scholarly journals Magnitude and associated factors of low back pain among nurses working at intensive care unit of public hospitals in Amhara region, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260361
Author(s):  
Bitew Zewudie Tefera ◽  
Haymanot Zeleke ◽  
Abebe Abate ◽  
Haimanot Abebe ◽  
Zebene Mekonnen ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Public Hospitals ◽  
Assistive Device ◽  
Low Back ◽  
Amhara Region ◽  
Patient Handling ◽  
Intensive Care Unit Nurses

Background Low back pain is a common public health problem throughout the world with a global prevalence from 28% to 86%. Nurses working in intensive care units are handling people who are critically ill and helpless, which requires more assistance for transferring and handling activities. This possesses a risk for low back pain but little is known about it in Ethiopia. This study aimed to assess the magnitude of low back pain and associated factors among nurses who work at intensive care units in Amhara region public hospitals, North Ethiopia. Methods A multi-centered institution-based cross-sectional study was conducted at Amhara region public hospitals from March 1-30, 2020. A simple random sampling technique after proportional allocation was used to select the study participants. Data were collected using a standard modified Nordic musculoskeletal assessment tool. After data were checked for completeness and consistency, it was entered into Epidata version 3.1 and exported to Statistical Package for Social Science software version 26 for analysis. Descriptive statistics were computed. A binary logistic regression model was used to identify factors associated with low back pain. Finally, those variables with a p-value of <0.05 in multivariable analysis were considered statistically significant. Result Study was conducted among 412 intensive care unit nurses giving a response rate of 97.6%. The magnitude of low back pain was 313 (76%) [95% CI: (71.6%-79.9%)]. Being female [AOR = 2.674 (1.404, 5.076)], unavailability of assistive device for patient handling [AOR = 2.139 (1.035, 4.410)], lack of training on intensive care [AOR = 2.017 (1.092, 3.943)], lack of regular exercise [AOR = 2.164 (1.164, 4.108)] and job stress [AOR = 3.66 (1.955, 6.498)] were factors significantly associated with low back pain. Conclusions In this study the magnitude of low back pain was high. Being female, unavailability of an assistive device for patient handling, lack of training on intensive care, lack of regular exercise and job stress were factors associated with low back pain. Policymakers and concerned bodies should emphasize the accessibility of assistive devices for patient care, provision of training on intensive care, and adaptive working environment for intensive care unit nurses.

Magnitude of Low Back Pain and Associated Factors Among Nurses Working at Intensive Care Unit in Amhara Region Public Hospitals, Ethiopia  

2021 ◽  
Author(s):  
Bitew Tefera ◽  
Haymanot Zeleke ◽  
Abebe Abate ◽  
Haimanot Abebe ◽  
Zebene Mekonnen ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Public Hospitals ◽  
Assistive Device ◽  
Low Back ◽  
Amhara Region ◽  
Patient Handling ◽  
Intensive Care Unit Nurses

Abstract Background Low back pain is a common public health problem throughout the world with the global prevalence from 28–86%. Nurses working in intensive care units are handling people who are critically ill and helpless, which requires more assistance for transferring and handling activities. This possesses a risk for low back pain but little is known about it in Ethiopia. The aim of this study was to assess the magnitude of low back pain and associated factors among nurses who work at an intensive care units in Amhara region public hospitals, North Ethiopia. Methods A multi-centered institution-based cross-sectional study was conducted at Amhara region public hospitals from March 1–30/2020. Simple random sampling technique after proportional allocation was used to select the study participants. Data were collected using a standard modified Nordic musculoskeletal assessment tool. After data were checked for completeness and consistency, it was entered into Epidata version 3.1 and exported to Statistical Package for Social Science software version 26 for analysis. Descriptive statistics were computed. A binary logistic regression model was used to identify factors associated with low back pain. Finally, those variables with a p-value of < 0.05 in multivariable analysis were considered statistically significant. Result -The study was conducted among 412 intensive care unit nurses giving a response rate of 97.6%. The magnitude of low back pain was 313 (76 %) [95% CI: (71.6%-79.9%)]. Being female [AOR = 2.674 (1.404, 5.076)], unavailability of assistive device for patient handling [AOR = 2.139 (1.035, 4.410)], lack of training on intensive care [AOR = 2.017 (1.092 ,3.943)], lack of regular exercise [AOR = 2.164 (1.164 ,4.108)] and job stress [AOR = 3.66 (1.955, 6.498)] were factors significantly associated with low back pain. Conclusions In this study the magnitude of low back pain was high. Being female, unavailability of assistive device for patient handling, lack of training on intensive care, lack of regular exercise and job stress were factors associated with low back pain. Policy makers and concerned bodies should give emphasis on accessability of assistive devices for patient care, provision of training on intensive care and adaptive working environment for intensive care unit nurses.

scholarly journals Psychosocial risk factors in development of low back pain in nurses working in intensive care unit of Clinical center of Montenegro

2020 ◽  
Vol 11 (2) ◽  
pp. 136-142
Author(s):  
Dragana Jovanović ◽  
Dragana Backović ◽  
Ljubica Pejakov
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Intensive Care Units ◽  
Low Back ◽  
Length Of Service ◽  
Pain Disability ◽  
Disability Scale ◽  
Clinical Center

Introduction. Low back pain is common in adult population, especially in nurses working in the intensive care units. In our country, the subject has not been investigated so far. The aim of the paper is to examine the frequency of low back pain and its connection to psychosocial characteristics. Methods. The questionnaire consisting of general demographic data, questions concerning low back pain, the Beck Inventory of Depression, as well as of the Quebec Back Pain Disability Scale, was created. The sample consisted of 50 nurses working in different areas of intensive care unit in the Clinical Center of Montenegro. Results. The incidence of low back pain (82%) was in accordance with the data collected all around the world, while the incidence of severe low back pain was significantly higher (46%). There was a statistically significant correlation between low back pain measured by the Quebec Back Pain Disability Scale and age and length of service in the intensive care unit. The average results on the Quebec Back Pain Disability Scale were significantly higher in respondents aged ≥40 years compared with the younger groups. Nurses whose length of service was ≥20 years had higher scores on the Quebec Back Pain Disability Scale than those whose length of service was ≤ 5 years. There was also a significant correlation between the score on the Quebec Back Pain Disability Scale and the Beck Inventory of Depression (0.44). Conclusion. It was considered that the lack of medical equipment in the intensive care units was one of the causes of low back pain. Furthermore, insufficient amount of knowledge concerning the importance of protective position use while working with patients reduced their use, which in turn influenced the incidence and severity of low back pain. These two factors had cumulative effect and were observed more frequently in the older respondents, i.e. in those nurses whose length of service was ≥20 years.

scholarly journals Tachyarrhythmia improved by management of low back pain in a patient with delayed diagnosis of infective spondylodiscitis: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2095299
Author(s):  
Koshi Ota ◽  
Naoya Onishi ◽  
Kensuke Fujii ◽  
Eriko Nakamura ◽  
Yasuo Oishi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Infective Endocarditis ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Low Back ◽  
History Of ◽  
Infectious Spondylodiscitis

A 77-year-old man presented to the emergency room with a 1-month history of persistent low back pain with the absence of vital sign abnormalities. On several previous orthopedic surgery clinic visits, pathological back pain had not been considered and pain killers had been prescribed because he had low back pain due to lumbar spinal canal stenosis. He was admitted to the intensive care unit for infectious spondylodiscitis and infective endocarditis with disseminated abscess caused by methicillin-resistant Staphylococcus aureus. Shock refractory tachyarrhythmia could not be managed with antiarrhythmic agent in the intensive care unit. Intractable low back pain and persistent tachyarrhythmia were adequately managed by pain control with fentanyl in the intensive care unit. Infectious spondylodiscitis and infective endocarditis were effectively managed with anti–methicillin-resistant Staphylococcus aureus drugs, initially in rotational usage, but the patient died of extended-spectrum beta-lactamase-producing Escherichia coli pneumonia on day 50 of hospitalization. Infectious spondylodiscitis should have been considered for persistent low back pain with hemodialysis, fever, and a history of device implantation. Pain management may be necessary for persistent tachycardia that proves unresponsive to usual antiarrhythmic medications.

scholarly journals Regression Equation between Required Force and Lumbar Load of Caregiver in Supporting Standing-up Motion via Computational Musculoskeletal Simulation

2020 ◽  
Vol 28 (S2) ◽  
Author(s):  
Kodai Kitagawa ◽  
Yoshiki Nishisako ◽  
Takayuki Nagasaki ◽  
Sota Nakano ◽  
Mitsumasa Hida ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Regression Equation ◽  
Regression Equations ◽  
Low Back ◽  
Patient Handling ◽  
Musculoskeletal Simulation ◽  
Injury Threshold ◽  
Standing Up ◽  
Lumbar Load

Caregivers experience low back pain because of patient handling such as supporting standing-up. The lumbar load of a caregiver depends on the required force for patient handling motions. If the relationship between the required force and the lumbar load is quantitatively clarified, it may be useful for preventing low back pain in caregivers. In this study, we investigated the quantitative relationships between the required force and lumbar loads such as vertebral stress and muscle activity in supporting standing-up by computational musculoskeletal simulation. First, a musculoskeletal model of a caregiver was prepared, and then the model performed simulated supporting standing-up motions. The vertical load used as the required force was placed on the upper limb of the model. The compressive/shear stress of the vertebral (L4–L5) and muscle activities of spinae erector muscle group were recorded as the lumbar load. The results showed that there are highly significant correlations between the required force (r > 0.9, p < 0.01). In addition, regression equations for predicting each lumbar load by the required force with highly determination coefficients (R2 > 0.9) were obtained from these relationships. Furthermore, we found that when the required force was more than 120 N, the compression stresses of the vertebral exceeded injury threshold (3400 N) by the regression equation. These regression equations contribute to quantitatively consider lumbar loads of caregiver during patient handling based on injury thresholds and the required force.

scholarly journals Patient handling and risk for developing persistent low-back pain among female healthcare workers

2012 ◽  
Vol 39 (2) ◽  
pp. 164-169 ◽  
Author(s):  
Andreas Holtermann ◽  
Thomas Clausen ◽  
Marie Birk Jørgensen ◽  
Alex Burdorf ◽  
Lars L Andersen
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Healthcare Workers ◽  
Low Back ◽  
Patient Handling
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