Affiliations: [a] Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisbon, Portugal | [b] Centro de Malária e Doenças Tropicais - Saúde Pública, Lisbon, Portugal | [c] Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisbon, Portugal
Correspondence:
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Corresponding author: Florentino Serranheira, Departamento de Saúde Ocupacional e Ambiental (DSOA), Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Avenida Padre Cruz, 1600-560 Lisboa, Portugal. Tel. +351217512100; E-mail: serranheira@ensp.unl.pt
Abstract:
BACKGROUND: Hospital work-related musculoskeletal disorders
(WRMSDs) symptoms are highly prevalent and nurses are considered the health
care professional group more often affected by WRMSDs. OBJECTIVES: Understanding the effects of nursing tasks on WRMSDs
symptoms. METHODS: Portuguese nurses answered to a modified Nordic
Musculoskeletal symptoms Questionnaire. The increased likelihood of
having WRMSDs symptoms was estimated from a daily working task schedule and
the probability of suffering from lumbar WRMSDs symptoms intensity was also
estimated. RESULTS: Hospital nurses studied (n= 1.396) were mainly females
(75.8%), and most of them reported more than 1 symptom (88%).
Low-back pain was the most prevalent complaint (60.9%). Tasks performed more than
10 times a day, such as invasive procedures (OR = 2.142); care of hygiene and
patient comfort in bed (OR = 2.484); patient mobilization in bed (OR = 2.022);
and patient feeding (OR = 2.186) had an effect on dorsal and lumbar symptoms
(p< 0.05). Those tasks involving invasive procedures were just the only ones
producing symptoms simultaneously on every studied body
part, such as lumbar, dorsal, wrist/hand and ankles/feet areas. CONCLUSIONS: Tasks with a greater effect on low-back pain intensity
were patient bed feeding and patient hygiene and care. We found, when
analysing simultaneously the effects of every task on the likelihood
of having
low-back symptoms, that involving invasive procedures were that
only ones affecting
simultaneously the presence of almost all WRMSDs symptoms
studied.
Keywords: Nursing, musculoskeletal symptoms, low-back pain, patient lifting, occupational health
