Comparison of two self-reported measures of physical work demands in hospital personnel: A cross-sectional study (original) (raw)
Analysis of Low Back Pain in Nurses with High Work Load: A Cross-Sectional Survey
https://www.ijhsr.org/IJHSR\_Vol.12\_Issue.10\_Oct2022/IJHSR-Abstract15.html, 2023
Introduction: Low back pain is a common, recurrent and costly health problem worldwide. Nurses, particularly, are at higher risk than other health professionals to suffer from injuries and work related musculoskeletal disorders such as low back pain (LBP). Nurses injure their backs from the physical burden associated with manual handling of patients. Aim: The purpose of the study was to investigate the current working conditions of nurses with LBP in relation to their physical workload, and to depiction whether working prolonged shifts is associated with LBP. Method: Total 40 nurses with low back pain with high work load were included in the study. PSEQ was used to assess pain, ODI was used to assess disability, PSFS was used to assess functional activity. Data was analysed by using Pearson test. Result: Nurses were found to be having pain on self-efficacy for pain. On average their self-efficacy for pain was found to be moderate that is 38.78 with maximum score of 60. On average categorised themselves to have moderate disability with 27.83%. On average nurses were having moderate functioning affection with a mean total score of 6.1 when 3 major activities were considered. PSFS was found to be strongly correlated with PSEQ & moderately negative correlated with ODI and ODI was found to be moderately negatively correlated with pain and function scales. Conclusion: The nurses with existing low back pain with high work load has considerable self-efficacy for pain and their physical function and participation were moderately affected.
Incidence of low back pain according to physical activity level in hospital workers
Revista Dor, 2017
BACKGROUND AND OBJECTIVES: Hospitals integrate several risks posed by physical, chemical, psychosocial and ergonomic factors, which may be noxious for different healthcare professionals. This study aimed at evaluating the level of physical activity, the presence of musculoskeletal risk factors and the incidence of low back pain among nursing professionals of a hospital Materials and Sterilization Center. METHODS: Sample was made up of 56 individuals of both genders, working for the Associação Beneficente de Campo Grande/MS-Hospital Santa Casa. Participants were divided in two groups: G1 (insufficiently active, n=27) and G2 (sufficiently active, n=29). In addition to the level of physical activity, anthropometric data, incidence of pain and functional incapacity, flexibility and muscle resistance were evaluated. RESULTS: The incidence of low back pain was lower in G2 (13 cases; 44.8%) as compared to G1 (24 cases; 88.9%). Body mass index, pain intensity and functional incapacity index were lower for G2. Time of physical activity was lower in G1. Abdominal muscles resistance was higher in G2. CONCLUSION: In nursing professionals, the level of physical activity influences the presence of low back pain, pain intensity and functional incapacity index.
Job strain, work characteristics and back pain: A study in a University hospital
European Journal of Pain, 2011
The demand-control-support ''job strain'' model is frequently used in occupational health 29 research. We sought to explore the relationship between job strain and back pain. 30 Method: Thousand two hundred and ninety-eight collaborators of a Swiss teaching hospital responded to 31 a cross-sectional questionnaire survey that measured job strain, the occurrence of back pain as well as the 32 characteristics and consequences of this pain. 33 Results: Job strain computed with both psychological and physical demands was strongly and signifi-34 cantly associated with various measures of back pain. These associations displayed a dose-response pat-35 tern, and remained strong even after adjustment for job characteristics and professional categories. In 36 contrast, separate dimensions of job strain (except physical demands) and job strain computed with only 37 psychological demands did not remain significantly associated with back pain after adjustment for other 38 variables. 39 Conclusion: Our results support the findings linking back pain to job strain. Moreover, the relationship 40 between back pain and job strain is much stronger if job strain includes both psychological and physical 41 demands. Results of this study suggest that workplace interventions that aim to reduce job strain may 42 help prevent back pain and may alleviate the personal, social, and economic burden attributable to back 43 pain.
The Association Between Physical Workload and Low Back Pain Clouded by the “Healthy Worker” Effect
Spine, 2001
Study Design. A population-based cross-sectional and 5-year prospective questionnaire study. Objective. To investigate self-reported physical workload as a risk factor for low back pain. Summary of Background Data. Both physical and psychosocial workplace factors are considered risk factors for low back pain. However, today no consensus has been reached regarding the exact role of these factors in the genesis of low back pain. Methods. Questionnaire data were collected at baseline for 1397 (and after 5 years for 1163) men and women aged 31-50 years at baseline. Low back pain ("any low back pain within the past year," "low back pain Յ 30 days in total during the past year," "low back pain Ͼ 30 days in total during the past year") was analyzed in relation to physical workload (sedentary, light physical, and heavy physical work) using logistic regression and controlling for age, gender, and social group. The proportions of workers changing between the workload groups over the 5-year period were analyzed in relation to low back pain status. Results. At baseline no statistically significant differences in low back pain outcomes were found for workers exposed to sedentary, light physical, or heavy physical work. This was true for all age, gender, and social groups. At follow-up there was a statistically significant doseresponse association between any low back pain and longstanding low back pain within the past year and increasing physical workload at baseline also after controlling for age, gender, and social group. Subjects with
Complaints of Nurses' Low Back Pain Assessed from Individual Characteristics and Workloads
Proceedings of the International Conference on Health Informatics, Medical, Biological Engineering, and Pharmaceutical, 2020
Complaints of low back pain often occur in health workers, especially among nurses who work in the Emergency Room since they have a high work intensity. The purpose of this study was to determine the relationship between individual characteristics and workload on complaints of low back pain among nurses in the Emergency Room at the RSUP H. Adam Malik Medan. The research design used was an analytic survey with a cross-sectional approach. The sample size of 30 respondents was obtained through purposive sampling. The results of statistical tests using the chi-square showed that there was no relationship of individual characteristics (body mass index 0,372; age 0,367; years of service 0,611) and the complaints of low back pain. On the contrary, the workload had a significant relationship on the complaints of low back pain (p-value of 0,001) among nurses at the RSUP H. Adam Malik Medan.
Biomechanical and psychosocial risk factors for low back pain at work
American Journal of Public Health, 2001
Objectives. This study determined whether the physical and psychosocial demands of work are associated with low back pain. Methods. A case-control approach was used. Case subjects (n = 137) reported a new episode of low back pain to their employer, a large automobile manufacturing complex. Control subjects were randomly selected from the study base as cases accrued (n = 179) or were matched to cases by exact job (n = 65). Individual, clinical, and psychosocial variables were assessed by interview. Physical demands were assessed with direct workplace measurements of subjects at their usual jobs. The analysis used multiple logistic regression adjusted for individual characteristics. Results. Self-reported risk factors included a physically demanding job, a poor workplace social environment, inconsistency between job and education level, better job satisfaction, and better coworker support. Low job control showed a borderline association. Physical-measure risk factors included peak lumbar shear force, peak load handled, and cumulative lumbar disc compression. Low body mass index and prior low back pain compensation claims were the only significant individual characteristics. Conclusions. This study identified specific physical and psychosocial demands of work as independent risk factors for low back pain.
Asian Spine Journal, 2016
Psychometric evaluation of a multidisciplinary work-related low back pain predictor questionnaire (MWRLBPPQ) of Iranians patient-care workers based on the social cognitive theory. Overview of Literature: Healthcare is one of the professions in which work-related musculoskeletal disorders are prevalent. The chronic low back pain experienced by patient caregivers can negatively impact their professional performance, and patient handling in a hospital is the main cause of low back pain in this population. Methods: This was a cross-sectional study carried out in Qom, Iran from July 2014 to November 2014. A MWRLBPPQ based on nine concepts of the social cognitive theory and existing literature regarding chronic low back pain was developed. Ten patient-care workers first completed the questionnaire as a pilot test, allowing the ambiguities of the instrument to be resolved. Exploratory factor analysis was used to confirm construct validity. This questionnaire was distributed among 452 patient-care workers in hospitals located in different geographically areas in Qom, Iran. Cronbach's Alpha was calculated to assess reliability. Results: In all, 452 caregivers of patients with mean age of 37.71 (standard deviation=8.3) years participated in the study. An exploratory factor analysis loaded seven concepts of self-efficacy, knowledge, outcome perception, self-control, emotional coping, and selfefficacy in overcoming impediments and challenges in the environment. All concepts were jointly accounted for 50.08% of variance of behavior change. The Cronbach's alpha coefficient showed favorable internal consistency (alpha=0.83), and test-retest of the scale with 2-week intervals indicated an appropriate stability for the MWRLBPPQ. Conclusions: The MWRLBPPQ is a reliable and valid theory-based instrument that can be used to predict factors influencing workrelated low back pain among workers who lift and transfer patients in hospitals.
Low back pain: prevalence and associated risk factors among hospital staff
Journal of Advanced Nursing, 2009
Title. Low back pain: prevalence and associated risk factors among hospital staff. Aim. This paper is a report of a study conducted to describe the prevalence and risk factors for lower back pain amongst a variety of Turkish hospital workers including nurses, physicians, physical therapists, technicians, secretaries and hospital aides. Background. Hospital workers experience more low back pain than many other groups, the incidence varies among countries. Work activities involving bending, twisting, frequent heavy lifting, awkward static posture and psychological stress are regarded as causal factors for many back injuries. Method. A 44-item questionnaire was completed by 1600 employees in six hospitals associated with one Turkish university using a cross-sectional survey design. Data were collected over nine months from December 2005 to August 2006 and analysed using Chi square and multivariate logistic regression techniques. Findings. Most respondents (65AE8%) had experienced low back pain, with 61AE3% reporting an occurrence within the last 12 months. The highest prevalence was reported by nurses (77AE1%) and the lowest amongst secretaries (54AE1%) and hospital aides (53AE5%). In the majority of cases (78AE3%), low back pain began after respondents started working in the hospital, 33AE3% of respondents seeking medical care for 'moderate' low back pain while 53AE8% (n = 143) had been diagnosed with a herniated lumbar disc. Age, female gender, smoking, occupation, perceived work stress and heavy lifting were statistically significant risk-factors when multivariate logistic regression techniques were conducted (P < 0AE05). Conclusion. Preventive measures should be taken to reduce the risk of lower back pain, such as arranging proper rest periods, educational programmes to teach the proper use of body mechanics and smoking cessation programmes.
Low back pain among health workers
Medicinski Pregled, 2020
Introduction. Back pain is often present among health workers. The aim of the study was to determine the impact of gender and years of work experience on the incidence of low back pain. Material and Methods. A prospective cross-sectional study included 67 subjects of both genders, and it was conducted in the period between June 1 and 15, 2020, in two health centers in Serbia. The impact of gender, age, years of work experience on the incidence of low back pain was analyzed, measured by the Roland-Morris disability questionnaire. Results. In the examined sample (n = 67), the majority were females (55, 82.1%). The average age of the respondents was 45.5 ± 12.2 years, with an average work experience of 20.62 ± 12.03 years. Low back pain was present in 35 subjects (52.2%). There was no statistically significant difference between male and female subjects regarding the Roland-Morris disability score (3.83 ± 4.50 vs. 4.96 ± 4.53; p > 0.05). There was a statistically significant positive correlation between the age of subjects and the Roland-Morris disability score (r = 0.407; p < 0.01). Subjects with more years of work experience presented with a higher Roland-Morris disability score (r = 0.371; p < 0.01). Conclusion. Low back pain is common in older health workers with longer work experience, regardless of the level of formal education. Additional education of health workers on the application of protective attitudes, movements, and exercise, is needed in order to prevent the development of low back pain in the work environment.