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Investigation of Musculoskeletal System Pain in Intensive Care Nurses

Year 2024, Volume: 5 Issue: 1, 40 - 51, 28.03.2024

Sedef Gök Geçer Azime Karakoç Kumsar

https://doi.org/10.58770/joinihp.1291204

Abstract

This study was planned to examine the musculoskeletal pain experience of intensive care nurses and the affecting factors. The population of the study consisted of nurses working in a training and research hospital intensive care unit between January 8, 2021, and March 1, 2021. A total of 90 nurses who accepted to participate in the study and filled out the data collection forms completely formed a sample. Data were obtained using the “Descriptive Information Form” and the “Extended Nordic Musculoskeletal Questionnaire”. As a result of the research17.8%of the nurses had a diagnosed musculoskeletal disease. Pain severity ranges from 0 to 10, with an average of 4.04±2.51. According to the results, there are some questions that asked of nurses about the first movements that may adversely affect the musculoskeletal system: nurses replied that %42.2 give a position to patients, %21.1 pull over to patients in bed, and, %17.8 provide nursing care to patients. Pain, pain and discomfort were detected in 88.9% (n=80) of the nurses at any time during the last 12 months and it was determined that it was seen in 1-3 regions in 36.7% and in 4-6 regions in 36.7%. More than half of the nurses were found to be obstructed due to pain at any time during the last twelve months.

Keywords

Intensive care nurse musculoskeletal system pain.

References

  • [1] N. Menzel, S.M. Brooks, T.E. Bernard, A. Nelson, “The physical workload of nursing personnel: association with musculoskeletal discomfort,” International Journal of Nursing Studies, vol. 41, no. 8, pp. 859-867, 2004.
  • [2] D. Sezgin, “Yoğun bakım ünitelerinde çalışan hemşirelerin kas iskelet sistemi ile ilgili sağlık sorunları ve ilişkili faktörler,” Yüksek Lisans Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, Halk Sağlığı Hemşireliği Anabilim Dalı, İstanbul, 2012.
  • [3] S. Gupta, “Ergonomic applications to dental practice,” Indian Journal of Dental Research, vol. 22, no. 6, pp. 816-822, 2011.
  • [4] M.A. Babayiğit, M. Kurt, “Hastane ergonomisi,” İstanbul Tıp Dergisi, vol. 14, no. 10, pp.153-159, 2013.
  • [5] T. Güler, T. Yıldız, E. Önler, B. Yıldız, G. Gülcivan, “Hastane ergonomik koşullarının hemşirelerin mesleki kas iskelet sistemi rahatsızlıkları üzerine etkisi,” IAAOJ Scientific Science, vol. 3, no. 1, pp. 1-7, 2015.
  • [6] A. İlçe, A. Dramalı, “Yoğun bakım ünitelerinin fiziksel ergonomik faktörler açısından incelenmesi,” HEMAR-G, vol. 12, no. 1, pp. 53-63, 2010.
  • [7] F.S.Violante, M.Fiori, C. Fiorentini, “Associations of psychosocial and ındividual factors with three different categories of back disorder among nursing staff,” Journal of Occupational Health, vol. 46, pp. 100–108, 2004.
  • [8] J. Sun, Z. He, S. Wang, “Prevalence and risk factors of occupational low back pain in ICU nurses,” Chinese Journal of Industrial Hygeine and Occupational Diseases, vol. 25, no. 8, pp. 453-455. 2007.
  • [9] N.P. Günüşen, B. Üstün, “Türkiye' de ikinci basamak sağlık hizmetlerinde çalışan hemşire ve hekimlerde tükenmişlik: literatür incelemesi,” DEHYOD, vol. 3, no. 1, pp. 40-51, 2010.
  • [10] S. Stucke, N.N. Menzel, “Ergonomic assesment of a critical care unit,” Critical Care Nursing Clinics of North America, vol. 19, pp. 155-165, 2007.
  • [11] E.R. Vieira, S. Kumar, H. Coury, Y. Narayan, “Low back problems and possible improvements in nursing jobs,” Journal of Advanced Nursing, vol. 55, no. 1, pp. 79–89, 2006.
  • [12] A. Gül, H. Üstündağ, B. Kahraman, S. Purisa, “Hemşirelerde Kas İskelet Ağrılarının Değerlendirilmesi,” HSP, vol. 1, no. 1, pp.1–10, 2014.
  • [13] D. Kandemir, A. Karaman, G. Altun Uğraş, S.D. Öztekin, “Ameliyathane hemşirelerinde kas iskelet sistemi ağrılarının incelenmesi,” Hemşirelikte Eğitim ve Araştırma Dergisi, vol. 16, no. 1, pp. 1-7, 2019.
  • [14] I. Kuorinka, B. Jonsson, A. Kilbom, H. Vinterberg, F. Biering Sørensen, G. Andersson, “Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms,” Appl Ergon., vol. 18, pp. 233-237, 1987.
  • [15] A.P. Dawson, E.J. Steele, P.W. Hodges, S. Stewart, “Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain.” J Pain, vol. 5, no. 10, pp. 517-526, 2009.
  • [16] T. Kahraman, A. Genç, E. Göz, “The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disability and Rehabilitation,” vol. 38, no. 21, pp. 2153–2160, 2016.
  • [17] D.R. Smith, N. Wei, L. Zhao, R.S. Wang, “Musculoskeletal complaints and psychosocial risk factors among chinese hospital nurses,” Occupational Medicine, vol. 54, no. 8, pp. 579–582, 2004.
  • [18] H. Şirzai, B. Doğu, P. Erdem, F. Yılmaz, B. Kuran, “Hastane çalışanlarında işe bağlı kas iskelet sistemi hastalıkları: Üst ekstremite problemleri,” Ş.E.E.A.H. Tıp Bülteni, vol. 49, no. 2, pp. 135-141, 2015.
  • [19] S. Yang, J. Lu, J. Zeng, L. Wang, Y. Li, “Prevalence and risk factors of work-related musculoskeletal disorders among ıntensive care unit nurses in China,” Workplace Health Saf., vol. 67, no. 6, pp. 2751-287, 2019.
  • [20] L. Younan, M. Clinton, S. Fares, F. El Jardali, H. Samaha, “The relationship between work-related musculoskeletal disorders, chronic occupational fatigue, and work organization: a multi-hospital cross-sectional study, J Adv Nurs, vol. 75, no. 8, pp. 1667-1677, 2019.
  • [21] P. Yan, F. Li, L. Zhang, et al. “Prevalence of work-related musculoskeletal disorders in the nurses working in hospitals of Xinjiang Uygur Autonomous Region,” Pain Res Manag., 2017.
  • [22] S. Genevay, C. Cedraschi, D.S. Courvoisier, et al. “Work related characteristics of back and neck pain among employees of a Swiss University Hospital,” Joint Bone Spine, vol. 78, no. 4, pp. 392–397, 2011.
  • [23] L.F. Martinez, A.I. Ferreira, “Sick at work: presenteeism among nurses in a portuguese public hospital,” Stress and Health, vol. 28, no. 4, pp. 297– 304, 2012.
  • [24] A. Skerjanc, M. Dodic Fikfak, “Sickness presence and stressful life events of health care workers,” Central European Journal of Public Health, vol. 23, no. 3, pp. 240–243, 2015
  • [25] S. Uz Tuncay, İ. Yeldan, “Kas iskelet sistemi rahatsızlıklarıyla fiziksel inaktivite ilişkili midir?” Ağrı, vol. 25, no. 4, pp. 147-155, 2013.
  • [26] R. Pınar, “Work- Related Musculoskeletal Disorders in Turkish Hospital Nurses,” Turkiye Klinikleri J. Med. Sci., vol. 30, no. 6, pp. 1869-1875, 2010.
  • [27] J. Chen, N.M. Daraiseh, K.G. Davis, W. Pan, “Sources of work-related acute fatigue in United States hospital nurses,” Nursing & Health Sciences, vol. 16, pp. 19-25, 2014.
  • [28] L.M. Steege, D.A. Drake, M. Olivas, G. Mazza, “Evaluation of physically and mentally fatiguing tasks and sources of fatigue as reported by registered nurses,” Journal of Nursing Management, vol. 23, no. 2, pp. 179-189, 2015.
  • [29] J. Koohpayehzadeh, A. Bahrami Ahmadi, H. Kadkhodaei, S.A. Mortazavi, Z. Amiri, “The role of work- related physical and psychological factors on prevalence of neck/shoulder complaints among nurses: A multicentric study,” Med J Islam Repub Iran, vol. 30, pp. 470, 2016.
  • [30] B. Skela Savič, K. Pesjak, S. Hvalič Touzery, “Low back pain among nurses in Slovenian hospitals: cross-sectional study,” Int Nurs Rev., vol. 64, no.4, pp. 544–551, 2017.

Yoğun Bakım Hemşirelerinin Kas İskelet Sistemi Ağrılarının İncelenmesi

Year 2024, Volume: 5 Issue: 1, 40 - 51, 28.03.2024

Sedef Gök Geçer Azime Karakoç Kumsar

https://doi.org/10.58770/joinihp.1291204

Abstract

Araştırma, yoğun bakım ünitesinde çalışan hemşirelerin kas iskelet sistemine ilişkin ağrı yaşama durumları ve etkileyen faktörleri incelemek amacıyla yapıldı. Tanımlayıcı ve kesitsel tipte gerçekleştirilen araştırmaya, 08.01.2021-01.03.2021 tarihleri arasında İstanbul’da bir Eğitim ve Araştırma Hastanesi erişkin düzey Yoğun Bakım Ünitelerinde çalışan 90 hemşire dahil edildi. Veriler “Tanıtıcı Bilgi Formu” ve “Genişletilmiş Nordic Kas-İskelet Sistemi Anketi” kullanılarak elde edildi. İstatistiksel değerlendirmede tanımlayıcı istatistiksel metodlar, tek yönlü Anova, Kruskal Wallis, Pearson Ki-Kare ve Fisher-Freeman-Halton testi kullanıldı. Hemşirelerin %17.8’inde tanısı konulmuş kas-iskelet sistemi hastalığı bulunmaktadır. Ağrı şiddetleri 0 ile 10 puana aralığında değişmekte olup, ortalama 4.04±2.51’dir. Kas-iskelet sistemini olumsuz etkileyebilecek ilk üç hareketler olarak; hemşirelerin %42.2’si hastaya pozisyon vermek, %21.1’i hastayı yukarı çekmek ve %17.8’i hastaya bakım yapmak olarak belirtti. Hemşirelerin %88.9’unda (n=80) son 12 ay süresince herhangi bir zamanda acı, ağrı, rahatsızlık saptandı ve %36.7’sinde 1-3 bölgede, %36.7’sinde 4-6 bölgede görüldüğü belirlendi. Hemşirelerin, yarıdan fazlasının son on iki ay süresince herhangi bir zamanda ağrıdan dolayı işi engelleme durumu tespit edildi.

Keywords

Yoğun bakım hemşiresi kas iskelet sistemi ağrı.

References

  • [1] N. Menzel, S.M. Brooks, T.E. Bernard, A. Nelson, “The physical workload of nursing personnel: association with musculoskeletal discomfort,” International Journal of Nursing Studies, vol. 41, no. 8, pp. 859-867, 2004.
  • [2] D. Sezgin, “Yoğun bakım ünitelerinde çalışan hemşirelerin kas iskelet sistemi ile ilgili sağlık sorunları ve ilişkili faktörler,” Yüksek Lisans Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, Halk Sağlığı Hemşireliği Anabilim Dalı, İstanbul, 2012.
  • [3] S. Gupta, “Ergonomic applications to dental practice,” Indian Journal of Dental Research, vol. 22, no. 6, pp. 816-822, 2011.
  • [4] M.A. Babayiğit, M. Kurt, “Hastane ergonomisi,” İstanbul Tıp Dergisi, vol. 14, no. 10, pp.153-159, 2013.
  • [5] T. Güler, T. Yıldız, E. Önler, B. Yıldız, G. Gülcivan, “Hastane ergonomik koşullarının hemşirelerin mesleki kas iskelet sistemi rahatsızlıkları üzerine etkisi,” IAAOJ Scientific Science, vol. 3, no. 1, pp. 1-7, 2015.
  • [6] A. İlçe, A. Dramalı, “Yoğun bakım ünitelerinin fiziksel ergonomik faktörler açısından incelenmesi,” HEMAR-G, vol. 12, no. 1, pp. 53-63, 2010.
  • [7] F.S.Violante, M.Fiori, C. Fiorentini, “Associations of psychosocial and ındividual factors with three different categories of back disorder among nursing staff,” Journal of Occupational Health, vol. 46, pp. 100–108, 2004.
  • [8] J. Sun, Z. He, S. Wang, “Prevalence and risk factors of occupational low back pain in ICU nurses,” Chinese Journal of Industrial Hygeine and Occupational Diseases, vol. 25, no. 8, pp. 453-455. 2007.
  • [9] N.P. Günüşen, B. Üstün, “Türkiye' de ikinci basamak sağlık hizmetlerinde çalışan hemşire ve hekimlerde tükenmişlik: literatür incelemesi,” DEHYOD, vol. 3, no. 1, pp. 40-51, 2010.
  • [10] S. Stucke, N.N. Menzel, “Ergonomic assesment of a critical care unit,” Critical Care Nursing Clinics of North America, vol. 19, pp. 155-165, 2007.
  • [11] E.R. Vieira, S. Kumar, H. Coury, Y. Narayan, “Low back problems and possible improvements in nursing jobs,” Journal of Advanced Nursing, vol. 55, no. 1, pp. 79–89, 2006.
  • [12] A. Gül, H. Üstündağ, B. Kahraman, S. Purisa, “Hemşirelerde Kas İskelet Ağrılarının Değerlendirilmesi,” HSP, vol. 1, no. 1, pp.1–10, 2014.
  • [13] D. Kandemir, A. Karaman, G. Altun Uğraş, S.D. Öztekin, “Ameliyathane hemşirelerinde kas iskelet sistemi ağrılarının incelenmesi,” Hemşirelikte Eğitim ve Araştırma Dergisi, vol. 16, no. 1, pp. 1-7, 2019.
  • [14] I. Kuorinka, B. Jonsson, A. Kilbom, H. Vinterberg, F. Biering Sørensen, G. Andersson, “Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms,” Appl Ergon., vol. 18, pp. 233-237, 1987.
  • [15] A.P. Dawson, E.J. Steele, P.W. Hodges, S. Stewart, “Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain.” J Pain, vol. 5, no. 10, pp. 517-526, 2009.
  • [16] T. Kahraman, A. Genç, E. Göz, “The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disability and Rehabilitation,” vol. 38, no. 21, pp. 2153–2160, 2016.
  • [17] D.R. Smith, N. Wei, L. Zhao, R.S. Wang, “Musculoskeletal complaints and psychosocial risk factors among chinese hospital nurses,” Occupational Medicine, vol. 54, no. 8, pp. 579–582, 2004.
  • [18] H. Şirzai, B. Doğu, P. Erdem, F. Yılmaz, B. Kuran, “Hastane çalışanlarında işe bağlı kas iskelet sistemi hastalıkları: Üst ekstremite problemleri,” Ş.E.E.A.H. Tıp Bülteni, vol. 49, no. 2, pp. 135-141, 2015.
  • [19] S. Yang, J. Lu, J. Zeng, L. Wang, Y. Li, “Prevalence and risk factors of work-related musculoskeletal disorders among ıntensive care unit nurses in China,” Workplace Health Saf., vol. 67, no. 6, pp. 2751-287, 2019.
  • [20] L. Younan, M. Clinton, S. Fares, F. El Jardali, H. Samaha, “The relationship between work-related musculoskeletal disorders, chronic occupational fatigue, and work organization: a multi-hospital cross-sectional study, J Adv Nurs, vol. 75, no. 8, pp. 1667-1677, 2019.
  • [21] P. Yan, F. Li, L. Zhang, et al. “Prevalence of work-related musculoskeletal disorders in the nurses working in hospitals of Xinjiang Uygur Autonomous Region,” Pain Res Manag., 2017.
  • [22] S. Genevay, C. Cedraschi, D.S. Courvoisier, et al. “Work related characteristics of back and neck pain among employees of a Swiss University Hospital,” Joint Bone Spine, vol. 78, no. 4, pp. 392–397, 2011.
  • [23] L.F. Martinez, A.I. Ferreira, “Sick at work: presenteeism among nurses in a portuguese public hospital,” Stress and Health, vol. 28, no. 4, pp. 297– 304, 2012.
  • [24] A. Skerjanc, M. Dodic Fikfak, “Sickness presence and stressful life events of health care workers,” Central European Journal of Public Health, vol. 23, no. 3, pp. 240–243, 2015
  • [25] S. Uz Tuncay, İ. Yeldan, “Kas iskelet sistemi rahatsızlıklarıyla fiziksel inaktivite ilişkili midir?” Ağrı, vol. 25, no. 4, pp. 147-155, 2013.
  • [26] R. Pınar, “Work- Related Musculoskeletal Disorders in Turkish Hospital Nurses,” Turkiye Klinikleri J. Med. Sci., vol. 30, no. 6, pp. 1869-1875, 2010.
  • [27] J. Chen, N.M. Daraiseh, K.G. Davis, W. Pan, “Sources of work-related acute fatigue in United States hospital nurses,” Nursing & Health Sciences, vol. 16, pp. 19-25, 2014.
  • [28] L.M. Steege, D.A. Drake, M. Olivas, G. Mazza, “Evaluation of physically and mentally fatiguing tasks and sources of fatigue as reported by registered nurses,” Journal of Nursing Management, vol. 23, no. 2, pp. 179-189, 2015.
  • [29] J. Koohpayehzadeh, A. Bahrami Ahmadi, H. Kadkhodaei, S.A. Mortazavi, Z. Amiri, “The role of work- related physical and psychological factors on prevalence of neck/shoulder complaints among nurses: A multicentric study,” Med J Islam Repub Iran, vol. 30, pp. 470, 2016.
  • [30] B. Skela Savič, K. Pesjak, S. Hvalič Touzery, “Low back pain among nurses in Slovenian hospitals: cross-sectional study,” Int Nurs Rev., vol. 64, no.4, pp. 544–551, 2017.
There are 30 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Sedef Gök Geçer 0000-0002-1435-7700

Azime Karakoç Kumsar 0000-0001-6178-2147

Publication Date March 28, 2024
Published in Issue Year 2024 Volume: 5 Issue: 1

Cite

IEEE S. Gök Geçer and A. Karakoç Kumsar, “Yoğun Bakım Hemşirelerinin Kas İskelet Sistemi Ağrılarının İncelenmesi”, Journal of Innovative Healthcare Practices, vol. 5, no. 1, pp. 40–51, 2024, doi: 10.58770/joinihp.1291204.
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