Bandscheibenbedingte Erkrankungen der Lendenwirbels�ule bei Krankenschwestern

Kromark, K.; Rojahn, K.; Nienhaus, Albert

doi:10.1007/s10039-004-0995-1

Cited by 2 publications

(5 citation statements)

References 10 publications

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“…In the context of the study design, statistically significant pain reduction was found for the whole group and the subgroups. This is consistent with the 2003 evaluation study of the Back College [ 14 ]. This study too found pain relief in active participants at the time of the survey.…”

Section: Discussionsupporting

confidence: 91%

“…It is therefore only possible to perform intraindividual and internal comparisons in subgroups. In contrast, the 2003 evaluation study of the Back College [ 14 ] exploited the unique opportunity that, at this time, the Back College was under development and was not accessible to all BGW insurance holders. In this context, it was possible to perform a non-randomised controlled evaluation study with group comparison.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the Back College for nursing staff

Koch

Pietsch²,

Harling

et al. 2014

J Occup Med Toxicol

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BackgroundWork-related musculoskeletal pain- particularly back pain - is an important individual and socioeconomic problem. The Back College for the insurance holders of the Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) is based on a multimodal concept and has been evaluated with respect to pain relief and continuing in the nursing profession.MethodsIn a retrospective cohort study, the participants in the Back College from 2009 to 2011 were surveyed in writing. Besides demographic data, the survey covered information on qualification, length of employment, institution, employment status, periods of inability to work, applicability of working techniques and continuation in the profession. Back pain was recorded at three time points - T1 (before the Back College), T2 (directly after the Back College) and T3 (at the time of the survey). Pain changes were submitted to tests for paired samples. Multivariate logistic analysis was applied to determine potential factors influencing unfavourable changes in pain or leaving nursing due to back pain.ResultsThe survey covered 1,282 insurance holders, with a response rate of 80%. Statistically significant reductions in pain were found for the whole group and for all subgroups. For persons who predominantly worked in old people’s homes and who did not take part in refresher services, an increased odds ratio was found for unfavourable changes in pain (OR: 1.9 or 1.4, respectively). Persons with a qualification in geriatric nursing or in intensive care/OP/anaesthesia had an increased risk of leaving nursing due to back pain (OR: 2.5 in each case). An increased risk of leaving was also found for persons who did not take part in workplace support (OR: 2.9).ConclusionWithin the context of the study design, the multimodal concept of the Back College is clearly related to relief of back pain. The Back College appears to be less successful for geriatric nurses and persons with qualifications in intensive care/OP/anaesthesia. Further studies are needed to ascertain why some participants experience less relief in stress from the working techniques they have learnt.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Evaluation of the Back College for nursing staff

Koch

Pietsch²,

Harling

et al. 2014

J Occup Med Toxicol

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“…The aim of improving physical fitness is not only to reduce back pain but also to enable participants to adopt spine-friendly ergonomic movement habits in their occupational as well as their daily routines. The application of this was shown by earlier studies [23, 43] and the current study also demonstrates a high application rate. However, changes in muscle strength were not assessed in our study.…”

Section: Discussionsupporting

confidence: 82%

“…This result is consistent with earlier evaluation studies of the Back College. An improvement and reduction in pain intensity during the survey period was observed in studies by Kromark, Rojahn & Nienhaus [43] as well as Koch et al [23]. A possible explanation for this result could be the individual increase in the level of activity as well as the appropriate application of knowledge acquired during the Back College about physical activity, effects and background information.…”

Section: Discussionmentioning

confidence: 56%

“…The programme’s success is further suggested by a reduction in the number of sick leave days and the use of medication due to back pain during the study period. This decrease in sick leave days could not be proven by Kromark et al [43]. A possible explanation for this is the fact that in that study data was collected on average 26 months later and the participants may not have been able to accurately remember the length of the sick leave and the exact cause for it.…”

Section: Discussionmentioning

confidence: 77%

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The Back College for nurses – an evaluation of intermediate effects

Kusma

Pietsch

Riepenhof

et al. 2019

J Occup Med Toxicol

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Background Nursing staff and care workers run an increased risk of work related musculoskeletal disorders such as low back pain. The Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) offers its insured persons the opportunity to participate in a three-week Back College with the aim of preventing them having to abandon their profession due to back problems. The aim of the study was to record the effectiveness and sustainability of the Back College on an intermediate basis (6 months). Methods As part of a single-group pre-post measurement on three survey dates – at the start (T0) and end (T1) of rehabilitation and 6 months later (T2) – in 2013 all participants in the Back College at three locations were surveyed using a standard questionnaire. Wilcoxon signed-rank tests were performed to evaluate statistically significant changes. Results For measurement dates T0 to T2 we had 570 complete datasets (response rate 70.81%). There was a significant decrease in reported back pain and the general state of health and quality of life index improved. Participants’ emotional strain decreased and they showed an improved understanding of illness as well as of having acquired knowledge-based abilities and skills for dealing with the disease. After training, they recorded back-friendly behaviour in everyday life and opportunities to relieve strain on the spinal column were utilised at work more often. Participants’ subjective assessment of their ability to work (Work Ability Index) improved. Conclusion The present study proved the intermediate effectiveness of the Back College curriculum. Whether these effects remain stable in the long term will be tested on the subsequent measurement date (T3, after 24 months).

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Bandscheibenbedingte Erkrankungen der Lendenwirbels�ule bei Krankenschwestern

Cited by 2 publications

References 10 publications

Evaluation of the Back College for nursing staff

Evaluation of the Back College for nursing staff

The Back College for nurses – an evaluation of intermediate effects

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