Musculoskeletal Disorders in Nurses in Hospitals

Authors

DOI:

https://doi.org/10.3889/oamjms.2022.8920

Keywords:

Musculoskeletal disorders, Workplace, Working postures, Nurses, Hospitals

Abstract

Background Healthcare is a sector with a high risk of musculoskeletal disorders. The work of nurses in a hospital is associated with stress, prolonged work, uncomfortable working postures, bending and twisting of the body and etc.

Aim: To identify the risk factors for the frequency and localization of musculoskeletal complaints and diagnosed diseases of the musculoskeletal system in nurses in hospitals.

Methods: The study is cross-sectional and comprised 1412 nurses female nurses from 19 hospitals in Sofia having an average age of 50.3±9.9 years. An ergonomic analysis of workplaces in hospitals was made. A survey was conducted in relation to the workplace, the workload, the working posture and movements; Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms were used, BMI. Information on musculoskeletal diseases diagnosed by a doctor was collected with Work ability index (WAI). The statistical analyses were made using SPSS.

Results: The frequency of musculoskeletal complaints is high, complaints in the lower back being in the lead with 74.2%, followed by the back, neck and shoulders. A musculoskeletal disorder, diagnosed by a doctor, occurs in 35.6% of the individuals. Widespread is the prolonged work in a standing position, awkward working postures, bending, twisting and stretching. The data from the regression analysis show that the work with bending, twisting and stretching, prolonged work in a standing position and BMI are predictors of musculoskeletal complaints.

Conclusion: The results indicate lack of good workplace organisation and equipment. The activity involves prolonged work in a standing position, awkward working postures and work with bending and twisting of the body. High is the incidence of musculoskeletal disorders and the undergone treatment related to them.

 Key words: musculoskeletal disorders, workplace, working postures, nurses, hospitals.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Ellapen TJ, Narsigan S. Work related musculoskeletal disorders among nurses: Systematic review. J Ergon. 2014;S4:3. https://doi.org/10.4172/2165-7556.S4-003 DOI: https://doi.org/10.4172/2165-7556.S4-003

Hafner ND, Milek DM, Fikfak MD. Hospital staff’s risk of developing musculoskeletal disorders, especially low back pain. Zdr Varst. 2018;57(3):133-9. https://doi.org/10.2478/sjph-2018-0017 PMid:29983779 DOI: https://doi.org/10.2478/sjph-2018-0017

Abedini R, Choobineh AR, Hasanzadeh J. Patient manual handling risk assessment among hospital nurses. Work. 2015;50:669-75. https://doi.org/10.3233/WOR-141826 PMid:24448012 DOI: https://doi.org/10.3233/WOR-141826

Soylar P, Ozer A. Evaluation of the prevalence of musculoskeletaldisorders in nurses: A systematic review. MedScience 2018;7(3):479-85.

Azma BA, Rusli BN, Oxley J, Quek K. Work related musculoskeletal disorders in female nursing personnel: Prevalence and impact. Int J Collaborat Res Intern Med Public Health. 2016;8(3):294-8.

Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C. Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: A systematic review and meta-analysis. Int J Nurs Stud. 2015;52(2):635-48. https://doi.org/10.1016/j.ijnurstu.2014.11.003 PMid:25480459 DOI: https://doi.org/10.1016/j.ijnurstu.2014.11.003

Stanton N, Hedge A, Brookhuis K, Salas E, Hendrick H, Handbook of Human Factors and Ergonomics Methods. Boca Raton: CRC Press; 2005. p. 1-4. DOI: https://doi.org/10.1201/9780203489925

Heiden B, Weigl M, Angerer P, Müller A. Association of age and physical job demands with musculoskeletal disorders in nurses. Appl Ergon. 2013;44(4):652-8. https://doi.org/10.1016/j.apergo.2013.01.001 PMid:23399023 DOI: https://doi.org/10.1016/j.apergo.2013.01.001

Viester L, Verhagen E, Hengel K, Koppes L, van der Beek AJ, Bongers PM. The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskelet Disord. 2013;14:238. https://doi.org/10.1186/1471-2474-14-238 PMid:23937768 DOI: https://doi.org/10.1186/1471-2474-14-238

Ovcharov VL. Age-related changes in skeletal muscle. Soc Med. 2018;3-4:21-3.

Dong H, Zhang Q, Liu G. Prevalence and associated factors of musculoskeletal disorders among Chinese healthcare professionals working in tertiary hospitals: A cross-sectional study. BMC Musculoskelet Disord. 2019;20(1):175. https://doi.org/10.1186/s12891-019-2557-5 PMid:31014316 DOI: https://doi.org/10.1186/s12891-019-2557-5

Sezgin D, Esin M. Predisposing factors for musculoskeletal symptoms in intensive care unit nurses. Int Nurs Rev. 2015;62(1):92-101. https://doi.org/10.1111/inr.12157 PMid:25440528 DOI: https://doi.org/10.1111/inr.12157

Oakman J, Neupane S, Nygård CH. Does age matter in predicting musculoskeletal disorder risk? An analysis of workplace predictors over 4 years. Int Arch Occup Environ Health. 2016;89(7):1127-36. https://doi.org/10.1007/s00420-016-1149-z PMid:27368425 DOI: https://doi.org/10.1007/s00420-016-1149-z

Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering- Sorensen F, Andersson G, et al. Standardized Nordic Questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233-7. https://doi.org/10.1016/0003-6870(87)90010-x PMid:15676628 DOI: https://doi.org/10.1016/0003-6870(87)90010-X

Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Work Ability Index. Finland: Finnish Institute of Occupational Health Publication Office, Helzinki; 1998.

Mincheva L, Vangelova K. Working Capacity: Evaluation by Determiningthe Index of Working Capacity. Translation and Adaptation. Ruse: Danube Press; 2008.

WHO. Body Mass Index. Available from: https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi [Last accessed on 2021 Jul 21].

Smedley J, Inskip H, Trevelyan F, Buckle P, Cooper C, Coggon D. Risk factors for incident neck and shoulder pain in hospital nurses. Occup Environ Med.2003;60:864-9. DOI: https://doi.org/10.1136/oem.60.11.864

Kalkim A, Midilli JS, Dogru S. Musculoskeletal disorder symptoms in nurses and etiological factors: A cross-sectional research. Ann Med Res. 2019;26(3):374-81. DOI: https://doi.org/10.5455/annalsmedres.2019.01.01

June KJ, Cho SH. Low back pain and work-related factors among nurses in intensive care units. J Clin Nurs. 2011;20(3-4):479-87. https://doi.org/10.1111/j.1365-2702.2010.03210.x PMid:20673308 DOI: https://doi.org/10.1111/j.1365-2702.2010.03210.x

Bozic A, Mikov I, Gajdobranski D, Brestovacki B, Ćitric Z. Influence of personal characteristics on the occurrence of lumbar pain in nurses. Med Pregl. 2018;71(1):65-9. DOI: https://doi.org/10.2298/MPNS18S1065B

Trinkoff A, Le R, Geiger-Brown J, Lipscomb J, Lang G. Longitudinal relationship of work hours, mandatory overtime, and on-call to musculoskeletal problems in nurses. Am J Indust Med. 2006;49(11):964-71. https://doi.org/10.1002/ajim.20330 PMid:16691609 DOI: https://doi.org/10.1002/ajim.20330

Vangelova K, Dimitrova I, Cekova I, Stoyanova R. Shift work and occupational stress in hospital nurses in Sofia. Acta Med Bulgarica. 2021;48(1):81-7. DOI: https://doi.org/10.2478/amb-2021-0013

Vinstrup J, Jakobsen M, Madeleine P, Andersen L. Physical exposure during patient transfer and risk of back injury and low-back pain: Prospective cohort study. BMC Musculoskelet Disord. 2020;21(1):715. DOI: https://doi.org/10.1186/s12891-020-03731-2

Stanchev V, Vangelova K. Musculoskeletal injuries in nurses in emergency and intensive care units in hospitals. Bulgarian J Public Health. 2020;12(4):52-61.

Downloads

Published

2022-03-17

How to Cite

1.
Stanchev V, Vangelova K. Musculoskeletal Disorders in Nurses in Hospitals. Open Access Maced J Med Sci [Internet]. 2022 Mar. 17 [cited 2024 Apr. 19];10(E):439-43. Available from: https://oamjms.eu/index.php/mjms/article/view/8920

Issue

Section

Public Health Epidemiology

Categories