Prevalence and risk factors of low back pain among nurses at King Chulalongkorn Memorial Hospital, Thai Red Cross Society.

Authors

  • R. Pimarn King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • V. Wongmatikul King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

Keywords:

Prevalence, risk factors, low back pain, nurse, Oswestry Low Back Pain Disability Questionnaire (Version 1.0) Thai version, Suanprung Stress Test-20

Abstract

Background : Nursing is a profession with high risk of low back pain (LBP). LBP impacts the quality of life of nurses, i.e, physical performance, ability to work, quality of care, absence and economic and labor force.

Objective : To determine prevalence and risk factors of LBP among nurses in King Chulalongkorn Memorial Hospital, Thai Red Cross Society.

Material and Methods : The participants were 311 nurses working at the in-patient departments who passed the inclusion criteria and agreed to participate in the study with signed inform consents. Selfadministered questionnaires were used to determine the prevalence and risk factors of LBP. The questionnaire consisted of four sections :demographic data, job characteristics, the Thai version of ‘Oswestry Low Back Pain Disability Questionnaire’ (version 1.0) and Suanprung Stress Test-20. The data were analyzed by using descriptive statistics :frequency, percentage, mean, and standard deviation. Chi-square and logistic regression were used to find the correlation between the risk factors and LBP.

Results : The finding indicates that in 12 months, the prevalence of LBP was 39.2 %. The severity according to Oswestry Low Back Pain Disability Questionnaire showed minimal disability. The severity according to Suanprung Stress Test-20 showed moderate stress. Logistic regression analysis indicated that heavy lifting loads related to LBP (OR = 5.597, 95%CI = 3.275 - 9.565) poor posture (OR = 2.447, 95%CI = 1.185 - 5.053), and high to severe stress (OR = 2.312, 95%CI = 1.341- 3.985) were the significant risk factors of LBP among the nurses (P <0.05).

Conclusion : The prevalence of LBP among the nurses in King Chulalongkorn Memorial Hospital, Thai Red Cross Society was rather high. The risk factors of LBP were involved with heavy loadlifting, poor posturing and stress level. The finding of the risk factors of LBP among nurses are useful for developing LBP preventive factorbased interventions.

Downloads

Download data is not yet available.

References

Janwantanakul P, Pensri P, Jiamjarasrangsri V, Sinsongsook T. Prevalence of self-reported musculoskeletal symptoms among office workers. Occup Med (Lond) 2008;58:436-8.

https://doi.org/10.1093/occmed/kqn072

Khruakhorn S, Sritipsukho P, Siripakarn Y, Vachalathiti R. Prevalence and risk factors of low back pain among the university staff. J Med Assoc Thai 2010;93:S142-8.

Maul I, Laubli T, Klipstein A, Krueger H. Couse of low back pain among nurse: a longitudinal study across eight years. Occup Environ Med 2003;60:497-503.

https://doi.org/10.1136/oem.60.7.497

Walker BF,The prevalence of low back pain: A systematic review of the literature from 1966-1998. J Spinal Disord 2000;13:205-17. https://doi.org/10.1097/00002517-200006000-00003

Krismer M, van Tulder M. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol 2007;21:77-91.

https://doi.org/10.1016/j.berh.2006.08.004

Juul-Kristensen B, Sogaard K,Stroyer J, Jensen C. Computer users' risk factors for developing shoulder, elbow and back symptoms. Scand J Work Environ Health 2004;30:390-8.

https://doi.org/10.5271/sjweh.827

Ovayolu O, Ovayolu N, Genc M, Col-Araz N. Frequency and severity of low back pain in nurse working in intensive care units and influential factors. Pak J Med Sci 2014;30:70-6.

https://doi.org/10.12669/pjms.301.3455

Cilliers L, Maart S. Attitudes, knowledge and treatment of low back pain amongst nurse in the Eastern Cape, South Africa. Afr J Prim Health Care Fam Med 2013;5:535-8. https://doi.org/10.4102/phcfm.v5i1.535

Karahan A, Kav S, Abasoglu A, Dogan N. Low back pain: prevalence and associated risk factors among hospital staff. J Adv Nurs 2009;65:516-24. https://doi.org/10.1111/j.1365-2648.2008.04905.x

Lin PH, Tsai YA, Chen WC, Huang SF. Prevalence, characteristics, and work-related risk factors of low back pain among hospital nurse in Taiwan: A cross-sectional survey. Int J Occup Med Environ Health 2012;25:41-50. https://doi.org/10.2478/s13382-012-0008-8

Videman T, Ojajarvi A, Riihimaki H, Troup JD. Low back pain among nurse: A follow-up beginning at entry to the nursing school. Spine (Phila Pa 1976) 2005;30:2334-41.

https://doi.org/10.1097/01.brs.0000182107.14355.ca

Lorusso A, Bruno S, L' Abbate N. A review of low back pain and musculoskeletal disorders among Italian nursing personnel. Ind Health 2007;45:637-44. https://doi.org/10.2486/indhealth.45.637

Hunson MA. Texas passes first law for safe patient handing in America: landmark legislation protects health care workers and patient from injury related to manual patient lifting. J Long Term Eff Med Implants 2005; 15:559-66. https://doi.org/10.1615/JLongTermEffMedImplants.v15.i5.80

Sopajareeya C, Viwatwongkasem C, Lapvongwatana P, Hong O, Kalampakorn S. Prevalence and risk factors of low back pain among nurse in a Thai public hospital. J Med Assoc Thai 2009;92:S93-9.

Menzel NN, Brooks SM, Bernard TE, Nelson A. The physical workload of nursing personnel: association with musculoskeletal discomfort. Int J Nurs Stud 2004;41:859-67.

https://doi.org/10.1016/j.ijnurstu.2004.03.012

Krejcie RV, Morga DW. Determining sample size for research activities. Educ Psychol Meas 1970;30:607-10. https://doi.org/10.1177/001316447003000308

Sanjaroensuttikul N. The Oswestry low back pain disability questionnaire (version 1.0) Thai version. J Med Assoc Thai 2007;90:1417-22.

สุวัฒน์ มหัตนิรันดร์กุล, วนิดา พุ่มไพศาลชัย, พิมพ์มาศ ตาปัญญา. การสร้างแบบวัดความเครียด สวนปรุง . วารสารสวนปรุง 2540;13:1-20.

Koes BW, van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J 2010;19:2075-94. https://doi.org/10.1007/s00586-010-1502-y

Engels JA, van der Gulden JW, Senden TF, van'tHof B. Work related risk factors for musculoskeletal complaints in the nursing profession: result of a questionnaire survey. Occup Environ Med 1996;53:636-41. https://doi.org/10.1136/oem.53.9.636

Smedley J, Trevelyan F, Inskip H, Buckle P, Cooper C, Coggon D. Impact of ergonomic intervention on back pain among nurses. Scand J Work Environ Health 2003;29: 117-23.

https://doi.org/10.5271/sjweh.713

Yip Y. A study of work stress, patient handling activities and the risk of low back pain among nurses in Hong Kong. J Adv Nurs 2001;36: 794-804. https://doi.org/10.1046/j.1365-2648.2001.02037.x

Vieira ER, Kumar S, Coury HJ, Narayan Y. Low back problems and possible improvements in nursing jobs. J Adv Nurs 2006;55:79-89. https://doi.org/10.1111/j.1365-2648.2006.03877.x

ศันสนีย์ ศิลปศุภกรวงศ์, วิษณุ กัมทรทิพย์, สันติ อัศวพลังชัย, ประดิษฐ์ ประทีปะวณิช. การศึกษาความชุก ปัจจัยเสี่ยงและผลกระทบของอาการปวดหลังส่วนล่างในพยาบาลและผู้ช่วยพยาบาล โรงพยาบาลศิริราช. เวชศาสตร์ฟื้นฟูสาร 2549; 16:128-37.

ธัชวรรณ เศรษฐะทัตต์, สุมาลี ซื่อธนาพรกุล. ระบาดวิทยาของอาการปวดหลังส่วนล่างใน กลุ่มบุคลากรฝ่ายการพยาบาล ณ โรงพยาบาล พระมงกุฎเกล้า. เวชศาสตร์ฟื้นฟูสาร 2550;17: 104-8.

Schlossmacher R, Amaral FG. Low back injuries related to nursing professionals working conditions: a systematic review. Work 2012; 41:5737-8. https://doi.org/10.3233/WOR-2012-0935-5737

Moussa MMM, El-Ezaby HH, El-Mowafy RI. Low back pain and coping strategies' among nurses in Port Said City, Egypt. J Nurs Educ Pract 2015;5:55-62. https://doi.org/10.5430/jnep.v5n7p55

Bejia I, Younes M, Jamila HB, Khalfallah T, Ben Salem K, Touzi M,et al. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine 2005;72: 254-9.

https://doi.org/10.1016/j.jbspin.2004.06.001

Sikiru L, and Hanifa S. Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital. Afr Health Sci 2010;10: 26-30.

Fonseca NR, Fernandes RC. Factors related to musculoskeletal disorders in nursing workers. Rev Lat Am Enfermagem 2010;18:1076-83. https://doi.org/10.1590/S0104-11692010000600006

Abolfotouh SM, Mahmoud K, Faraj K, Moammer G, ElSayed A, Abolfotouh MA. Prevalence, consequences and predictors of low back pain among nurses in a tertiary care setting. Int Orthop 2015;39:2439-49. https://doi.org/10.1007/s00264-015-2900-x

Ghilan K, Al Taiar A, Yousfi NA, Zubaidi RA, Awadh I, Al Obeyed Z. Low back pain among female nurses in Yemen. Int J Occup Med Environ Health 2013;26:605-14. https://doi.org/10.2478/s13382-013-0124-0

Mitchell T, O'Sullivan PB, Smith A, Burnett AF, Straker L, Thornton J, et al. Biopsychosocial factors are associated with low back pain in female nursing students: a cross-sectional study. Int J Nurs Stud 2009;46:678-88. https://doi.org/10.1016/j.ijnurstu.2008.11.004

Ando S, Ono Y, Shimaoka M, Hiruta S, Hattori Y, Hori F, et al. Association of self eatimated workloads with musculoskeletal systems among hospital nurses. Occup Envison Med 2000;57:211-6.

https://doi.org/10.1136/oem.57.3.211

Smith DR, Sato M, Miyajima T, Yamagata Z. Musculoskeletal disorder self-reported by female nursing students in central Japan: a complete cross-sectional survey. Int J Nurs Stud 2003;40:725-9.

https://doi.org/10.1016/S0020-7489(03)00012-9

Downloads

Published

2023-08-21

How to Cite

1.
Pimarn R, Wongmatikul V. Prevalence and risk factors of low back pain among nurses at King Chulalongkorn Memorial Hospital, Thai Red Cross Society. Chula Med J [Internet]. 2023 Aug. 21 [cited 2024 Nov. 22];61(1). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/417