Bir Üniversite Hastanesinde Çalışan Sekreterlerin Kas İskelet Sistemi Yakınmalarının İncelenmesi

Abstract

Amaç: İşe bağlı kas iskelet sistemi hastalıkları çalışanlarda en sık görülen sağlık problemlerinden biridir. Bu çalışmada hastanemizde çalışan otomasyon sekreterlerinin üst ekstremite kas iskelet sistemi (KİS) yakınmalarını ve bu yakınmalara sebep olan faktörleri belirlemeyi amaçladık.

Gereç ve Yöntemler: Çalışmamızda, hastanemizde çalışan bütün sekreterlere ulaşılması hedeflendi Çalışmanın verileri kişisel özellikleri, iş ve çalışma ortamı ile ilgili bilgiler literatürden derlenerek oluşturulan bir anket formuyla sorgulandı. Genişletilmiş Nordic Kas-İskelet Sistemi Anketi ile üst ekstremite KİS yakınmaları sıklığı belirlendi.

Bulgular: Çalışmamızda 143 sekreter (%94,0) ile görüşüldü. Katılımcıların %25,2’sinin (36) tanılı kas iskelet sistemi rahatsızlığı bulunduğundan bunlar analiz dışı bırakıldı (n=107). Katılımcıların %67,6’sının boynunda, %47,7’sinin omzunda, %32,1’inin ise el-el bileğinde son 12 ay içerisinde yakınması olduğu saptandı. Yapılan lojistik regresyon analizde 4 saat ve üzerinde molasız bilgisayar başında oturarak ve yüksekliği ayarlanmayan sandalyede çalışmak omuz bölgesi yakınmaları için, yoğun çalışma temposu omuz ve el-el bileği bölgesi yakınmaları için, meslekte uzun çalışma süresi ise tüm üst ekstremite bölgeleri yakınmaları için risk faktörü olarak saptandı.

Sonuç: Sekreterlerde işe bağlı oluşabilecek üst ekstremite yakınmalarını önlemek için çalışanların etkili ve yeterli mola süresi kullanmaları sağlanmalı ve çalışma ortamları ergonomik açıdan düzeltilmelidir.

Keywords

• sekreter,ergonomi,üst ekstremite,Nordic

Examination of Musculoskeletal System Complaints of Secretaries Working in a University Hospital

Abstract

Objective: Work-related musculoskeletal disorders are one of the most common health problems in employees. In this study, we aimed to determine the complaints of the upper extremity musculoskeletal system and the factors causing these complaints of the automation secretaries working in our hospital.

Material and Method: In our study, it was aimed to reach all the secretaries working in our hospital The personal characteristics of the employee, the work and the working environment were questioned by a form compiled from the literature. An expanded version of the Nordic Musculoskeletal Questionnaire was used to determine the frequency of upper extremity complaints.

Results: 143 secretaries (94.0%) were interviewed. 25,2% of participants (36) were excluded from the analysis because they had a known musculoskeletal system disorder (n = 107). It was determined that 67,6% of the participants had complaints in the neck area, 47,7% in the shoulder area and 32,1% in the hand-wrist area in the last 12 months. Logistic regression analysis showed that working on the computer without a break for 4 hours or more and working on a chair with non-adjustable height was a risk factor for shoulder area complaints, working intensively was a risk factor for hand-wrist area complaints and working longer in the profession was a risk factor for upper extremity complaints.

Conclusion: In order to prevent complaints of upper extremity which may be caused by work in secretaries, employees should use effective and sufficient time of break and work environments should be ergonomically reorganized.

Keywords

• secretary,ergonomics,upper extremity,Nordic

References

1. 1. ÇASGEM. T.C. Çalışma ve Sosyal Güvenlik Bakanlığı. MESLEK HASTALIKLARI Ankara, 20132. Tunçay SU, Yeldan İ. Kas iskelet sistemi rahatsızlıklarıyla fiziksel inaktivite ilişkili midir? AĞRI 2013; 25: 147-55.3. The European Musculoskeletal Conditions Surveillance and Information Network. Musculoskeletal health in Europe report v5.0. http://www.eumusc.net /myUploadData/files/Musculoskeletal Health in Europe Report v5.pdf. Erişim tarihi Ekim 7, 2016.4. European Foundation for the Improvement of Living and Working Conditions, European Working Conditions Survey, 2010 [computer file]. UK Data Archive [distributor]; Colchester, Essex: Feb. 2012 SN: 69715. Jensen C, Finsen L, Søgaard K, et al. Musculoskeletal symptoms and duration of computer and mouse use. Int J Ind Ergonomics 2002;30:265 –275.6. Eltayeb SM, Staal JB, Hassan AA, Awad SS, A de Bie R. Complaints of the arm, neck and shoulder among computer office workers in Sudan: a prevalence study with validation of an Arabic risk factors questionnaire. Environ Health. 2008; 7: 33.7. Cho CY, Hwang YS, Cherng RJ. Musculoskeletal symptoms and associated risk factors among office workers with high workload computer use. J Manipulative Physiol Ther. 2012; 35: 534-540.8. Başakçı Çalık B, Telli Atalay O,Başkan E, Gökçe B. Bilgisayar Kullanan Masa Başı Çalışanlarında Kas İskelet Sistemi Rahatsızlıkları, İşin Engellenmesi ve Risk Faktörlerinin İncelenmesi. MÜSBED 2013;3(4):208-214. DOI: 10.5455/musbed.201312151110489. Malchaire J, Cock N, Vergracht S. Review of the factors associated with musculoskeletal problems in epidemiological studies. Int Arch Occup Environ Health. 2001 Mar;74(2):79-90.10. Bongers PM, Kremer AM, ter Laak J. Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: A review of the epidemiological literature. Am J Ind Med. 2002 May;41(5):315-4211. Bergqvist U, Wolgast E, Nilsson B, Voss M. Musculoskeletal disorders among visual display terminal workers: individual, ergonomic, and work organizational factors. Ergonomics. 1995;38(4):763–76. doi: 10.1080/00140139508925148.12. Carter JB, Banister EW. Musculoskeletal problems in VDT work: a review. Ergonomics. 1994;37(10):1623–48. doi:10.1080/00140139408964941.13. Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain 2009(5);10:517-26.14. Ergin C. Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanması. VII. Ulusal psikoloji kongresi bilimsel çalışmaları. 1992;22:25.15. Ardahan M, Simsek H. Analyzing musculoskeletal system discomforts and risk factors in computer-using office workers. Pak J Med Sci. 2016;32(6):1425-1429. doi: https://doi.org/10.12669/pjms.326.1143616. Cımbız A, Uzgoren N, Aras O, Ozturk S, Elem E, Aksoy CC. Kas iskelet sisteminde agriya ait risk faktörlerinin lojistik regresyon analizi ile belirlenmesi: pilot çalışma (Determination of musculoskeletal pain risk factors using logistic regression analysis: a pilot study). Fizyoter Rehabil. 2007;18(1):20-2717. Mozafari A, Vahedian M, Mohebi S, Najafi M. Work-related musculoskeletal disorders in truck drivers and official workers. Acta Medica Iranica. 2015;53(7):432-43818. Brandt LPA, Andersen JH, Lassen CF, Kryger A, Overgaard E, Vilstrup I, Mikkelsen S. Neck and shoulder symptoms and disorders among Danish computer workers. Scand J Work Environ Health. 2004; 30: 399-409.19. Hildebrandt VH, Bongers PM, Dul J, van Dijk FJ, Kemper HC. The relationship between leisure time, physical activities and musculoskeletal symptoms and disability in worker populations. Int Arch Occup Environ Health. 2000;73(8):507–18.20. Alavi SS, Abbasi M, Mehrdad R. Risk Factors for Upper Extremity Musculoskeletal Disorders Among Office Workers in Qom Province, Iran. Iranian Red Crescent Medical Journal. 2016;18(10):e29518. doi:10.5812/ircmj.29518.21. Morken T, Mageroy N, Moen BE. Physical activity is associated with a low prevalence of musculoskeletal disorders in the Royal Norwegian Navy: a cross sectional study. BMC Musculoskelet Disord. 2007;8:56. doi: 10.1186/1471-2474-8-56.22. Zakerian SA, Subramaniam ID. Examining the relationship between psychosocial work factors and musculoskeletal discomfort among computer users in Malaysia. Iranian J Public Health. 2011;40(1):7223. IJmker S, Huysmans MA, Blatter BM, van der Beek AJ, van Mechelen W, Bongers PM. Should office workers spend fewer hours at their computer? A systematic review of the literature. Occup Environ Med. 2007; 64: 211-222.24. Dutta N, Koepp GA, Stovitz SD, Levine JA, Pereira MA. Using sit-stand workstations to decrease sedentary time in office workers: a randomized crossover trial. Int J Environ Res Public Health. 2014;11(7):6653-6665. doi:10.3390/ ijerph11070665325. Robertson MM, Ciriello VM, Garabet AM. Office ergonomics training and a sit-stand workstation: Effects on musculoskeletal and visual symptoms and performance of office workers. Appl Ergon. 2013;44(1):73- 85. doi: 10.1016/j.apergo.2012.05.001