Eskişehir 112 İl Ambulans Servisi Çalışanlarında Bel Ağrısı ve Algılanan Stres Düzeylerinin Değerlendirilmesi

Abstract

Amaç: Çalışmada hastane öncesi acil sağlık hizmetleri (HÖASH) çalışanlarında en sık görülen kas-iskelet problemlerinden biri olan bel ağrısının ve algılanan stresin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Kesitsel tipteki bu çalışmada Eskişehir’deki HÖASH çalışanlarının %77,5’ine (n=378) ulaşıldı. Fonksiyonel Bel Ağrısı Skalası (FBAS) ve Algılanan Stres Ölçeği (ASÖ) kullanıldı. İstatistiki değerlendirmede Mann Whitney U, Kruskal Wallis, Spearman korelasyon ve binomial lojistik regresyon analizleri kullanılmıştır. Bulgular: Çalışma grubunu oluşturanların %55,1’i (n=205) kadın olup yaş ortalaması ± SS 32,15 ± 7,52 yıl idi. Çalışanların %76,6’sı son 1 yılda bel ağrısı şikayeti olduğunu belirtti. Bel ağrısı riski, ön lisans ve üzeri öğrenim düzeyi olanlarda lise ve altına göre 1,97 (%95 GA; 1,07-3,62), sağlık sektöründe 6-10 yıl ve 11 yıl üzeri çalışanlarda 5 yıl ve daha az çalışanlara göre sırasıyla 3,46 (%95 GA; 1,66-7,22) ve 5,33 (%95 GA; 2,52-11,27), 24 saat çalışanlarda 24 saatten az çalışanlara göre 3,65 (%95 GA; 1,83-7,26), anne, baba ve kardeşlerinde bel ağrısı olanlarda olmayanlara göre 2,13 (%95 GA; 1,19-3,80) ve algılanan stres düzeyleri yüksek olanlarda düşük olanlara göre 1,11 kat (%95 GA; 1,03-1,20) daha fazlaydı. Genel sağlık durumunu iyi algılayanlarda orta ve kötü algılayanlara göre bel ağrısı 0,16 kat (%95 GA; 0,04-0,58) daha az olarak bulundu. HÖASH çalışanlarının ASÖ ve FBAS’dan aldıkları puanlar arasında negatif yönde zayıf bir ilişki bulundu (r=-0,186, p<0,001). Sonuç: HÖASH çalışanları için bel ağrısı oldukça önemli bir sorundur. Personelin çalışma şartlarında iyileştirmeler yapılmasının ve ergonomi eğitimlerinin düzenlenmesinin yararlı olacağı kanısına varıldı.

Keywords

• Bel ağrısı
• acil sağlık hizmetleri
• mesleki stres

Evaluation of Low Back Pain and Perceived Stress Levels in Eskişehir 112 Provincial Ambulance Service Workers

Abstract

Aim: To evaluate low back pain (LBP) which is one of the most common musculoskeletal problems and perceived stress among prehospital emergency care (PEC) workers. Material and method: In this cross-sectional study 77.5% (n=378) of PEC workers in Eskişehir were reached. Functional Back Pain Scale (FBPS) and Perceived Stress Scale (PSS) were used. Mann Whitney U, Kruskal Wallis, Spearman correlation and binomial logistic regression analysis were used. Results: In the study group, 205 (55.1%) were women, the mean age ± SD was 32.15 ± 7.52 years and 285 (76.6%) had LBP in the last year. The risk of LBP increased 1.97 times (95% CI; 1.07-3.62) for having an undergraduate or higher education level compared to high school and below, 3.46 (95% CI; 1.66-7.22) and 5.33 times (95% CI; 2.52-11.27) for working in the health sector for 6-10 years and over 11 years respectively compared to 5 years and below, 3.65 times (95% CI; 1.83-7.26) for working in 24 hour shifts compared to working less than 24 hours, 2.13 times (95% CI; 1.19-3.80) for having mother, father and/or sibling(s) with low back pain compared to not having and 1.11 times (95% CI; 1.03-1.20) for having high perceived stress compared to low. LBP was 0.16 times (95% CI; 0.04-0.58) less in those who perceived their general health status as good. Conclusion: LBP was an important problem for PEC workers. It would be beneficial to make improvements in the working conditions of the ambulance service personnel and to organize ergonomics trainings.

Keywords

• Low back pain
• emergency medical services
• occupational stress

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