Low back pain prevalence and associated factors in nurses from Brazilian primary health units

Work ◽  
2021 ◽  
Vol 70 (1) ◽  
pp. 279-285
Author(s):  
Ricardo Nunes Corrêa Pinto ◽  
Marcelo Cozzensa da Silva ◽  
Eduardo Lucia Caputo ◽  
Marlos Rodrigues Domingues

BACKGROUND: Primary health unit (PHU) nursing work is different when compared to hospital environment. Although low back pain (LBP) literature presents studies conducted in hospital nursing personnel, there is a lack of studies in PHU nurses. OBJECTIVE: This study aimed to measure the prevalence of LBP in PHU nursing personnel in the city of Pelotas, Brazil. METHODS: Sociodemographic (age, gender, number of children, skin color, income and marital status), occupational (PHU type, formal education, professional experience, weekly workload, extra work activity, workload perception), nutritional (BMI), health (self-perceived health, smoking, sleep quality and minor psychiatric disorders, PHU physical structure perception) and behavioral (leisure-time physical activity) characteristics were assessed. LBP was defined as pain or discomfort between the last rib and gluteal fold. Poisson regression was used to evaluate the relationship among LBP and covariates. RESULTS: LBP prevalence was 65.2%. Chronic (12 weeks) and acute (7 days) LBP prevalence were 22.4%and 53.4%, respectively. LBP was associated with obesity (PR 1.39 95%CI 1.01–1.92) and poor self-perceived health (PR 2.77 95%CI 1.32–5.80). CONCLUSIONS: Prevalence of LBP in PHU nursing personnel is high and similar to hospital nurses. Individual characteristics such as body mass and health perception were associated with LBP.

Nursing Open ◽  
2020 ◽  
Author(s):  
Seyedeh‐Somayeh Kazemi ◽  
Sedigheh‐Sadat Tavafian ◽  
Claire E. Hiller ◽  
Alireza Hidarnia ◽  
Ali Montazeri

2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 63-73 ◽  
Author(s):  
Flora Pereira Guerra ◽  
Rosângela Corrêa Dias ◽  
Leani Souza Máximo Pereira ◽  
Luciana de Oliveira Assis ◽  
Marcella Guimarães Assis

Abstract Introduction: Low back pain is a common condition among older adults and an important cause of disability. Objective: To evaluate the relationship between functional performance of older adults with low back pain and the following variables: sociodemographic and clinical factors, self-perceived health and back pain beliefs. Methods: A cross-sectional study that used data from the Back Complaints in the Elders international consortium. Information about sociodemographic factors (sex, age, marital status, formal education), clinical factors (intensity and frequency of pain, comorbidities), self-perceived health, back pain beliefs and functional performance (measured by the disability component of the Late Life Function and Disability Instrument - LLFDI) were collected through self-report. 191 older adults above 60 years with a new episode of back complaints who did not have any cognitive disorder, visual or hearing impairment, or motor disabilities participated in the study. A bivariate analysis was conducted between each independent variable and each outcome. Associations with p < 0.20 were selected for the multiple linear regression analysis, which was carried out for each LLFDI domain. Results: The multiple regression coefficients of determination were significant despite the modest magnitude. The variables related to functional performance were back beliefs, self-perceived health, formal education, pain frequency and marital status. Conclusion: These results may contribute to the expansion of health professionals’ work in the therapeutic approach of low back pain, broadening its focus beyond clinical aspects in order to value beliefs of older adults and their self-perceived health.


2020 ◽  
Vol 14 ◽  
Author(s):  
Vitória De Barros Siqueira ◽  
Aislany Warlla Nunes Luna ◽  
Danielly Coelho De Melo ◽  
Lana Quele Pereira Da Silva ◽  
Mariana Pereira Gama ◽  
...  

Objetivo: verificar a prevalência de dor e adoecimento relacionados à atividade laboral e referidos pela equipe de enfermagem. Método: trata-se de um estudo quantitativo, analítico, de corte transversal realizado com 202 técnicos de enfermagem e enfermeiros assistenciais. Coletaram-se os dados por meio de questionário semiestruturado auto aplicado. Realizou-se a análise bivariada dos dados. Avaliou-se a significância estatística por meio do IC 95% e do teste Qui-quadrado. Resultados: identificou-se prevalência de 69,3% de relato de dor e de 34,2% de adoecimento relacionado à atividade laboral, destacando-se a lombalgia crônica e as varizes; houve prevalência de 19,3% de ansiedade entre os entrevistados e estes apresentaram 20 vezes mais chances de relatar dores. Conclusão: conclui-se que dor e adoecimento são muito prevalentes nos profissionais de enfermagem e parecem ser inerentes às características da atividade exercida e do processo de trabalho, e a discussão desses problemas é de grande relevância para a Enfermagem e para os gestores de serviços de saúde. Descritores: Equipe de Enfermagem; Saúde do Trabalhador; Morbidade; Ansiedade; Prevalência; Dor Lombar.AbstractObjective: to verify the prevalence of pain and illness related to work activity and referred by the nursing team. Method: this is a quantitative, analytical, cross-sectional study conducted with 202 nursing technicians and nursing assistants. Data was collected using a self-administered semi-structured questionnaire. Bivariate data analysis was performed. Statistical significance was assessed using the 95% CI and the chi-square test. Results: a prevalence of 69.3% of reports of pain and 34.2% of illness related to work activity was identified, with emphasis on chronic low back pain and varicose veins; there was a 19.3% prevalence of anxiety among the interviewees and they were 20 times more likely to report pain. Conclusion: it is concluded that pain and illness are very prevalent in Nursing professionals and seem to be inherent to the characteristics of the activity performed and the work process, and the discussion of these problems is of great relevance for Nursing and healthcare service managers. Descriptors: Nursing, Team; Ocupational Health; Morbidity; Anxiety; Prevalence; Low Back Pain.                                                                                           ResumenObjetivo: verificar la prevalencia de dolor y enfermedad relacionados con la actividad laboral y referidos por el equipo de enfermería. Método: se trata de un estudio cuantitativo, analítico, transversal realizado con 202 técnicos de enfermería y auxiliares de enfermería. Los datos fueron recolectados usando un cuestionario semiestructurado autoadministrado. Se realizó un análisis de datos bivariados. La significación estadística se evaluó utilizando el IC del 95% y la prueba de chi-cuadrado. Resultados: se identificó una prevalencia del 69,3% de los informes de dolor y del 34,2% de enfermedades relacionadas con la actividad laboral, con énfasis en el dolor lumbar crónico y las venas varicosas; hubo una prevalencia de ansiedad del 19,3% entre los entrevistados y tenían 20 veces más probabilidades de informar el dolor. Conclusión: se concluye que el dolor y la enfermedad son muy frecuentes en los profesionales de enfermería y parecen ser inherentes a las características de la actividad realizada y el proceso de trabajo, y la discusión de estos problemas es de gran relevancia para la enfermería y los gerentes de servicios de salud. Descriptores: Grupo de Enfermeira; Salud Laboral; Morbilidad; Ansiedad; Prevalencia; Dor de la Región Lumbar.


2021 ◽  
pp. 67-72
Author(s):  
V. A. Parfenov ◽  
I. A. Lamkova

Introduction. Kinesitherapy (KT) – one of the leading areas of patient care with chronic nonspecific (musculoskeletal pain) low back pain. For chronic lumbar pain, a standard KT is commonly used, that includes group sessions with a medical specialist. Often not taking into account the individual characteristics of patients, their attitude to KT, does not use a backpain education program in combination with KT (extended KT). Physical activity and hypodynamia are compared in patients with chronic nonspecificlow back pain in standard KT and extended KT.Aim of study is to assess the effectiveness of the standard and extended KT in the enhancement of physical activity.Materials and methods. 71 patients were observed (17 men and 54 women, average age 55.09 ± 13 years) with chronic nonspecific low back pain. Patients received non-steroidal anti-inflammatory drugs (NSAIDs) as painkillers. 34 patients received a standard KT, 37 patients – an extended KT. Patients were asked to complete the Numeric Pain Rating Scale (NPRS), the Oswestry Low Back Pain Disability Questionnaire, and the International Physical Activity Questionnaire (IPAQ) at baseline, after 7 days and 90 days.Results and discussion. In the extended KT group, physical activity increased from 11 (7–16) points to 16 (13–19) points after 7 days (p = 0.001) and up to 23 (15–26) points after 3 months (p = 0.0002). There has been a statistically significant decrease in the proportion of patients with hypodynamy (p = 0.0015). There is no statistically significant increase in physical activity in the standard therapy group. The use of NSAIDs in non-specific low back pain is discussed, the effectiveness of the use of dexketoprofen (Dexalgin) during lumbar pain is noted.Conclusion. In the case of nonspecific low back pain, the extended KTimprovesphysical activity and reduce hypodynamy.


2021 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Andaru Cahya S ◽  
Widodo Mardi Santoso ◽  
Machlusil Husna ◽  
Badrul Munir ◽  
Shahdevi Nandar Kurniawan

Low back pain is the most common symptom found in the primary health care and is the number one cause of disability throughout worldwide. It is estimated that around 60 – 80% the world population will experience back pain during their lifespan. There are three different source of pain in the spine: axial-lumbosacral, radicular and reffered pain. All of these source brings different clinical presentations. Low back pain could be classified as acute, subacute and chronic low back pain. The pain could be nociceptive or neuropathic, the most common symptoms reported are “pressure pain” and “pain attack”. The physician should be aware of “red flags” symptoms that lead into more serious condition beside back pain and, therefore the patient has to be investigated to further examination whenever these symptoms present. The management of low back pain consist of severe modalities, both therapeutic and rehabilitative procedure. Oftentimes, the management needed multidisciplinary approach. It is important to general practitioners to identify and treat low back pain appropriately to reduce the burden of the disease and to prevent the disabilties caused by this condition.


Work & Stress ◽  
2002 ◽  
Vol 16 (1) ◽  
pp. 79-87 ◽  
Author(s):  
Henrik Gonge ◽  
Lone Donbæk Jensen ◽  
Jens Peter Bonde

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e032297 ◽  
Author(s):  
Takahiko Yoshimoto ◽  
Hiroyuki Oka ◽  
Shuhei Ishikawa ◽  
Akatsuki Kokaze ◽  
Shingo Muranaga ◽  
...  

ObjectivesLow back pain (LBP) is a common cause of disability among nursing personnel. Although many studies regarding the risk factors for LBP among nursing staff have focused on the physical load at work, multidimensional assessments of risk factors are essential to identify appropriate preventive strategies. We aimed to investigate the association of multidimensional factors (individual, physical, psychological and occupational) with disabling LBP among nursing personnel in Japan.DesignObservational study with comparative cross-sectional design.SettingData were collected using the self-administered questionnaire at a tertiary medical centre.ParticipantsAfter excluding participants with missing variables, 718 nursing personnel were included in the analysis.Outcome measuresA self-administered questionnaire assessed individual characteristics, rotating night shift data, severity of LBP, previous episode of LBP, sleep problem, kinesiophobia (Tampa Scale for Kinesiophobia), depressive condition (K6), physical flexibility and frequency of lifting at work. A logistic regression model was used to evaluate the factors associated with disabling LBP (LBP interfering with work) among nursing personnel.ResultsOf all participants, 110 (15.3%) reported having disabling LBP. The multivariable logistic regression analysis after adjustment for several confounding factors showed that kinesiophobia (highest tertile, adjusted OR (aOR): 6.13, 95% CI : 3.34 to 11.27), previous episode of LBP (aOR: 4.31, 95% CI: 1.50 to 12.41) and insomnia (aOR: 1.66, 95% CI: 1.05 to 2.62) were significantly associated with disabling LBP.ConclusionsThe present study indicated that kinesiophobia, a previous episode of LBP, and sleep problems were associated with disabling LBP among nursing personnel. In the future, workplace interventions considering assessments of these factors may reduce the incidence of disabling LBP in nursing staff, although further prospective studies are needed.


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