Research Article
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The Frequency of Musculoskeletal Pain in Nurses Working in Internal Medicine Intensive Care Unit and Related Factors

Year 2023, Volume: 5 Issue: 4, 240 - 247, 29.10.2023

Aytül Coşar Ertem Uğur Ertem

https://doi.org/10.46310/tjim.1345172

Abstract

Background: The primary purpose of this study was to determine the frequency of musculoskeletal pain in nurses working in the internal medicine intensive care unit and to determine whether there were differences between nurses working in the internal medicine clinic. In addition, it was aimed to determine the individual and professional risk factors that will cause musculoskeletal pain in nurses working in the internal medicine intensive care unit.
Material and Methods: After evaluating eligibility, 82 volunteer nurses, 36 working in the internal medicine intensive care unit and 46 working in the internal medicine clinic, were included in this single-centre, cross-sectional and descriptive study. The demographic characteristics of the participants, their regular exercise status and the factors related to their working conditions were determined by the questionnaire form created by the researchers.
Results: Musculoskeletal pain was detected in 61.11% of internal medicine intensive care nurses. There was no statistical difference between the internal medicine intensive care and clinical nurses regarding musculoskeletal pain (p>0.05). A statistically significant relationship was found between the situation of changing the patient's clothes and positioning the patient and the occurrence of musculoskeletal pain (p<0.001). No significant relationship was found between internal medicine intensive care nurses' musculoskeletal pain and their demographic characteristics, regular exercise status and other working conditions (p>0.05).
Conclusions: Our study showed that nurses working in the internal medicine intensive care unit experienced a high rate of musculoskeletal pain. The study results will shed light on what kind of precautions nurses should take against work-related musculoskeletal pain.

Keywords

Work-related musculoskeletal pain intensive care unit nurse clinical nurse risk factors spine pain non-spine pain

Supporting Institution

yok

Project Number

yok

Thanks

We would like to thank our dear friend Aslı Ceren MACUNLUOĞLU, who did her PhD in the Biostatistics Department of Bursa Uludağ University Faculty of Medicine, who helped and guided us in the statistical analysis.

References

  • Luttmann A, Jager M, Griefahn B, Caffier G, Liebers F. Preventing Musculoskeletal Disorders in the Workplace. In: Kortum-Margot E, ed. Protecting Workers’ Health Series No 5. World Health Organization. New Delhi, India: 2003:5:1-40.
  • Sun W, Yin L, Zhang T, Zhang H, Zhang R, Cai W. Prevalence of work related musculoskeletal disorders among nurses: A meta-analysis. Iran J Public Health. 2023 Mar;52(3):463-75. doi: 10.18502/ijph.v52i3.12130.
  • Guan S-Y, Zheng J-X, Sam NB, Xu S, Shuai Z, Pan F. Global burden and risk factors of musculoskeletal disorders among adolescents and young adults in 204 countries and territories, 1990-2019. Autoimmun Rev. 2023 Aug;22(8):103361. doi: 10.1016/j.autrev.2023.103361.
  • Fan LJ, Liu S, Jin T, Gan JG, Wang FY, Wang HT, Lin T. Ergonomic risk factors and work-related musculoskeletal disorders in clinical physiotherapy. Front Public Health. 2022 Dec 20;10:1083609. doi: 10.3389/fpubh.2022.1083609.
  • Milhem M, Kalichman L, Ezra D, Alperovitch-Najenson D. Work-related musculoskeletal disorders among physical therapists: A comprehensive narrative review. Int J Occup Med Environ Health. 2016;29(5):735-47. doi: 10.13075/ijomeh.1896.00620.
  • Chandralekha K, Joseph M, Joseph B. Work-related musculoskeletal disorders and quality of life among staff nurses in a tertiary care hospital of Bangalore. Indian J Occup Environ Med. 2022 Jul-Sep;26(3):178-82. doi: 10.4103/ijoem.ijoem_25_22.
  • Pınar R. Work-related musculoskeletal disorders in Turkish hospital nurses. Turkiye Klinikleri J Med Sci. 2010;30(6):1869-75. doi: 10.5336/medsci.2009-13539.
  • Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput JP, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020 Dec;54(24):1451-62. doi: 10.1136/bjsports-2020-102955.
  • Krishnan KS, Raju G, Shawkataly O. Prevalence of work-related musculoskeletal disorders: Psychological an physical risk factors. Int J Environ Res Public Health. 2021 Sep 4;18(17):9361. doi: 10.3390/ijerph18179361.
  • Tinubu BMS, Mbada CE, Oyeyemi AL, Fabunmi AA. Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskelet Disord. 2010 Jan 20;11:12. doi: 10.1186/1471-2474-11-12.
  • Yang S, Lu J, Zeng J, Wang L, Li Y. Prevalence and risk factors of work-related musculoskeletal disorders among intensive care unit nurses in China. Workplace Health Saf. 2019 Jun;67(6):275-87. doi: 10.1177/2165079918809107.
  • Yang S, Li L, Wang L, Zeng J, Li Y. Risk factors for work-related musculoskeletal disorders among intensive care unit nurses in China: A structural equation model approach. Asian Nurs Res (Korean Soc Nurs Sci). 2020 Oct;14(4):241-8. doi: 10.1016/j.anr.2020.08.004.
  • Sezgin D, Esin MN. Use of the Omaha System to identify musculoskeletal problems in intensive care unit nurses: a case study. Br J Nurs. 2019 Mar 14;28(5):300-6. doi: 10.12968/bjon.2019.28.5.300.
  • Wu ML, Cao WJ. Association between shift work and musculoskeletal symptoms among nursing personnel in Zhejiang. Zhejiang Medical Education. 2015;14(4):25-8. doi: 10.3969/j.issn.1672-0024.2015.04.010.
  • Yang S, Li L, Wang L, Zeng J, Yan B, Li Y. Effectiveness of a multidimensional intervention program in improving occupational musculoskeletal disorders among intensive care unit nurses: a cluster-controlled trial with follow-up at 3 and 6 months. BMC Nurs. 2021 Mar 20;20(1):46. doi: 10.1186/s12912-021-00561-y.
  • Chiwaridzo M, Makotore V, Dambi JM, Munambah N, Mhlanga M. Work-related musculoskeletal disorders among registered general nurses: a case of a large central hospital in Harare, Zimbabwe. BMC Res Notes. 2018 May 18;11(1):315. doi: 10.1186/s13104-018-3412-8.
  • Luan HD, Hai NT, Xanh PT, Giang HT, Thuc PV, Hong NM, Khue PM. Musculoskeletal disorders: Prevalence and associated factors among district hospital nurses in Haiphong, Vietnam. Biomed Res Int. 2018 Aug 26;2018:3162564. doi: 10.1155/2018/3162564.
  • Zhang Y, Duffy JF, de Castillero ER, Wang K. Chronotype, sleep characteristics, and musculoskeletal disorders among hospital nurses. Workplace Health Saf. 2018 Jan;66(1):8-15. doi: 10.1177/2165079917704671.
  • Younan L, Clinton M, Fares S, Jardali FE, Samaha H. The relationship between work-related musculoskeletal disorders, chronic occupational fatigue, and work organization: A multi-hospital cross-sectional study. J Adv Nurs. 2019 Aug;75(8):1667-77. doi: 10.1111/jan.13952.
  • Lee S-J, Lee JH, Gillen M, Krause N. Job stress and work-related musculoskeletal symptoms among intensive care unit nurses: a comparison between job demand-control and effort-reward imbalance models. Am J Ind Med. 2014 Feb;57(2):214-21. doi: 10.1002/ajim.22274.
  • Chang W-P, Peng Y-X. Differences between fixed day shift nurses and rotating and irregular shift nurses in work-related musculoskeletal disorders: A literature review and meta-analysis. J Occup Health. 2021 Jan;63(1):e12208. doi: 10.1002/1348-9585.12208.
  • Rypicz L, Karniej P, Witczak I, Kolcz A. Evaluation of the occurrence of work-related musculoskeletal pain among anesthesiology, intensive care, and surgical nurses: An observational and descriptive study. Nurs Health Sci. 2020 Dec;22(4):1056-64. doi: 10.1111/nhs.12767.
  • June KJ, Cho S-H. Low back pain and work-related factors among nurses in intensive care units. J Clin Nurs. 2011 Feb;20(3-4):479-87. doi: 10.1111/j.1365-2702.2010.03210.x.
  • Gilchrist A, Pokorna A. Prevalence of musculoskeletal low back pain among registered nurses: Results of an online survey. J Clin Nurs. 2021 Jun;30(11-12):1675-83. doi: 10.1111/jocn.15722.
  • Brusini A. Low back pain among nurses in Italy: a review. G Ital Med Lav Ergon. 2021 Dec;43(4):369-72. PMID: 35049161.
  • Vieira ER, Kumar S, Coury HJCG, Narayan Y. Low back problems and possible improvements in nursing jobs. J Adv Nurs. 2006 Jul;55(1):79-89. doi: 10.1111/j.1365-2648.2006.03877.x.
  • Punnett J, Fine LJ, Keyserling WM, Herrin GD, Chaffin DB. Back disorders and nonneutral trunk postures of automobile assembly workers. Scand J Work Environ Health. 1991 Oct;17(5):337-46. doi: 10.5271/sjweh.1700.
  • Fuortes LJ, Shi Y, Zhang M, Zwerling C, Schootman M. Epidemiology of back injury in university hospital nurses from review of workers' compensation records and a case-control survey. J Occup Med. 1994 Sep;36(9):1022-6.
  • Shiri R, Coggon D, Falah-Hassani K. Exercise for the prevention of low back and pelvic girdle pain in pregnancy: A meta-analysis of randomized controlled trials. Eur J Pain. 2018 Jan;22(1):19-27. doi: 10.1002/ejp.1096.
  • Booth J, Moseley GL, Schiltenwolf M, Cashin A, Davies M, Hübscher M. Exercise for chronic musculoskeletal pain: A biopsychosocial approach. Musculoskeletal Care. 2017 Dec;15(4):413-21. doi: 10.1002/msc.1191.
  • Zhang Y, ElGhaziri M, Nasuti S, Duffy JF. The comorbidity of musculoskeletal disorders and depression: associations with working conditions among hospital nurses. Workplace Health Saf. 2020 Jul;68(7):346-54. doi: 10.1177/2165079919897285.

Year 2023, Volume: 5 Issue: 4, 240 - 247, 29.10.2023

Aytül Coşar Ertem Uğur Ertem

https://doi.org/10.46310/tjim.1345172

Abstract

Project Number

yok

References

  • Luttmann A, Jager M, Griefahn B, Caffier G, Liebers F. Preventing Musculoskeletal Disorders in the Workplace. In: Kortum-Margot E, ed. Protecting Workers’ Health Series No 5. World Health Organization. New Delhi, India: 2003:5:1-40.
  • Sun W, Yin L, Zhang T, Zhang H, Zhang R, Cai W. Prevalence of work related musculoskeletal disorders among nurses: A meta-analysis. Iran J Public Health. 2023 Mar;52(3):463-75. doi: 10.18502/ijph.v52i3.12130.
  • Guan S-Y, Zheng J-X, Sam NB, Xu S, Shuai Z, Pan F. Global burden and risk factors of musculoskeletal disorders among adolescents and young adults in 204 countries and territories, 1990-2019. Autoimmun Rev. 2023 Aug;22(8):103361. doi: 10.1016/j.autrev.2023.103361.
  • Fan LJ, Liu S, Jin T, Gan JG, Wang FY, Wang HT, Lin T. Ergonomic risk factors and work-related musculoskeletal disorders in clinical physiotherapy. Front Public Health. 2022 Dec 20;10:1083609. doi: 10.3389/fpubh.2022.1083609.
  • Milhem M, Kalichman L, Ezra D, Alperovitch-Najenson D. Work-related musculoskeletal disorders among physical therapists: A comprehensive narrative review. Int J Occup Med Environ Health. 2016;29(5):735-47. doi: 10.13075/ijomeh.1896.00620.
  • Chandralekha K, Joseph M, Joseph B. Work-related musculoskeletal disorders and quality of life among staff nurses in a tertiary care hospital of Bangalore. Indian J Occup Environ Med. 2022 Jul-Sep;26(3):178-82. doi: 10.4103/ijoem.ijoem_25_22.
  • Pınar R. Work-related musculoskeletal disorders in Turkish hospital nurses. Turkiye Klinikleri J Med Sci. 2010;30(6):1869-75. doi: 10.5336/medsci.2009-13539.
  • Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput JP, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020 Dec;54(24):1451-62. doi: 10.1136/bjsports-2020-102955.
  • Krishnan KS, Raju G, Shawkataly O. Prevalence of work-related musculoskeletal disorders: Psychological an physical risk factors. Int J Environ Res Public Health. 2021 Sep 4;18(17):9361. doi: 10.3390/ijerph18179361.
  • Tinubu BMS, Mbada CE, Oyeyemi AL, Fabunmi AA. Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskelet Disord. 2010 Jan 20;11:12. doi: 10.1186/1471-2474-11-12.
  • Yang S, Lu J, Zeng J, Wang L, Li Y. Prevalence and risk factors of work-related musculoskeletal disorders among intensive care unit nurses in China. Workplace Health Saf. 2019 Jun;67(6):275-87. doi: 10.1177/2165079918809107.
  • Yang S, Li L, Wang L, Zeng J, Li Y. Risk factors for work-related musculoskeletal disorders among intensive care unit nurses in China: A structural equation model approach. Asian Nurs Res (Korean Soc Nurs Sci). 2020 Oct;14(4):241-8. doi: 10.1016/j.anr.2020.08.004.
  • Sezgin D, Esin MN. Use of the Omaha System to identify musculoskeletal problems in intensive care unit nurses: a case study. Br J Nurs. 2019 Mar 14;28(5):300-6. doi: 10.12968/bjon.2019.28.5.300.
  • Wu ML, Cao WJ. Association between shift work and musculoskeletal symptoms among nursing personnel in Zhejiang. Zhejiang Medical Education. 2015;14(4):25-8. doi: 10.3969/j.issn.1672-0024.2015.04.010.
  • Yang S, Li L, Wang L, Zeng J, Yan B, Li Y. Effectiveness of a multidimensional intervention program in improving occupational musculoskeletal disorders among intensive care unit nurses: a cluster-controlled trial with follow-up at 3 and 6 months. BMC Nurs. 2021 Mar 20;20(1):46. doi: 10.1186/s12912-021-00561-y.
  • Chiwaridzo M, Makotore V, Dambi JM, Munambah N, Mhlanga M. Work-related musculoskeletal disorders among registered general nurses: a case of a large central hospital in Harare, Zimbabwe. BMC Res Notes. 2018 May 18;11(1):315. doi: 10.1186/s13104-018-3412-8.
  • Luan HD, Hai NT, Xanh PT, Giang HT, Thuc PV, Hong NM, Khue PM. Musculoskeletal disorders: Prevalence and associated factors among district hospital nurses in Haiphong, Vietnam. Biomed Res Int. 2018 Aug 26;2018:3162564. doi: 10.1155/2018/3162564.
  • Zhang Y, Duffy JF, de Castillero ER, Wang K. Chronotype, sleep characteristics, and musculoskeletal disorders among hospital nurses. Workplace Health Saf. 2018 Jan;66(1):8-15. doi: 10.1177/2165079917704671.
  • Younan L, Clinton M, Fares S, Jardali FE, Samaha H. The relationship between work-related musculoskeletal disorders, chronic occupational fatigue, and work organization: A multi-hospital cross-sectional study. J Adv Nurs. 2019 Aug;75(8):1667-77. doi: 10.1111/jan.13952.
  • Lee S-J, Lee JH, Gillen M, Krause N. Job stress and work-related musculoskeletal symptoms among intensive care unit nurses: a comparison between job demand-control and effort-reward imbalance models. Am J Ind Med. 2014 Feb;57(2):214-21. doi: 10.1002/ajim.22274.
  • Chang W-P, Peng Y-X. Differences between fixed day shift nurses and rotating and irregular shift nurses in work-related musculoskeletal disorders: A literature review and meta-analysis. J Occup Health. 2021 Jan;63(1):e12208. doi: 10.1002/1348-9585.12208.
  • Rypicz L, Karniej P, Witczak I, Kolcz A. Evaluation of the occurrence of work-related musculoskeletal pain among anesthesiology, intensive care, and surgical nurses: An observational and descriptive study. Nurs Health Sci. 2020 Dec;22(4):1056-64. doi: 10.1111/nhs.12767.
  • June KJ, Cho S-H. Low back pain and work-related factors among nurses in intensive care units. J Clin Nurs. 2011 Feb;20(3-4):479-87. doi: 10.1111/j.1365-2702.2010.03210.x.
  • Gilchrist A, Pokorna A. Prevalence of musculoskeletal low back pain among registered nurses: Results of an online survey. J Clin Nurs. 2021 Jun;30(11-12):1675-83. doi: 10.1111/jocn.15722.
  • Brusini A. Low back pain among nurses in Italy: a review. G Ital Med Lav Ergon. 2021 Dec;43(4):369-72. PMID: 35049161.
  • Vieira ER, Kumar S, Coury HJCG, Narayan Y. Low back problems and possible improvements in nursing jobs. J Adv Nurs. 2006 Jul;55(1):79-89. doi: 10.1111/j.1365-2648.2006.03877.x.
  • Punnett J, Fine LJ, Keyserling WM, Herrin GD, Chaffin DB. Back disorders and nonneutral trunk postures of automobile assembly workers. Scand J Work Environ Health. 1991 Oct;17(5):337-46. doi: 10.5271/sjweh.1700.
  • Fuortes LJ, Shi Y, Zhang M, Zwerling C, Schootman M. Epidemiology of back injury in university hospital nurses from review of workers' compensation records and a case-control survey. J Occup Med. 1994 Sep;36(9):1022-6.
  • Shiri R, Coggon D, Falah-Hassani K. Exercise for the prevention of low back and pelvic girdle pain in pregnancy: A meta-analysis of randomized controlled trials. Eur J Pain. 2018 Jan;22(1):19-27. doi: 10.1002/ejp.1096.
  • Booth J, Moseley GL, Schiltenwolf M, Cashin A, Davies M, Hübscher M. Exercise for chronic musculoskeletal pain: A biopsychosocial approach. Musculoskeletal Care. 2017 Dec;15(4):413-21. doi: 10.1002/msc.1191.
  • Zhang Y, ElGhaziri M, Nasuti S, Duffy JF. The comorbidity of musculoskeletal disorders and depression: associations with working conditions among hospital nurses. Workplace Health Saf. 2020 Jul;68(7):346-54. doi: 10.1177/2165079919897285.
There are 31 citations in total.

Details

Primary Language English
Subjects Rheumatology and Arthritis, Clinical Sciences (Other)
Journal Section Original Articles
Authors

Aytül Coşar Ertem 0000-0002-2767-1483

Uğur Ertem 0000-0003-2142-2264

Project Number yok
Publication Date October 29, 2023
Submission Date August 17, 2023
Acceptance Date September 21, 2023
Published in Issue Year 2023 Volume: 5 Issue: 4

Cite

EndNote Coşar Ertem A, Ertem U (October 1, 2023) The Frequency of Musculoskeletal Pain in Nurses Working in Internal Medicine Intensive Care Unit and Related Factors. Turkish Journal of Internal Medicine 5 4 240–247.
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