Work-related low-back problems in nursing

Lagerström, Monica; Hansson, Tommy; Hagberg, Mats

doi:10.5271/sjweh.369

Cited by 154 publications

(111 citation statements)

References 62 publications

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“…It has also been pointed out that care by the caregiver should be performed with the right posture to reduce the burden on their own lower back [30,31]. Environmental maintenance and the placement of enough staff are ideals for the prevention of low back pain in nursing home caregivers [32], but the universal application of such concepts cannot occur in nursing homes in Japan because the reward is limited by the nursing care insurance. When caregivers assume a concept of ''protecting one's body by oneself'', comprehensive staff education on features such as the right posture for care, preventive exercise, and wearing a belt is necessary.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of intervention for low back pain in female caregivers in nursing homes: a pilot trial based on multicenter randomization

Kamioka

Okuizumi

Okada

et al. 2010

Environ Health Prev Med

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Objectives Although the importance of stretching exercise for pain-relieving and patient education is well documented for chronic lumbago patients, it is uncertain how effective on-the-job training (OJT) is for female caregivers in nursing homes. In the present pilot trial based on multicenter randomization, we evaluated the intervention effect of a lecture and stretching exercise on caregivers in nursing homes. Methods Eighty-eight female caregivers (four nursing homes) volunteered to participate in this study, and they were separated into two groups randomly. For the intervention group, guidance by an orthopedist and an exercise instructor were provided as one OJT, and stretching exercises for only 6 min every day were recommended for low back pain prevention to the caregivers. Low back pain visual analogue scale (VAS), physical fitness, and mental and physical health were compared at baseline and immediately after the intervention. Results A total of 29 (33%) participants withdrew by 12 weeks. Regarding the reasons for withdrawal, 28 participants resigned, and one took a leave of absence due to exacerbation of lumbago. Adherence to the stretching exercises was 2.3 ± 1.3 (mean ± SD) times per week. No significant differences were seen for any outcome measurements. The high adherence group (33 times per week) did not show a change in the VAS, but the low adherence group (\3 times per week) and control group showed a tendency towards an increased score (p = 0.068). Conclusions Even with the conduct of one OJT, and exercises of only 6 min every day, the adherence of caregivers was low, and there appeared to be few effects of the OJT.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of intervention for low back pain in female caregivers in nursing homes: a pilot trial based on multicenter randomization

Kamioka

Okuizumi

Okada

et al. 2010

Environ Health Prev Med

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“…Several reviews (Lagerstrom et al, 1998, Menzel, 2004, Sherehiy et al, 2004 have shown that qualification level and therewith associated different exposure and tasks are associated with the risk for spine complaints. Consequently, the distinction between nurses and auxiliary staff was used as separate risk factor, with registered nurses as the reference category.…”

Section: Individual Factorsmentioning

confidence: 99%

Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries—results from the European NEXT-Study

Simon

Tackenberg

Nienhaus

et al. 2008

International Journal of Nursing Studies

117

104

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Background: Musculoskeletal disorders are a widespread affliction in the nursing profession. Back or neck-pain-related disability of nursing staff is mainly attributed to physical and psychosocial risk factors. Objectives: To investigate which-and to what extent-physical and psychosocial risk factors are associated with neck/ back-pain-related disability in nursing, and to assess the role of the type of health care institution (hospitals, nursing homes and home care institutions) within different countries in this problem. Design: Cross-sectional secondary analysis of multinational data of nurses and auxiliary staff in hospitals (n ¼ 16,770), nursing homes (n ¼ 2140) and home care institutions (n ¼ 2606) in seven countries from the European NEXT-Study. Methods: Multinomial logistic regression analysis with raw models for each factor and mutually adjusted with all analysed variables. Results: Analysis of the pooled data revealed effort-reward imbalance as the predominant risk factor for disability in all settings (odds ratios for high disability by effort-reward ratio: hospital 5. 05 [4.30-5.93]; nursing home 6.52 [4.04-10.52] and home care 6. 4 [3.83-10.70] [after mutual adjustment of psychosocial and physical risk factors]). In contrast, physical exposure to lifting and bending showed only limited associations with odds ratios below 1.6; the availability and use of lifting aids was-after mutual adjustment-not or only marginally associated with disability. These findings were basically confirmed in separate analyses for all seven countries and types of institutions. Conclusions: The findings show a pronounced association between psychosocial factors and back or neck-pain-related disability. Further research should consider psychosocial factors and should take the setting where nurses work into account. r

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“…Pesquisadores de várias partes do mundo têm demonstrado que os trabalhadores de enfermagem são um dos grupos ocupacionais mais afetados por algias e lesões dorsais ocupacionais (1)(2)(3)(4) . Países desenvolvidos têm voltado sua atenção especificamente aos acidentes do trabalho que comprometem a coluna e já foi comprovado que a equipe de enfermagem apresenta uma das maiores taxas de ocorrência deste tipo de acidente (5)(6)(7)(8)(9)(10) .…”

Section: Introductionunclassified