kılıç M. Bilgisayar kullananlarda boyun ağrısına etki eden risk faktörleri (Risk factors affecting neck pain in computer users). Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2004;15(3):114-9.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk ve Çevre Sağlığı
Bölüm Araştırma Makalesi
Yazarlar

Serol DEVECİ
Manisa Şehzadeler District Health Directorate
0000-0001-9084-8950
Türkiye


Celalettin ÇEVİK (Sorumlu Yazar)
Balikesir University Faculty of Health Sciences, Department of Public Health Nursing
0000-0002-1123-6196
Türkiye


Hakan BAYDUR
Manisa Celal Bayar University Faculty of Health Sciences, Department of Social Work
0000-0002-4439-3569
Türkiye


Melih Kaan SOZMEN
Izmir Katip Celebi University Faculty of Medicine, Department of Public Health
0000-0001-8595-9760
Türkiye

Yayımlanma Tarihi 31 Ocak 2022
Başvuru Tarihi 27 Mart 2021
Kabul Tarihi 29 Temmuz 2021
Yayınlandığı Sayı Yıl 2022, Cilt 7, Sayı 1

Kaynak Göster

Vancouver Deveci S. , Çevik C. , Baydur H. , Sozmen M. K. EVALUATION OF MUSCULOSKELETAL COMPLAINTS OF HEALTH WORKERS IN TRAINING AND RESEARCH HOSPITAL SAMPLE. ESTÜDAM Halk Sağlığı Dergisi. 2022; 7(1): 1-14.

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