Workload, general perceived stress, body function, musculoskeletal pain, and their mutual relationships in nurses – a pilot study

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Agata Masłoń, Małgorzata Kamińska, Alice Kvåle
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Abstract

Objectives: Both physical and psychosocial risk factors contributing to musculoskeletal disorders occur in the professional nursing group, and previous literature suggested that their interaction may increase the risk of musculoskeletal pain among nurses. The aim of the study was to examine perceived workload and stress as well as physical findings and musculoskeletal complaints in nurses. Material and Methods: The participants consisted of 42 female nurses, age range 23–60 years. They marked on a pain drawing the site/sites that was/were painful at the moment of testing, its duration and intensity. Thereafter they were examined using the movement and respiration domains from the Global Physiotherapy Examination (GPE). Furthermore, a subjective workload measure was made using the paper version of the National Aeronautics and Space Administration Task Load Index and stress was assessed using the Perceived Stress Questionnaire . Results: Almost the entire study group declared that pain experienced in at least 1 location was chronic, i.e., had lasted ≥1 year (97%). The most frequent locations of pain were low back (22.4%) and cervical/head (21.6%) regions. In the GPE, most scores indicated restricted and reduced movement, with the subdomain flexibility having the highest deviation from the predefined standard. Furthermore, the results indicated hampered respiration, especially visible in standing position. Out of all workload scores, the highest was obtained for temporal demand. Perceived stress level was found to be moderate and significantly associated to chronic chest/ thoracic pain. Interestingly, the compression of thorax test positively correlated with mental (r = 0.42, p < 0.05) and physical demand (r = 0.35, p < 0.05), whereas the elbow drop test and temporal demand correlated negatively (r = –0.37, p < 0.05). Conclusions: To sum up, the majority of nurses participating in this study had long-lasting pain and limited flexibility of the body and hampered respiration, which both may enhance intensity of experienced musculoskeletal pain. Int J Occup Med Environ Health. 2024;37(3)
护士的工作量、总体压力感、身体功能、肌肉骨骼疼痛及其相互关系--一项试点研究
目的:在专业护理群体中,导致肌肉骨骼疾病的生理和社会心理风险因素都存在,以往的文献表明,它们之间的相互作用可能会增加护士肌肉骨骼疼痛的风险。本研究的目的是调查护士对工作量和压力的感知,以及身体检查结果和肌肉骨骼投诉。材料和方法:参与者包括 42 名女护士,年龄在 23-60 岁之间。她们在疼痛图纸上标注了测试时疼痛的部位、持续时间和强度。随后,她们接受了全球物理治疗检查(GPE)中运动和呼吸领域的检查。此外,还使用美国国家航空航天局任务负荷指数的纸质版进行了主观工作量测量,并使用感知压力问卷对压力进行了评估。结果:几乎所有研究人员都表示至少有一个部位的疼痛是慢性的,即持续时间≥1 年(97%)。最常见的疼痛部位是腰部(22.4%)和颈椎/头部(21.6%)。在 GPE 中,大多数评分显示活动受限和减少,其中灵活性子域与预定标准的偏差最大。此外,结果还显示呼吸受阻,站立时尤为明显。在所有工作量得分中,时间需求得分最高。研究发现,感知压力水平适中,且与慢性胸部/胸腔疼痛有显著关联。有趣的是,压缩胸廓测试与精神需求(r = 0.42,p < 0.05)和体力需求(r = 0.35,p < 0.05)呈正相关,而肘部下坠测试与时间需求呈负相关(r = -0.37,p < 0.05)。结论综上所述,参与本研究的大多数护士都有长期疼痛、身体柔韧性受限和呼吸受阻的情况,这两种情况都可能会增强肌肉骨骼疼痛的强度。Int J Occup Med Environ Health.2024;37(3)
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来源期刊
CiteScore
3.40
自引率
5.00%
发文量
52
审稿时长
7.5 months
期刊介绍: The Journal is dedicated to present the contemporary research in occupational and environmental health from all over the world. It publishes works concerning: occupational and environmental: medicine, epidemiology, hygiene and toxicology; work physiology and ergonomics, musculoskeletal problems; psychosocial factors at work, work-related mental problems, aging, work ability and return to work; working hours, shift work; reproductive factors and endocrine disruptors; radiation, ionizing and non-ionizing health effects; agricultural hazards; work safety and injury and occupational health service; climate change and its effects on health; omics, genetics and epigenetics in occupational and environmental health; health effects of exposure to nanoparticles and nanotechnology products; human biomarkers in occupational and environmental health, intervention studies, clinical sciences’ achievements with potential to improve occupational and environmental health.
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