scholarly journals STRATEGI PENCEGAHAN DAN PENANGANAN KELUHAN NYERI PUNGGUNG BAWAH BERBASIS LINGKUNGAN PADA KARYAWAN RUMAH SAKIT ERIA BUNDA PEKANBARU Environmental Based Low Back Pain Complaint Management Strategy for Employess in Eria Bunda Hospital

2021 ◽  
Vol 15 (2) ◽  
pp. 178
Author(s):  
Mela Ardeline ◽  
Dedi Afandy ◽  
Ridwan Manda Putra

The work environment is closely related to the circumstances surrounding the activities of workers in doing their jobs. The office is a work environment where almost all the workers work mainly in a sitting position. Low back pain is one of the common occupational diseases of the workers. One of the risks of the increasing low back pain cases in workers is taking for granted the right work attitude, the location of the table and the size of the chair that is not ergonomic. RSIA Eria Bunda is one of the most visited RSIA by the public. The results of the initial observations at RSIA Eria Bunda found irregularities in work attitudes and the sitting positions of the employees and their work facilities were also not in accordance with the existing regulations. This is the reason the researcher conducted this research at RSIA Eria Bunda with the aim of knowing what factors can cause low back pain and what strategies can be used in handling complaints of low back pain in employees. The factors used in this study are individual and environmental factors and ergonomics. This research is conducted through quantitative approach with a survey method, cross-sectional data collection, low back pain questionnaire and RULA Worksheet to determine the employee's work attitude. Likewise, interviews and field observations are also conducted. Afterwards, determine the management strategy for complaints of low back pain with a SWOT Analysis. The results of the study are the following: First, there are complaints of low back pain in employees as 20 people (58,82%) and the most influencing factor is the work attitude (p = 0,022). Then, for the results of the RSIA SWOT Analysis, Eria Bunda is in a strong internal position and responds to existing opporto avoid threats. The strategy used by SO is to create a K3 evaluation team, improve the system and work environment and provide education about low back pain as a treatment strategy.

2021 ◽  
Vol 12 (2) ◽  
pp. 77-84
Author(s):  
Andriana Marwanto ◽  
Agus Widada ◽  
Riang Adeko ◽  
Prasetyawati Prasetyawati

Occupational health absolutely must be implemented in work, both informal and formal industries. Activities that can cause health problems are improper work attitudes such as sitting, standing, bending, squatting, walking, and others. Health problems related to work attitudes are complaints of low back pain (LBP). This type of research is a descriptive-analytic study with a cross-sectional approach. Research respondents are brick workers in Babatan Seluma Village with 60 workers. Data were obtained by interviewing the respondents' characteristics, years of service, work attitudes, and complaints of LBP. Data analysis was carried out using the Chi-Square test to determine the relationship between variables and the logistic regression test to determine the factors most at risk for the occurrence of complaints. The results showed that 51.70% of the respondents were less than 40 years old, the respondent's working period of more than 10 years was 51.80%, and most of the respondents (56.70%) had non-ergonomic work attitudes. This study shows a relationship between age, tenure, and work attitude towards LBP complaints with a p-value (0.040; 0.050; 0.016). Workers are expected to work according to an ergonomic work attitude to avoid LBP complaints.


2020 ◽  
Vol 2 (1) ◽  
pp. 136-141
Author(s):  
Muhraza Siddiq ◽  
Gerry Silaban ◽  
Nurmaini

Low Back Pain (LBP) is pain in the lower back originating from the spinal area (lower back), muscles, nerves, tendons, joints and cartilage. Individual risk factor for LBP include years of service, age, gender, work attitude and smoking habits. This study aims to determine the relationship between individual factor and risk of Low Back Pain of broomstick makers in Silau Padang village, Serdang Bedagai Regency. This type of research was an observational study with cross-sectional design. The population in this study was amounted to 30 people with sampling techniques using a total sampling of 30 people. The analysis used was Chi-Square with a significance level α = 0.05, the data collection method used was a questionnaire. This study found individual factor associated with LBP risk were age (p score = 0.009, p score <0.05) and work attitude (p score = 0.01, p score <0.05). While the length of work (p score = 0.07), gender (p score = 0.1) and smoking habits (p score = 0.07) are not related to LBP risk (p score > 0.05). Only work attitudes were associated with LBP risk, so interventions were needed in the form of counseling to improve the work attitude of broomstick makers in Silau Padang Village, Serdang Bedagai Regency.


2021 ◽  
Vol 16 (3) ◽  
pp. 439-444
Author(s):  
Khayan Khayan ◽  
Hyasinta Hyasinta ◽  
Taufik Anwar ◽  
Widyana L Puspita ◽  
Slamet Wardoyo ◽  
...  

Paving block workers are included in the informal sector and have a risk of lower back pain. Documenting the workers’ health status in the informal sector has not been done well so that workers do not get protection from the government. Heavy physical work puts pressure on the spine associated with repeated body twisting. This study aims to determine work attitude, length of employment, and exercise habits related to low back pain in Pontianak paving block workers in 2018. This type of research is observational with a cross-sectional approach. Sampling uses total sampling. The research sample of 56 paving block workers in the city of Pontianak, West Kalimantan. Data is processed with a computer program. Data analysis was performed univariate and bivariate and tested using the Chi-square test, with α = 5%. The results showed that there was a significant relationship between the length of the work (p = 0.013), work attitude (p-value = 0.038), and exercise habits (p = 0.003) with low back pain.


2017 ◽  
Vol 11 (1) ◽  
pp. 75
Author(s):  
Kursiah Warti Ningsih

<p><em>Low back pain </em>adalah rasa nyeri yang dirasakan pada punggung bawah yang sumbernya tulang belakang daerah spinal, otot, saraf, atau struktur lainnya disekitar daerah tersebut. Dari 10 perawat 6 perawat mengalami keluhan <em>low back pain</em>. Tujuan dari penelitian ini adalah untuk mengetahui faktor Keluhan <em>Low back pain</em>.</p><p>Jenis penelitian kuantitatif dengan desain <em>cross sectional</em>, pada 25 juni- 3 juli  di Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci. Penelitian dilakukan pada 30 perawat dengan kuesioner. Analisa data yang digunakan secara univariat,</p><p>Hasil penelitian: 13 orang (43,3%) mengalami keluhan <em>low back pain</em>. Hasil uji bivariat terdapat hubungan antara sikap kerja, dan kebiasaan olahraga terhadap kejadian <em>low back pain</em>. Hasil analisis multivariate menunjukkan variable sikap kerja merupakan variable yang paling mempengaruhi kejadian low back pain deng nilai OR 43 kali. Dimana variable IMT merupakan <em>counfounding</em> terhadap variable sikap kerja dan kebiasaan olah raga dan variable kebiasaan olahraga merupakan <em>counfounding</em> terhadap variable IMT.</p><p>Peneliti mengharapkan pihak Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci mengadakan seminar tentang sikap kerja yang baik, menjaga IMT karyawan &lt;25 dan  mengadakan kegiatan olah raga secara teratur di lingkungan Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci.</p><p> </p><p><em>Low back pain is pain that felt in the lower back that is the source of the spine area of spinal, muscles, nerves, or other structures surrounding areas.</em><em> of the 10 nurses 6 nurses complain of low back</em><em> </em><em>pain. </em><em>the purpose of this study was to determine the factors complaint low backpain.</em></p><p><em>T</em><em>ype quantitative research cross-sectionaldesign,</em><em> </em><em>on 25 June-3 July at the General Hospital of </em><em>Selasih</em><em> Pangkalan Kerinci. The study was conducted on 30 nurses by questionnaires. Data analysis used univariate, </em><em>bivariate and multivariate.</em><em></em></p><p><em>E</em><em>esults of the study: 13 patients (43.3%) had complaints of low backpain.The result of bivariate correlation between working attitude and exercise habits on the incidence of low backpain.Results of multivariate analysis showed variable working attitude is the variable that most influences the incidence of low back pain deng OR value 43 times. Where the variable BMI is counfounding to variable working attitude and exercise habits and variable exercise habits is counfounding to variable IMT.</em></p><p><em>Researchers expect the Regional General Hospital Basil Pangkalan Kerinci hold a seminar on good working attitude, keep IMT employees &lt;25 and hold sports activities regular exercise in the District General Hospital Basil Pangkalan Kerinci.</em></p>


Pain Medicine ◽  
2021 ◽  
Author(s):  
Beth B Hogans ◽  
Bernadette C Siaton ◽  
Michelle N Taylor ◽  
Leslie I Katzel ◽  
John D Sorkin

Abstract Objective Low back pain (LBP) is a leading cause of pain and disability. Substance use complicates the management of LBP, and potential risks increase with aging. Despite implications for an aging, diverse U.S. population, substance use and LBP comorbidity remain poorly defined. The objective of this study was to characterize LBP and substance use diagnoses in older U.S. adults by age, gender, and race. Design Cross-sectional study of a random national sample. Subjects Older adults including 1,477,594 U.S. Medicare Part B beneficiaries. Methods Bayesian analysis of 37,634,210 claims, with 10,775,869 administrative and 92,903,649 diagnostic code assignments. Results LBP was diagnosed in 14.8±0.06% of those more than 65 years of age, more in females than in males (15.8±0.08% vs. 13.4±0.09%), and slightly less in those more than 85 years of age (13.3±0.2%). Substance use diagnosis varied by substance: nicotine, 9.6±0.02%; opioid, 2.8±0.01%; and alcohol, 1.3±0.01%. Substance use diagnosis declined with advancing age cohort. Opioid use diagnosis was markedly higher for those in whom LBP was diagnosed (10.5%) than for those not diagnosed with LBP (1.5%). Most older adults (54.9%) with an opioid diagnosis were diagnosed with LBP. Gender differences were modest. Relative rates of substance use diagnoses in LBP were modest for nicotine and alcohol. Conclusions Older adults with LBP have high relative rates of opioid diagnoses, irrespective of gender or age. Most older adults with opioid-related diagnoses have LBP, compared with a minority of those not opioid diagnosed. In caring for older adults with LBP or opioid-related diagnoses, health systems must anticipate complexity and support clinicians, patients, and caregivers in managing pain comorbidities. Older adults may benefit from proactive incorporation of non-opioid pain treatments. Further study is needed.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Mina Magdy Wahba ◽  
Dina Othman Shokri Morsi Galal ◽  
Aliaa Rehan Youssef

Abstract Background Smartphone use has been associated with pain in the upper quadrant; however, the relationship between usage duration and low back pain is still unclear. This study investigated the association between continuous smartphone use up to 30-min and back pain severity and proprioception acuity in patients with chronic low back pain. Fifty-eight patients with chronic mechanical LBP played a game for 10- and 30-min. In each session, pain and back repositioning errors were measured at baseline and immediately after task completion. Results Pain significantly but slightly increased following smartphone use, regardless to the duration (after 10 min: mean increase = 0.75 ± 1.17, P value < 0.001, 95% CI 0.44–1.06; after 30 min: mean increase = 0.96 ± 1.93, P value < 0.001, 95% CI 0.44–1.46). However, changes in perceived pain scores were not significantly different between the two tested durations (P value = 0.42). Proprioception repositioning error was not significantly different within the same testing session (mean change = 0.08 ± 1.83, 0.13 ± 1.77, P value = 0.73, 0.58, 95% CI − 0.40–0.56, − 0.60–0.33, for the 10 and 30 min, respectively). The changes in proprioception were not significant between the two-tested durations (P value = 0.56). Further, smartphone addiction did not significantly affect changes in pain and proprioception after game playing, regardless of the duration (P > 0.05). Conclusions These findings show that smartphone use slightly increases back pain immediately after continuous use; with no effect on back proprioception within the duration tested in this study. Changes in pain and proprioception were not influenced by smartphone addiction.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
R. Meier ◽  
C. Emch ◽  
C. Gross-Wolf ◽  
F. Pfeiffer ◽  
A. Meichtry ◽  
...  

Abstract Background Low back pain (LBP) is one of the most common musculoskeletal disorders, causing significant personal and social burden. Current research is focused on the processes of the central nervous system (particularly the sensorimotor system) and body perception, with a view to developing new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might have the ability to detect alterations in the sensorimotor system. These include back-photo assessment (BPA), two-point discrimination (TPD), and the movement control tests (MCT). The aim of this study was to determine whether the simple clinical tests of BPA, TPD or MCT are able to discriminate between nonspecific CLBP subjects with altered body perception and healthy controls. Methods A cross-sectional study was conducted. At one point in time, 30 subjects with CLBP and 30 healthy controls were investigated through using BPA, TPD and MCT on the lower back. Correlations among the main covariates and odds ratios for group differences were calculated. Results MCT showed an odds ratio for the presence of CLBP of 1.92, with a statistically significant p-value (0.049) and 95%CI. The TPD and BPA tests were unable to determine significant differences between the groups. Conclusions Of the three tests investigated, MCT was found to be the only suitable assessment to discriminate between nonspecific CLBP subjects and healthy controls. The MCT can be recommended as a simple clinical tool to detect alterations in the sensorimotor system of nonspecific CLBP subjects. This could facilitate the development of tailored management strategies for this challenging LBP subgroup. However, further research is necessary to elucidate the potential of all the tests to detect alterations in the sensorimotor system of CLBP subjects. Trial registration No trial registration was needed as the study contains no intervention. The study was approved by the Swiss Ethics Commission of Northwest and Central Switzerland (EKNZ) reference number 2015–243.


Author(s):  
Yen-Mou Lu ◽  
Chung-Hwan Chen ◽  
Yi-Jing Lue

BACKGROUND: Sex and gender affect responses to pain, but little is known about disability and quality of life. OBJECTIVES: To investigate the effects of sex and gender on disability and health-related quality of life (HRQOL) in patients with low back pain. METHODS: Ninety-three patients with low back pain were included in this cross-sectional survey study. Disability, HRQOL and gender identity were respectively assessed with the Oswestry Disability Index, Short Form-36 and Bem Sex Role Inventory. The participants were classified into four gender role orientations (masculinity, femininity, androgyny and undifferentiated). One-way analysis of variance was used to analyze both the sex and the gender role orientation. RESULTS: Females had higher disability than males (p< 0.05), but in gender identity, no significant difference was found. Seven domains of HRQOL were lower than the healthy norms. Males experienced greater impacts than females on vitality and mental health (p< 0.05). For gender identity, five domains of HRQOL had significant differences (p< 0.05). Masculinity orientation had the least impact on four domains (p< 0.05), while undifferentiated orientation had the largest impact on all domains. CONCLUSION: Sex and gender effects can be used to analyze disability and HRQOL in patients with low back pain. Females have higher disability, while HRQOL is greatly influenced by different gender role orientations.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sungwoo Choi ◽  
Sangun Nah ◽  
Hae-Dong Jang ◽  
Ji Eun Moon ◽  
Sangsoo Han

AbstractLow back pain (LBP) is a very common health problem worldwide, and has a major impact on quality of life. This is a cross-sectional study using data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) to investigate the health and nutritional status of Korean people, conducted in 2013, 2014, and 2015. The total of 8,473 patients included in the analysis. A 357 (19.34%) subjects in the chronic LBP group and 1,697 (25.61%) subjects in the no chronic LBP group reported no stress (P < 0.001). The numbers of subjects reporting mild, moderate, and severe stress in the two groups were 934 (50.6%) vs. 3,785 (57.11%), 432 (23.4%) vs. 910 (13.73%), and 123 (6.66%) and 235 (3.55%), respectively (all P < 0.001). Multiple logistic regression analysis with full adjustment for other variables indicated higher OR for severe stress (OR 2.82, P < 0.001) than moderate (OR 2.54, P < 0.001) and mild (OR 1.55, P < 0.001) stress. We confirmed that there was a significant association between chronic LBP and degree of stress. Therefore, the degree of stress should be assessed in clinical treatment of chronic LBP patients.


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