The Prevalence, Severity and Occupational Risk Factors of Low Back Pain among ICU Nurses

Yıl 2016, , 138 - 147, 01.07.2016

Hossein Asgar Pour Safiye Ozvurmaz Busra Tipirdamaz Elif Esma Gundogmus

https://doi.org/10.5455/umj.20160714112747

Öz

Background: Low back pain LBP is a common disorder that causes disability and absence from work. Healthcare professionals are in the first place of health problems related to LBP. The aim was to investigate the prevalence, severity and occupational risk factors of LBP among ICU nurses. Method: The sample of this descriptive study was a total of 76 Intensive Care Units ICU nurses of a training and research hospital in the West of Turkey. A total of 1174 nursing care procedures was observed. After the completion of nurses’ socio-demographic data collection, it was determined whether the nurses had LBP each time before and after providing care to patients and if they did, the severity of LBP were measured according to Numeric Pain Rating Scale NRS NRS . Results: 88.2% of nurses had LBP and the mean severity of LBP was 2.84±1.44. Emergency and general surgery ICU nurses had the highest severity of LBP. The nursing care procedures were as follows in decreasing order of the severity of LBP: making the bed 6.2±2.5 , patient’s mobilization 6,04±2,6 , changing position/checking of pressure ulcer 5.9±2,3 , make passive exercises 5.1±2,3 , admission/discharge procedures 4.7±2,8 , vascular access 4,5±2,4 , checking drain s 4,5±2,3 , measurement of vital signs 4,3±2,3 , aspiration 4,3±2,3 , and monitoring intake-output 4,1±2,1 . Conclusion: The prevalence of LBP among nurses was high and the mean severity of LBP was mild. According to the results of this study it is recommended that ICUs nurses receive in-service training on occupational risks, use of body mechanics during nursing care procedures requiring physical strength, incorporate their knowledge into their behaviors and regularly health checks can be helpful in prevention or decrease of LBP.

Anahtar Kelimeler

Low back pain, intensive care unit, nursing care procedures

Kaynakça

• 1. Borges TP, Kurebayashi LFS, Silva MJPD. Occupational low back pain in nursing workers: massage versus pain. Revista da Escola de Enfermagem da USP, 2014. 48(4), 670-676.
• 2. Lizier, DT, Perez, MV, Sakata, RK. Exercícios para tratamento de lombalgia inespecífica. Rev Bras Anestesiol, 2012;62(6),838-846.
• 3. Smedley J, Egger P, Cooper C, Coggon D. Manual handling activities and risk of low back pain in nurses. Occup Environ Med. 1995; 52: 160-163.
• 4. Hoogendoorn WE, Van Poppel MNM, Bongers PM, Koes BW, Bouter LM. Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine; 25: 2114–2125.
• 5. Ando S, Ono Y, Shimaoka M, Hiruta S, Hattori Y, Hori F, Takeuchi Y. Associations of self estimated workloads with musculoskeletal symptoms among hospital nurses. Occup Environ Med. 2000; 57: 211–216.
• 6. Darragh RA, Huddleston W, King P. Work-related musculoskeletal injuries and disorders among occupational and physical therapists. The American Journal of Occupational Therapy. 2009; 63 (3): 351-362.
• 7. Walker BF, Muller R, Grant WD. Low back pain in Australian adults: prevalence and associated disability. J Manipulative Physiol Ther. 2004; 27 (4): 238-244.
• 8. Lorusso A, Bruno S, L’abbate N. A review of low back pain and musculoskeletal disorders among italian nursing personnel. Industrial Health. 2007; 45: 637–644.
• 9. Ozguler A, Leclerc A, Landre M F, Pietri-Taleb F, Niedhammer I. Individual and occupational determinants of low back pain according to various definitions of low back pain. J. Epidemiol. Community Health. 2000; 54: 215–220.
• 10. Mendelek F, Caby I, Pelayo, P, Kheir RB. The application of a classification-tree model for predicting low back pain prevalence among hospital staff. Archives of Environmental Occupational Health. 2013; 68 (3): 135-144.
• 11. Tinubu MS, Mbada EC, Oyeyemi LA, Fabunmi AA. Workrelated musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey. Musculoskeletal Disorders. 2010; 11 (12): 1-8.
• 12. Derek RS, Kumeko O, Zentaro Y, Junko M. Musculoskeletal disorders among female nurses in a rural Japanese hospital. Nursing and Health Sciences. 2003; 5: 185–188.
• 13. Camerino D, Cesana GC, Molteni G, Vito G, Evaristi C, Latocca R. Job strain and musculoskeletal disorders of italian nurses. Occupational Ergonomics. 2001;2(4):215-222.
• 14. Altınel L, Köse KC, Ergan V, Işık C, Aksoy Y, Özdemir A, Toprak D, Doğa N. The prevalence of low back pain and risk factors among adult population in Afyon region, Turkey. Acta Orthop Traumatol Turc. 2008; 42 (5): 328-333
• 15. Bejia I, Younes M, Jamila HB. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine. 2005;72(3):254-259.
• 16. Lagerström M, Wenemark M, Hagberg M, Hjelm EW. Occupational and individual factors related to musculoskeletal symptoms in five body regions among Swedish nursing personnel. Int Arch Occup Environ Health. 1995; 68:27–35.
• 17. Larese F, Fiorito A. Musculoskeletal disorders in hospital nurses: a comparison between two hospitals. Ergonomics. 1994;37:1205–1211.
• 18. Stubbs DA, Buckle PW, Hudson MP, Rivers PM, Worringham CJ. Back pain in the nursing profession. I: Epidemiology and pilot methodology. Ergonomics. 1983; 26:755–765.
• 19. Smith DR, Wei N, Kang L, Wang RS. Musculoskeletal disorders among professional nurses in Mainland China. Journal of Professional Nursing. 2004; 20 (6): 390-395.
• 20. Tezel A. Musculoskeletal complaints among a group of Turkish nurses. Intern J Neuroscience. 2005; 115: 871-880
• 21. Karadağ M. Yıldırım N. Hemşirelerde Çalışma Koşullarından Kaynaklanan Bel Ağrıları Ve Risk Faktörleri. Hemşirelik Forumu Dergisi, 2004; 7: 49.
• 22. Dıraçoğlu D.Sağlık Personelinde Kas-İskelet Sistemi Ağrıları. Türkiye Klinikleri Fiziksel Tıp Rehabilitasyon Dergisi, 2006; 26, 132-139.
• 23. Kabataş MS, Kocuk M, Küçükler Ö. Sağlık Çalışanlarında Bel Ağrısı Görülme Sıklığı ve Etkileyen Faktörlerin İncelenmesi. F.Ü.Sağ.Bil. Tıp Derg. 2012; 26 (2): 65- 72.
• 24. Akalp G, Aytac S. The Prevalence of Low Back Pain among a Group of Turkish Nurses. International Journal of Science and Research. 2014; 3(12): 2457-2462.
• 25. Nas K, Gür A, Çevik R. Hastane Çalışanlarında Bel Ağrısı Sıklığı Ve Risk Faktörleri. Ege Fizik Tıp Rehabilitasyon Dergisi 2001; 7: 123-128.
• 26. Harber P, Billet E, Gutowski M, SooHoo K, Lew M, Roman A. Occupational low-back pain in hospital nurses. J Occup Med. 1985; 27: 518-524.
• 27. Violante FS, Fiori M, Fiorentini C, Risi A, Garagnani G, Bonfiglioli R, Mattioli S. Associations of psychosocial and individual factors with three different categories of back disorder among nursing staff. J Occup Health. 2004; 46, 100–108.