Prevalence of Work-Related Musculoskeletal Pain, Knowledge and Practice of Ergonomics Among Clinical and Non-Clinical Staff in Tertiary Hospitals in Uyo Metropolis Nigeria

Download Article

DOI: 10.21522/TIJCR.2014.SE.19.01.Art002

Authors : Anikpe Jane Nwanneka

Abstract:

Musculoskeletal pain is one of the most prevalent occupational health disorders affecting all spheres of human endeavours with various predisposing factors being reported among hospital workers. This study determined the prevalence of musculoskeletal pains, knowledge and practice of ergonomics among clinical and non-clinical staff of University of Uyo Teaching Hospital, Uyo, Akwa Ibom State (UUTH). A total of 284 Participants were involved in this cross-sectional study, consisting of 153 clinical staff (49 males; 32%) and (104 females; 68%); mean age of 36±11.0 years, age range of 24 – 59 years; and 131 non-clinical workers of 62 males (47.3%) and 85 females (52.7%); mean age 38±14.0 years, age range of 20 – 58 years. Results showed that non-clinical staff had a higher annual prevalence of musculoskeletal pains (79.4%). Pains were mostly distributed to the low back region for both groups. Nurses were mostly affected (35%). Years of work experience was not significantly associated with musculoskeletal pain (p = 0.194). However, other factors assessed were significantly associated (p<0.05) with musculoskeletal pains in both groups. The knowledge of ergonomics and compliance to work safety regulations was high among the non-clinical staff than in the clinical staff. Improving the working condition of hospital workers and periodic seminars on work safety was recommended to reduce the prevalence of musculoskeletal pains among them.

Keywords: Work-Related Musculoskeletal Pain, Ergonomics.

References:

[1].          Adegoke, B.O.A, Akodu A. K, and Oyeyemi A. L (2008). Work-related musculoskeletal disorders among Nigerian Physiotherapists. BMC Musculoskeletal Disorder; 9:112

[2].          Agbor A.M. and Hilbert K (2016). Work-related musculoskeletal disorders among oral health workers in cameroon. Journal of Oral Health and Dental Management; 15.

[3].          Akinpelu A.O., Odole A., Odejide A.S. (2010). Prevalence and Pattern of Musculoskeletal Pain in a Rural Community in Southwestern Nigeria. The Internet Journal of Epidemiology, 8:39.

[4].          Ando, S. Ono, Y. Shiamoke, M. Hiratu, S., Hatton, Y., Horr, F. Takeuchi, Y. (2000). Association of self- estimated workloads with musculoskeletal symptoms among hospital nurses; Occupational and Environmental Medicine, 57:211-216.

[5].          Ashburn, M. A, and Staats, P. S, (1999). Management of chronic pain, lancet, 9167:1865-9.

[6].          Barbosa A. A, Santos A. M. C, Gonçalves R. V, Viana S. O and Sampaio R. F (2006). Prevalência de dor osteomuscular na equipe de enfermagem no hospital da policia militar de Minas Gerais. Fisioter Mov.;19(3):55-63.

[7].          Bejia I, Younes M, Jamila HB, Khalfallah T, Ben Salem K, Touzi M (2005). Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine; 72:254–9.

[8].          Blyth, F .M, March, L. M, Bmabic, A.J.M, Jorm, L. R, Williamson, M and Cousins, M. J. (2001). Chronic Pain In Australia; A Prevalence Study of Pain. U.S national library of medicine 89(2-3):127-34.

[9].          Bruusgaard D (2003). International monitoring of musculoskeletal complaints: a need for consensus. European Journal of Public Health; 13: 20-23.

[10].      Campo M.A., Weiser S., Koeing K.L. and Nordin M. (2008). Work-related musculoskeletal disorders in Physical Therapists: a prospective cohort study with 1-year follow-up. Physical Thearpy; 88(5): 608-19.

[11].      Centre for Disease Control and Prevention (2001). National occupational research agenda for musculoskeletal disorders. Cincinnati National institute for Occupational Safety and Health.

[12].      Chen J. C., Chang W. R., Chang W and Christiani D (2005). Occupational factors associated with low back pain in urban taxi drivers. Occupational Medicine. 55(7): 535-540.

[13].      Choobineh A, Movahed M, Tabatabaie S, Kumashiro M (2010). Perceived demands and musculoskeletal disorders on operating room nurses of Shiraz city hospital. Indian Health; 48:74–84.

[14].      Cromie, J. E, Robertson, V. J. and Best, M. O. (2000). Work-related musculoskeletal disorder in physical therapists: prevalence, severity, risks and responses. Journal of American Physical Therapy Association. 80: 336-351.

[15].      Evanoff, B. A. (1999). Epidemiology: physical factors in work-related Muscukloskeletal disorders. American Journal of Epidemiology, 14: 788-791.

[16].      Freimann T., Coggon D., Merisalu., Animagu L. and Paasuke M (2013). Risk factors for musculoskeletal pain amongst nurses in Estonia: a cross sectional study. BMC Musculoskeletal Disorders. 14: 334. http://www.biomedicentral.com/1471-2474/14/334. Accessed on 29th March, 2017.

[17].      Glover, W, Mcgreor, A, Sullivian, C. And Hagu, J, (2005). Work-related muscolskeletal disorders affecting members of the Chartered Society of Physiotherapy. Physiotherapy.

[18].      91:138 147.

[19].      Gurgueira G. P, Alexandre N. M. C and Correa H. R. F (2003). Prevalência de sintomas musculoesqueléticos em trabalhadores de enfermagem. Rev Latino-Am Enferm. 11(5): 608-13. http://dx.doi.org/10.1590/S0104-11692003000500007.

[20].      Hoogendoorn W. E, Van Poppel M. N, Bongers P. M, Koes B. W, Bouter L. M (1999). Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health. 25(5):387-403. PMid:10569458. http:// dx.doi.org/10.5271/sjweh.451.

[21].      International Association for the Study of Pain, (2009). Musculoskeletal Pain. https://www.iasp-pain.org. Retrived 24th March, 2017.

[22].      International ergonomics Association (2002). “what is ergonomics” http://www.iea.com. Retrieved on 19th March, 2017.

[23].      Janwantanakul, P. Jiamjarasrangsri, V. and Sinsongsook, T. (2008). Prevalence of self-reported         musculoskeletal symptoms among office workers. Occupational Medicine, 58(6):436-8

[24].      Jellad A, Lajili H, Boudokhane S, Migaou H, Maatallah S and Frih Z. B. S (2013). Musculoskeletal disorders among Tunisian hospital staff: Prevalence and risk factors. Egyptian Society for Joint Diseases and Arthritis, 1110-1164. http://dx.doi.org/10.1016/j.ejr.2013.01.002.

[25].      Josephson M, Largerstrom M, Hagberg M, and Hjelm E. W. 1997. Musculoskeletal symptoms and job strain among nursing personnel: a study over a three-year period. Occupational and Environmental Medicine, 52:47-57.

[26].      Karahan A., Kav S., Abbasoglu A and Dogan N (2009). Low back pain: prevalence and  associated risk factors among hospital staff. Journal of Advanced Nursing; 65(3), 516–524.

[27].      kromark K, Dulon M, Beck B, Nienhaus A (2009). Back disorders and lumbar load in nursing staff in geriatric care: a comparison of home-based care and nursing homes. Journal of Occupation and Medical Toxicology; 4:33–42.

[28].      Kuorinka I., Jonson B., Kilbom A., Vinterberg H., Biering-Sorensen F., Andersson G. and Jorgensen K. (1987). Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics; 18.3, 233-237.

[29].      Long MH, Johnston V and Bogossian F (2012). Work-related upper quadrant musculoskeletal disorders in midwives, nurses and physicians: a systematic review of risk factors and functional consequences. Application of Ergonomics. 43:455–67.

[30].      Magnago TSBS, Lisboa MTL, Griep RH, Kirchhof ALC, Guido LA (2010). Psychosocial Aspects of Work and Musculoskeletal Disorders in Nursing Workers. Rev Latino-Am Enferm; 18(3):429-35. http://dx.doi.org/10.1590/S0104-11692010000300019.

[31].      Mehrdad R, Tigh Dennerlein J, and Morshedizadeh, (2012). Musculoskeletal Disorders and Ergonomic Hazards among Iranian Physicians. Arch Iran Med, 15(6): 370 – 374.

[32].      Meijesen P. and Knibbe H. J (2007). Work-related musculoskeletal disorder of perioperative personnel in the Netherlands. AORN Journal; 86: 193 – 208.

[33].      Menzel N. N (2008). Under reporting of musculoskeletal disorders among healthcare workers: Research needs. AAOHN Journal; 56:487-94.

[34].      Moison S, Calory S, Juret I, Brinon C, Josselin V and Guiho-Bailly M. P (2009). Prevention of musculoskeletal disorders in hospital workers: exposure assessment and assistive devices for patients handling. Arch Mal Prof Environ. 70:13–27.

[35].      Mosby, E, (2006). Mosby’s dictionary medicine nursing and health professions. 7th ed. Westline industrial drive, St Louis, Missouri.

[36].      Ngan K, S. Drebit, S. Siow, S. Yu, D. Keen, H. Alamgir (2010). Risks and causes of musculoskeletal injuries among health care workers. Occupational Medicine (Lond) 60 (5): 389-394. doi: 10.1093/occmed/kqq052.

[37].      Maumet S, De Gaudemaris R, Caroly S, Balducci F (2005). Risk factors related to musculo skeletal disorders in health care workers. Elements to take into consideration of risk assessment procedures. Arch Mal Prof Environ; 66:236–43.

[38].      Nordin N. A. M., Leonard J. H., Thye N. C (2011). Work-related injuries among Physiotherapists in public hospitals: A south-east Asian picture. Clinics; 66(3): 373-378. Doi:10.1590/51807-59322011000300002.

[39].      Norton, A. M, and Maria, C. C. B. (2009). Quality of life and musculoskeletal symptoms in hospital housekeeping workers. Journal of Nursing University of Sao Paulo; 43(2):419-25. http://www.scielo.br/reeusp.

[40].      Nwabuokei C.S (1986) Research Methods in Management Sciences, High Mega System, Enugu. Omokhodion F. O and Sanya A. O. (2003) Risk factors for low back pain among office workers in Ibadan, Southwest, Nigeria. Occupational Medicine, 53 (4): 287-289.

[41].      Omokhodion F. O, Umar S. R, and Ogunnowo B. E. (2000). Prevalence of low back pain among staff in a rural hospital in Nigeria. Occupational Medicine, 50: 107-110.

[42].      Phongamwong C., Mungkumpa A., Pawapootanon W., Saiyotha K and Duangtapha C (2014). The Impact of musculoskeltal pain on health-related quality of life in Fort Prajaksolapakom hospital. Journal of Medical Association of Thailand; 97(2): S181-S187. http://www.Jmatonline.com. Accessed on 29th March, 2017.

[43].      Roberta F. C. Moreira, Tatiana O. Sato, Fabiana A. Foltran, Luciana C. C. B. Silva, Helenice J. C. G. Coury (2014). Prevalence of musculoskeletal symptoms in hospital nurse technicians and licensed practical nurses: associations with demographic factors. Brizilian Journal of Physical Therapy. 18(4):323-333.

[44].      Rozenfeld V., Ribak J., Danziger J., Tsamir J., and Carneli E. (2010). Prevalence, risk factors and preventive strategies in work-related musculoskeletal disorder among Isreali physical therapist. Physiotherapy Research International; 176-84.

[45].      Rusli B.N., Naoh R.M., Oxley J.A., Quek K.F and Amin N.A. (2016). Work-related musculoskeletal disorders in female Nursing personal: Prevalence and impact. International Journal of Collaborative Research on internal Medicine & Public Health; 8:3.

[46].      Salik Y. and Özcan, A. (2004). A Work-related musculoskeletal disorder: A survey of physical therapists in Izmir-Turkey. BMC Musculoskeletal Disorder, 5:27.

[47].      Shafiezadeh, K. R. (2011). Prevalence of musculoskeletal disorders among Paramedics. International journal of occupational and environmental medicine, 2:3.

[48].      Smith D. R. and Leggat P.A. (2004). Musculoskeletal disorders among rural Australian Nursing students. Australian Journal of Rural Health. 12: 241-5.

[49].      Smith D.R, Kondo N, Tanaka E, Tanaka H, Hirasawa K and Yamagata Z. (2003). Musculoskeletal disorders among hospital nurses in rural Japan. Rural and remote health Journal, 241:3.

[50].      Smith D. R., Wei N., Ishitake T. and Wang R. S. (2005). Musculoskeletal disorders among chinese medica students. Kurume Medical Journal; 52: 139-46.

[51].      Tezel A (2005). Musculoskeletal complaints among a group of Turkish nurses. International Journal of Neuroscience. 115(6):871- 80. P M i d: 1 6 0 1 9 5 8 0. h t t p: / / d x. d o i. org/10.1080/00207450590897941.

[52].      Tinubu, M.S, Bolanle, Chidozie E. M, Adewale L. O and Ayodele A. F. (2010). Work-elated Musculoskeletal Disorders among Nurses in Ibadan, South-west Nigeria. BMC

[53].      Musculoskeletal Disorders,11:12.

[54].      Thornton L. J., Barr A. E., Stuart-Buttle C., Gaughan J. P., Wilson E. R., and Jackson A. D. (2008). Perceived musculoskeletal symptoms among dental students in the clinic work environment. Ergonomics; 51: 573-86.

[55].      Tullar J. M, Brewer S, Amick B. C, Irvin E, Mahood Q, and Pompeii L. A, (2010). Occupational safety and health interventions to reduce musculoskeletal symptoms in the health care sector. Journal of Occupational Rehabilitation; 20(2):199-219. PMid:20221676. http://dx.doi.org/10.1007/ s10926-010-9231-y.

[56].      Udoye C. and Aguwa E. (2006). Musculoskeletal symptoms: a survey amongst a selected Nigerian Dentists. The Internet Journal of Dental Science; (5):1.

[57].      Wearing S. C., Hennig E. W., Byrne N. M., Steele J. R., and Hills A. P (2006). Musculoskeletal disorder associated with obesity: a biomechanical perspective. Obesity Reviews; 7: 239-250.

[58].      Yeung S.S., Genaidy A., Deddens J and Sauter S (2005). The relationship between protective and risk characteristics of acting and experienced workload, and musculoskeletal disorder cases among nurses. Journal of Safety Research. 36(1): 85-95.

[59].      Yip V. Y. (2004). New low back pain in Nurses: work activities, work stress and sedating lifestyle. Journal of Nursing. 46: 430-440.

[60].      Waters T. R and Nelson A (2007). Proctor C. Patient handling tasks with high risk for musculoskeletal disorders in critical care. Critical Care in Nursing Clinical North America. 19(2):131- 43. PMid:17512469. http://dx.doi.org/10.1016/j. ccell.2007.02.008.

[61].      Waters T, Collins J, Galinsky T, Caruso C (2006). NIOSH research efforts to prevent musculoskeletal disorders in the healthcare industry. Orthopaedic Nursing. 25(6):380-9. PMid:17130760. http://dx.doi.org/10.1097/00006416-200611000-00007.