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
2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A97.3-A98
Author(s):  
Adriano Dias ◽  
João Marcos Bernardes

This cross-sectional study investigated the prevalence of low back pain and analyzed whether manual patient handling activities (MPH) were related to low back pain (LBP) in healthcare workers (HCW). Participants were HCWs working at the University Hospital of Botucatu Medical School, who were willing to participate and provided written informed consent. Of the 488 HCWs who were invited, 320 participated for a response rate of 65,6%. Data were collected using a self-administered anonymous paper questionnaire containing seven parts: manual patient handling, low back pain, demographic characteristics, occupational variables, psychosocial work conditions, lifestyle variables and history of low back pain. The association between MPH and LBP was analyzed using a Poisson regression model. Initially, simple Poisson regression models with robust variance were conducted for each covariate. Those variables with a p value ≤ 0.25 were selected for inclusion in a multiple Poisson regression model with robust variance, and those with p < 0.05 were considered statistically significant. Most respondents were female (83.8%), the mean age was 39.93 years (range 21 - 66, SD 9.78). Of those participating in the study, the majority were nursing technicians (71.3%), 19.4% were nurses, 5.3% were nurse assistants, 2.2% were physical therapists and 1.9% were radiography technicians. The 3-month period prevalence of LBP was 57.8% (95% CI 52.3%-63.2%). In the multiple Poisson regression model, MPH (PR 1.444, 95% CI 1.169-1.783) was significantly associated with LBP, even when adjusted for other known predictive factors. Thus, preventive initiatives for low back pain among healthcare workers must focus on limiting manual patient handling and include the use of proper mechanical patient handling equipment and training on the use of these equipment.


2021 ◽  
Author(s):  
Bitew Tefera ◽  
Haymanot Zeleke ◽  
Abebe Abate ◽  
Haimanot Abebe ◽  
Zebene Mekonnen ◽  
...  

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.


Author(s):  
F Kemta Lekpa ◽  
MS Doualla ◽  
HB Ngahane Mbatchou ◽  
AS Mkoh ◽  
H Namme Luma

2020 ◽  
Vol 28 (S2) ◽  
Author(s):  
Kodai Kitagawa ◽  
Yoshiki Nishisako ◽  
Takayuki Nagasaki ◽  
Sota Nakano ◽  
Mitsumasa Hida ◽  
...  

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.


2018 ◽  
Vol 51 (4) ◽  
pp. 164-174
Author(s):  
Kehinde J Awosan ◽  
Semen S Yikawe ◽  
Oche M Oche ◽  
Muhammad Oboirien

Background: Low back pain (LBP) is a common cause of disability worldwide. Healthcare workers are particularly prone to it because of the physical and emotional factors associated with their profession.Objectives: To determine the prevalence, perception and correlates of LBP among healthcare workers in tertiary health institutions in Sokoto, Nigeria.Methods: A cross-sectional study was conducted among 320 healthcare workers selected by multistage sampling technique from July to September 2016. Anthropometry was done for the participants in addition to questionnaire administration.Results: The mean age of the study participants was 36.99 +/- 8.23 years. The lifetime, annual, and point prevalence of LBP among the participants were 56.2%, 39.1% and 17.2% respectively. Most, 151 (83.9%) of the 180 participants that have ever experienced LBP reported that it commenced after starting work, and they perceived it to be due to standing for long hours (57.2%), awkward postures (22.2%) and carrying heavy objects/patients at work (20.6%). Older age, female sex, longer duration of practice, overweight/obesity, and lifting heavy objects/patients at work were significantly associated with LBP among the participants.Conclusion: The prevalence of LBP is high among healthcare workers in Sokoto, Nigeria; although it was also associated with older age and female sex, being in practice for 10 years and above, overweight/obesity, and lifting heavy objects/patients at work were the predictors identified. Management of the respective hospitals should prevent workplace exposures to heavy weight/objects by establishing “lift teams” as a temporary measure, and also implement “zero lift programs” in their facilities.Funding: NilKeywords: Prevalence, perception, correlates, low back pain, healthcare workers.


2018 ◽  
Author(s):  
Ayele Semachew ◽  
Yinager Workineh ◽  
Emiru Ayalew ◽  
Worku Animaw ◽  

Introduction: Because of the nature of the work, healthcare providers are prone to develop different musculoskeletal problems including low back pain and hospital healthcare workers are groups of healthcare workers who suffered a lot from it. The incidence varies between countries and professions. The situation is somewhat worsen among the frontline healthcare provider in many healthcare facilities. Nurses in Africa are arguably the most important frontline health care workers available in most African healthcare facilities, performing a broad range of tasks and working in settings where no other health workers, including physicians, are available. This situation is considerably important in the causation of work load. Nursing is listed among the highly risky profession for the development of low back pain and has been ranked with in the top tenth professions which have a great risk of having susceptible to low back pain. Objective: The aim of this systematic review and meta-analysis was to ascertain whether LBP is of a significant concern among nurses in African healthcare facilities. Methods: A comprehensive literature search of different data bases with no date limit was conducted from September to November 2018 using the PRISMA guideline. The quality of the included studies were assessed using a 12-item rating system. Subgroup and sensitivity analysis were performed. Cochran's Q and the I2 test were used to assess heterogeneity. The presence of publication bias was evaluated by using Egger's test and visual inspection of the symmetry in funnel plots. Result: During the period 2000–2018, nineteen studies with a sample size of 6110 have been carried out. Among them, the lowest and the highest prevalence were found to be 44.1% and 82.7%. Both the highest and the lowest prevalence of low back pain were reported from a studies done in Nigeria. The estimation of the prevalence rate of low back pain among nurses using the random effects model was found to be 64.07% (95% CI: 58.68–69.46; P-value < 0.0001). Heterogeneity of the reviewed studies was I2 = 94.2% and heterogeneity Chi-squared = 310.06 (d.f = 18), P-value < 0.0001. The subgroup analyses showed that the highest prevalence of LBP among nurses was from west African region with prevalence rates of 68.46% (95% CI: 54.94– 81.97; P-value <0.0001) and followed by north Africa region with prevalence rate of 67.95% (95% CI: 55.96–79.94; P value <0.0001) had the higher prevalence of LBP as compared to their south African counterparts, 59% (95% CI: 51–66.9; P-value <0.0001). Conclusion: Even though the overall prevalence of the present study is lower when compared to the western and Asian studies, it indicated that the prevalence of low back pain among nurses is on the move.


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