Incidence and Management of Low Back Pain among Nurses in Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife and Ilesa

Download Article

DOI: 10.21522/TIJNR.2015.02.02.Art014

Authors : Oyedero, Lolade Comfort

Abstract:

This study presents the incidence and management of low back pain among Nurses in Obafemi Awolowo University teaching Hospitals complex, Ile-Ife. (OAUTHC). The study identified the percentage of nurses with low back pain in OAUTHC. The study also identified causative factors associated with low back pain among nurses in OAUTHC, It alsoexplored the management modalities of low back pain adopted by nurses in OAUTHC.

Design/Methods: A descriptive design was adopted for this study. 258 respondents were sampled using a simple random sampling technique. However 255 respondents filled the self-administered questionnaires given to them. Data was analysed using descriptive and inferential statistics and results presented in tables using frequency and percentages.

Results/Findings: Findings from the study showed that 71.4% of the respondents had low back pain, among which 68.7% had a low intense pain. The study also showed that 54.1% of the respondents with low back pain got their pain from their work. The study also revealed that nursing procedures requiring lifting and bending were highly associated with low back pain. 85.5% of the respondents associated low back pain with wound dressing and bed making. The study also revealed that respondents who had pain manage their pain with, rest, massage, physical therapy and painkillers.

Conclusion: The study concludes that a larger percentage of nurses have low back pain and that procedures such as wound dressing and bed making are highly associated with low back pain which makes nurses working on wards requiring these two procedures to be more prone to developing low back pain and they manage low back pain with massage, rest, physical therapy and analgesics with proven effects

Keywords

Low back pain: subjective experience of discomfort around the 12th rib to the gluteal folds.

Back care ergonomics: special form of care directed to the spine and muscles of the back.

Nursing procedures: nursing jobs in the hospital aimed at caring for the patient/client.

Pain Management: measures used to control pain either medically, conservatively or alternatively.

Nurses: professionals who are registered and licensed to practice nursing and are employed by OAUTHC to work as a nurse.

Incidence: rate of occurrence or frequency of a case.

References:

[1]. Cesana G, Arduca A, Latocca R, & Sirtori G. (2008) Risk evaluation and health surveillance in hospitals: A critical review and contribution regarding experience obtained at Garado dei Tintori hospital in Monza:89(1):23-46.

[2]. Cherkin, DC, Eisenberg, D, Sherman KJ, Barlow W, Kaptchuk TJ, Street J, & Dayo RA. (2001) Randomized trial comparing Traditional Chinese Medical Acupuncture, therapeutic massage, and self-care Education for Chronic low back pain. Archives of Internal Medicine 161 (8): 1081-8

[3]. Craig AD. (2003). Interception: The Sense of the Physiological Condition of the body. Current Opinion in Neurobiology 13(4): 500-505.

[4]. Congeni J. (2000) Evaluating spondylolysis in adolescent atheletes: history and x-ray findings comfirm the diagnosis; Journal of musculoskeletal medicine; 17(3); 123-126, 128-129.

[5]. Corona G, Monduzzi G, Minerva M, Amedei F & Franco G. (2004). Individual ergonomics and psychological risk factors effects, musculoskeletal disorders in nurses, physiotherapists (in Italian). Ital. Med. Lav. Ergon., 26: 201-2

[6]. Cunninham C, Flynn T & Blake C. (2006) Low back pain and occupational medicine. 56(7):447-454.

[7]. Danning CL. (2000) Psoriatic arthritis: diagnosis and management of a diverse disease: early recognition is the key to successful management. Journal of musculoskeletal medicine 17(3); 169-177s

[8]. Floyd R& Thompson Clem (2008). Manual of Structural Kinesiology New York: McGraw-Hill.

[9]. French P, Wah Flora LF, Ping LS, Karbo L & Yee Rita WH. (2007). The prevalence of occupational low back pain in Hong Kong registered nurses. J. Adv. Nurs., 26: 380-388.

[10]. Hagen KB, Hilde G, Jamtuedf G & Winnem M. (2004) “Bed rest for acute low back pain and sciatica Cochrane Database Syst Rev (4): CD001254.

[11]. Henschke N, Maher CG & Refshauge KM. (2009) Prevalence of and Screening for Serious Spinal Pathology in Patients Presenting to Primary Care Setting with acute low back pain Arthritis Rheum 60(10): 3072-80.

[12]. Marchand S. (2010) Applied pain neurophysiology In Beaulieu P, Lussier D, Porreca F & Dickenson A, Pharmacology of Pain. Seattle: International Association for the Study of Pain. P 3-26.

[13]. Melzack R & Wall PD (1965). Pain Mechanisms; a new theory. Science 150 (3699): 971-9.

[14]. Maul I, Laubli T, Klipstein A & Krueger H. (2003). Course of low back pain among nurses: A longitudinal study across eight years. Occup. Environ. Med., 60:497-503.

[15]. Mitchell T, O Sullivan BP, Burnett FA, Straker L & Rudd C. (2008). Low back pain characteristics from undergraduate to working nurses in Australia: A cross-sectional survey. Int. J. Nurs., 45:1636-1644

[16]. Smeltzer SC & Bare BG (2004). Brunner and Suddarts Textbook of Medical Surgical Nursing.10th edition. Philadelphia: Lippincott Williams& Wilkins.

[17]. Smith C,& Grimmer-Summers K. (2010) The Treatment effect of exercise programmes for chronic low back pain J Eval Clin Pract 16(3): 484-91.

[18]. Souza TA. (2008). Differential diagnosis for the chiropractor: protocols and algorithms; Aspen Publisher, Maryland.

[19]. Swenson R. (2008) Differential diagnosis: a reasonable clinical approach; Neurologic clinics; 17(1); 43-63.

[20]. Walker BF. (2000) The prevalence of low back pain: a systematic review of literature from 1966-1998. Journal of spinal disorders; 13(3); 205-217.

[21]. Wall PD & Melzack R (1996) The Challenge of Pain. New York: Penguin Books.

[22]. Waheed A. (2003). Effects of interferential therapy on low back pain and its relevance to total lung capacity. JNMRT:8(2):6-18

[23]. Waddel G. (2001). Clinical guideline for the management of low back pain in primary care: an international comparison. Spine 26(22):2504-2513.

[24]. Yib VB. (2004) New low back pain in nurses: work activities work stress. Health science Journal, volume 2, issue 4.