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

Yıl 2022, Cilt: 12 Sayı: 1, 73 - 80, 14.01.2022

Ali Kılınç , Seval Çalışkan Pala , Veli Görkem Pala Didem Arslantaş Alaettin Ünsal

https://doi.org/10.33631/sabd.1055309

Cited By: 2

Öz

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.

Anahtar Kelimeler

Bel ağrısı, acil sağlık hizmetleri, mesleki stres

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

Öz

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.

Anahtar Kelimeler

Low back pain, emergency medical services, occupational stress

Kaynakça

• Allan DB, Waddell G. An historical perspective on low back pain and disability. Acta Orthopaedica Scandinavica. 1989; 60(sup234): 1-23.
• Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017; 389(10070): 736-47.
• Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. Clinical Spine Surgery. 2000; 13(3): 205-17.
• Erdine S, Hamzaoğlu O, Özkan Ö, Balta E, Domaç M. Türkiye’de erişkinlerin ağrı prevalansı. Ağrı Dergisi. 2001; 13(2): 22-30.
• Altinel L, Kose KC, Ergan V, Isik C, Aksoy Y, Ozdemir A, et al. The prevalence of low back pain and risk factors among adult population in Afyon region, Turkey. Acta Orthop Traumatol Turc. 2008; 42(5): 328-33.
• Özdemir F, Karaoğlu L, Özfırat Ö. Malatya il merkezinde yaşayan bireylerde boyun, sırt ve bel ağrısı prevalansları ve etkileyen faktörler. Ağrı Dergisi. 2013; 25(1): 27-35.
• Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. The Lancet. 2018; 391(10137): 2356-67.
• Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020; 396(10258): 1204-22.
• İçağasıoğlu A, Yumuşakhuylu Y, Ketenci A, Toraman NF, Karataş GK, Kuru Ö, et al. Kronik bel ağrısının türk toplumuna maliyeti. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 2015; 61(1): 58-64.
• Yilmaz E, Dedeli O. Effect of physical and psychosocial factors on occupational low back pain. Health Science Journal. 2014; 6(4): 598-609.
• Eriksen W, Bruusgaard D, Knardahl S. Work factors as predictors of intense or disabling low back pain; a prospective study of nurses’ aides. Occupational and environmental medicine. 2004; 61(5): 398-404.
• Kaila-Kangas L, Kivimäki M, Riihimäki H, Luukkonen R, Kirjonen J, Leino-Arjas P. Psychosocial factors at work as predictors of hospitalization for back disorders: a 28-year follow-up of industrial employees. Spine. 2004; 29(16): 1823-30.
• Frymoyer JW, Pope MH, Costanza MC, Rosen JC, Goggin JE, Wilder DG. Epidemiologic studies of low-back pain. Spine. 1980; 5(5): 419-23.
• Karasek R. Stress prevention through work reorganization: A summary of 19 international case studies. International Labour Office: Conditions of Work Digest. 1992; 11: 23-41.
• Mekonnen TH. Work-related factors associated with low back pain among nurse professionals in east and west Wollega zones, Western Ethiopia, 2017: a cross-sectional study. Pain and therapy. 2019; 8(2): 239-47.
• Lorusso A, Bruno S, L'abbate N. A review of low back pain and musculoskeletal disorders among Italian nursing personnel. Industrial health. 2007; 45(5): 637-44.
• Fischer SL, Sinden KE, MacPhee RS. Identifying the critical physical demanding tasks of paramedic work: Towards the development of a physical employment standard. Applied ergonomics. 2017; 65: 233-9.
• Stratford PW, Binkley JM, Riddle DL. Development and initial validation of the back pain functional scale. Spine. 2000; 25(16): 2095-102.
• Meltem K, Bayar K. Fonksiyonel Bel Ağrısı Skalası’nın Türkçe uyarlaması: geçerlik ve güvenirlik çalışması. Journal of Exercise Therapy and Rehabilitation. 2017; 4(2): 82-9.
• Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of health and social behavior. 1983: 385-96.
• Eskin M, Harlak H, Demirkıran F, Dereboy Ç, editors. Algılanan stres ölçeğinin Türkçeye uyarlanması: güvenirlik ve geçerlik analizi. New/Yeni Symposium Journal; 2013.
• Şimşek Ş, Yağcı N, Şenol H. Denizli’de sağlık çalışanlarında bel ağrısı prevelansı ve risk faktörleri. Ağrı Dergisi. 29(2): 71-8.
• Tezel A. Musculoskeletal complaints among a group of Turkish nurses. International Journal of Neuroscience. 2005; 115(6): 871-80.
• Karahan A, Kav S, Abbasoglu A, Dogan N. Low back pain: prevalence and associated risk factors among hospital staff. Journal of advanced nursing. 2009; 65(3): 516-24.
• Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best practice & research Clinical rheumatology. 2010; 24(6): 769-81.
• Nyland LJ, Grimmer KA. Is undergraduate physiotherapy study a risk factor for low back pain? A prevalence study of LBP in physiotherapy students. BMC musculoskeletal disorders. 2003; 4(1): 1-12.
• Ogunlana M, Davis O, Thanni A, Lateef R, Solabi A, Alimi T, et al. Determinants of Low Back Pain Disability Among Hospital Workers. Journal of the Nigeria Society of Physiotherapy. 2012; 20: 15-20.
• Atik D, Cander B, Dikmetas C, Bulut B, Gokcen E, Caltekin İ, et al. Evaluation of low back pain prevalence in emergency department workers. Eurasian Journal of Critical Care. 2018; 2(1): 145-52.
• Rahimi A, Vazini H, Alhani F, Anoosheh M. Relationship between low back pain with quality of life, depression, anxiety and stress among emergency medical technicians. Trauma monthly. 2015; 20(2): e18686
• Dionne C, Von Korff M, Koepsell T, Deyo R, Barlow W, Checkoway H. Formal education and back pain: a review. Journal of Epidemiology & Community Health. 2001; 55(7): 455-68.
• Li JY, Sheng W, He LH, Wu SS, Lei Y, Yu SF, et al. Risk factors of low back pain among the Chinese occupational population: a case-control study. Biomedical and Environmental Sciences. 2012; 25(4): 421-9.
• Imani A, Borna J, Alami A, Khosravan S, Hasankhani H, Bafandeh Zende M. Prevalence of low back pain and its related factors among pre-hospital emergency personnel in Iran. Journal of Emergency Practice and Trauma. 2019; 5(1): 8-13.
• Alnaami I, Awadalla NJ, Alkhairy M, Alburidy S, Alqarni A, Algarni A, et al. Prevalence and factors associated with low back pain among health care workers in southwestern Saudi Arabia. BMC musculoskeletal disorders. 2019; 20(1): 1-7
• Hoogendoorn WE, Bongers PM, De Vet HC, Douwes M, Koes BW, Miedema MC, et al. Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study. Spine. 2000; 25(23): 3087-92.
• Coenen P, Gouttebarge V, van der Burght AS, van Dieën JH, Frings-Dresen MH, van der Beek AJ, et al. The effect of lifting during work on low back pain: a health impact assessment based on a meta-analysis. Occupational and environmental medicine. 2014; 71(12): 871-7.
• Takeyachi Y, Konno S-i, Otani K, Yamauchi K, Takahashi I, Suzukamo Y, et al. Correlation of low back pain with functional status, general health perception, social participation, subjective happiness, and patient satisfaction. Spine. 2003; 28(13): 1461-6.
• Zhang Q, Dong H, Zhu C, Liu G. Low back pain in emergency ambulance workers in tertiary hospitals in China and its risk factors among ambulance nurses: a cross-sectional study. BMJ open. 2019; 9(9): e029264.
• El-Metwally A, Mikkelsson M, Ståhl M, Macfarlane GJ, Jones GT, Pulkkinen L, et al. Genetic and environmental influences on non-specific low back pain in children: a twin study. European Spine Journal. 2008; 17(4): 502-8.
• Altınel L, Köse KÇ, Altınel EC. Profesyonel hastane çalışanlarında bel ağrısı prevelansı ve bel ağrısını etkileyen faktörler. Tıp Araştırmaları Dergisi. 2007; 5(3): 115-20.
• Hartvigsen J, Lings S, Leboeuf-Yde C, Bakketeig L. Psychosocial factors at work in relation to low back pain and consequences of low back pain; a systematic, critical review of prospective cohort studies. Occupational and environmental medicine. 2004; 61(1): e2-e.
• Hammer JS, Mathews JJ, Lyons JS, Johnson NJ. Occupational stress within the paramedic profession: an initial report of stress levels compared to hospital employees. Annals of emergency medicine. 1986; 15(5): 536-9.