Musculoskeletal Disorders and Their Related Risk Factors Among Iranian Nurses

Abstract

Background: Work-related musculoskeletal disorders (MSDs) are one of the most occupational problems among nurses and often cause many physical and psychological complications for nurses, and are a financial burden for health-care systems. Objectives: The aim of this study was to determine the prevalence MSDs and their related risk factors among Iranian nurses. Patients and Methods: This descriptive-correlational study included 240 hospital nurses, with a baccalaureate nursing degree, who worked at three public hospitals of the Ilam province of Iran. Data were collected through a validated self-administered questionnaire. Finally, 156 questionnaires were returned (response rate: 65%) and 135 questionnaires qualified for subsequent analysis. The data were analyzed using the SPSS version 15.0 software. Descriptive and inferential statistics (logistic regression) were used. Results: Overall, 97 (71.9%) hospital nurses experienced MSDs in at least one anatomical site within the last year. Low back pain was the most prevalent MSDs (40%) and hip and thigh were the least (11.1%) frequent sites. Most of the nurses with MSDs worked at surgery wards (17.8%), emergency (15.6%) and intensive care units (12.6%). Pain (48.1%) and cramps (31.9%) were the most frequent symptoms of MSDs and loss of limbs control (5.9%) was the least frequent symptom. Bend or twist at waist for performing nursing procedures, patient transfer from and to beds, working with the hands higher than shoulder height and changing position of patients in beds were the most frequent occupational factors that influenced MSDs. Increased age, weight, height, body mass index (BMI) and gender had no significant association with MSDs. However, being single and involved in any kinds of physical activity were significantly associated with the prevalence of MSDs (P < 0.05). Conclusions:The study findings indicated high prevalence of worked-related MSDs among Iranian hospital nurses. Accordingly, appropriate policies for managing MSDs among hospital nurses should be considered.

Assessing the Risk of Manual Handling of Patients and Its Relationship with the Prevalence of Musculoskeletal Disorders Among Nursing Staff: Performance Evaluation of the MAPO and PTAI Methods

“…This is in line with the reports by MoreiraSilva et al (2013) and Mozafari et al (2014) (34,35). It is also noteworthy that some studies have reported no significant relationship between the body mass index and the incidence of MSDs (33,36). In their study, Lorusso et al (2007) (37) mentioned that the body mass index could make an individual susceptible to developing MSDs.…”

Work- Related Musculoskeletal Symptoms Among Nurse Staff in Ismailia, Egypt

“…Bernal et al, 2015 describe MSDs as manifestations elicited or aggravated by long term exposure to certain hazards at the workplace including discomfort and pain in body structures, such as muscles, joints, bones, tendons, nerves and supporting blood vessels. Work-related MSDs have adverse outcomes on quality of life, productivity, increase work limitation, absenteeism, transfer to another work, and disabilities (Hagberg et al, 2012 andTaghinejad et al, 2016 (Yip 2001 andSmith et al 2005). These work tasks are usually performed manually without assistance of equipment.…”

A segurança biomecânica na prática clinica dos enfermeiros especialistas em saúde materna e obstetrícia

“…(1) -71,9% (5) ) a experienciar uma LMLET nos últimos 12 meses (1) . A dor e o desconforto músculo-esquelético são uma queixa presente desde os primeiros anos de atividade profissional (6) , causam diversas complicações físicas e psicológicas, provocando absentismo (5) e representam 56% das causas de ausência temporária ao serviço (1) .…”

“…A dor e o desconforto músculo-esquelético são uma queixa presente desde os primeiros anos de atividade profissional (6) , causam diversas complicações físicas e psicológicas, provocando absentismo (5) e representam 56% das causas de ausência temporária ao serviço (1) . A discrepância nos valores da prevalência encontrada, nos diferentes estudos, pode ter sido influenciada pelos métodos, técnicas, procedimentos e tamanho da amostra, mas revelam a magnitude de um problema de saúde ocupacional que demanda um resolução urgente.…”

“…Destacam-se o desrespeito pelos princípios da biomecânica com posturas inadequadas mantidas por longos períodos, a não garantia de um alinhamento corporal correto durante a execução das atividades, a não utilização das alavancas corporais para a mobilização de cargas (1) ; o uso excessivo da força (1,(3)(4) ; os ritmos de trabalhos intensos; o estresse; as atividades de posicionamento, levante e transferência de pessoas dependentes (4)(5)8) ; mobilização de cargas (1,7) ; a falta de informação e treino dos profissionais para a execução das atividades em segurança (6) ; problemas de saúde, falta de exercício físico e a obesidade (1) . A maioria dos estudos avalia, este fenómeno, descriminando as categorias profissionais (enfermeiros, médicos, auxiliares, fisioterapeutas, entre outros) e o tipo de lesões (lesões de esforço repetitivo, tendinites, dorsolombalgias, dor/desconforto) (1)(2)(3)(4)(5)(6)8) . A revisão da literatura permite afirmar que existem poucos estudos sobre a prevalência de diferentes tipos de LMELT entre os enfermeiros especialistas de saúde materna e obstétrica (EESMO) comparativamente com médicos e enfermeiros que exercem atividade em urgências, cuidados intensivos e serviços de internamento de pessoas adultas e idosas (9) .…”