Öz
Amaç: Kas iskelet
sistemi bozuklukları (KİSB) hastane çalışanlarında mesleğe bağlı görülen en
önemli sağlık problemlerinden biridir. Biz bu çalışmada ameliyathane ve yoğun
bakım çalışanlarında eklem, ekstremite ve omurga bozukluklarını değerlendirip;
bu bireylerin günlük yaşam aktivitelerini, ilaç kullanım sıklıklarını, dizabilitelerini ortaya koymayı amaçladık.
Gereç Ve Yöntem: Ameliyathane ve yoğun bakımda çalışan
65 personelin demografik özellikleri, mesleği, çalıştığı birim, çalışma süresi,
çalışma yılı, vücut kitle indeksi ve ayakta kalma süresi sorgulanmış ve
Genişletilmiş Nordic Kas-iskelet Sistemi Anketi doldurulmuştur.
Bulgular: Çalışanlarda sırasıyla bel, diz ve boyun-sırt ağrıları en sık saptanmıştır
(%66,2, %63,1, %53,8). Hastaneye yatışta sırasıyla boyun-sırt, kalça/uyluk, bel
ve omuz ağrısı önde gelmektedir (%8,6, %8,3, %4,7, %3,7). Son 12 ay içinde ağrı nedeniyle normal ev veya ev dışı
aktiviteleri kısıtlılığına ve ağrı nedeniyle ağrı kesici kullanımına bel, boyun ve diz ağrıları sıklıkla sebep
olmuştur. Son 12 ay içinde istirahat raporu kullanımında ayak/ayak bileği, bel ve
kalça-uyluk ağrıları başı çekmektedir.
Sonuç: Yoğun bakım ve ameliyathane çalışanlarında KİSB özellikle bel, boyun ve
diz ağrıları; ev ve iş aktivitelerinde kısıtlılık, doktora başvuru, ağrı kesici
kullanımında artış ve istirahat raporu kullanımında artışla beraber önemli bir
dizabilite kaynağıdır.
Anahtar Kelimeler
Kaynakça
- Referans1. Caillard J, Iwatsubo Y. Prevention of Musculoskeletal Disorders among Health Care Workers. Proceedings of the Human Factors and Ergonomics Society Annual Meeting 2000; 44(31):5–781 -5-784. doi: 10.1177/154193120004403144Referans2. Rempel DM, Harrison RJ, Barnhart S. Work-related cumulative trauma disorders of the upper extremity. JAMA. 1992; 267(6):838–42. doi: 10.1001/jama.267.6.838 PMID: 1732657 Referans3. Ashbury FD. Occupational repetitive strain injuries and gender in Ontario, 1986 to 1991. J Occup Environ Med. 1995; 37(4):479–85. doi: 10.1097/00043764-199504000-00021 PMID: 7670905 Referans4. Silverstein BA, Fine LJ, Armstrong TJ. Hand wrist cumulative trauma disorders in industry. Br J Ind Med. 1986; 43(11):779–84. doi: 10.1136/oem.43.11.779 PMID: 3790459 Referans5. Carson R. Reducing cumulative trauma disorders: use of proper workplace design. AAOHN J. 1994; 42 (6):270–6. PMID: 8037829 Referans6. Coffin C. Work-related musculoskeletal disorders in sonographers: a review of causes and types of injury and best practices for reducing injury risk. Reports in Medical Imaging. 2014: 15. doi: 10.2147/ rmi.s34724 Referans7. Podniece Z, Heuvel S, Blatter B. Work-related musculoskeletal disorders: prevention report: European Agency for Safety and Health at Work; 2008.Referans8. Engkvist IL, Kjellberg A, Wigaeus HE, Hagberg M, Menckel E, Ekenvall L. Back injuries among nursing personnel–identification of work conditions with cluster analysis. Saf Sci. 2001;37:1–18. Referans9. Fujishiro K, Weaver JL, Heaney CA, Hamrick CA, Marras WS. The effect of ergonomic interventions in healthcare facilities on musculoskeletal disorders. Am J Ind Med. 2005;48:338–47.Referans10. Kuorinka I, Jonsson B, Kilbom A, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergonomics. 1987;18:233–237.Referans11. Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test–retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): A screening instrument for musculoskeletal pain. J Pain. 2009; 10 ( 5): 517-526.Referans12. Josephson M, Lagerström M, Hagberg M, Hjelm EW. Musculoskeletal symptoms and job strain among nursing personnel: a study over a three year period. Occup Environ Med. 1997;54:681–685. Referans13. Smedley J, Egger P, Cooper C, Coggon D. Manual handling activities and risk of low back pain in nurses. Occup Environ Med. 1995;52:160–163.Referans14. Bork BE, Cook TM, Rosecrance JC, et al. Work-related musculoskeletal disorders among physical therapists. Phys Ther. 1996;76:827–835.Referans15. Cromie JE, Robertson VJ, Best MO. Work-related musculoskeletal disorders in physical therapists: prevalence, severity, risks, and responses. Phys Ther. 2000;80:336–351.Referans16. Engels JA, Van der Gulden JWJ, Senden TF, van’t Hof B. Work-related risk factors for musculoskeletal complaints in the nursing profession: results of a questionnaire survey. Occup Environ Med. 1996;53:636–641.Referans17. Retsas A, Pinikahana J. Manual handling practices and injuries among ICU nurses. Aust J Adv Nurs. 1999;17:37–42.Referans18. Retsas A, Pinikahana J. Manual handling activities and injuries among nurses: an Australian hospital study. J Adv Nurs, 2000;31:875–883.
Öz
Purpose: Musculoskeletal disorders
(MSD) are one of the most important occupational
health
problems of hospital staff. In this study, we
aimed to evaluate joint, limb and spine disorders in operating room and
intensive care staff to reveal the daily life activities, frequency of drug
use, and disability of these individuals.
Material And Method: Demographic
characteristics, occupation, department, duration of work, year of job, body
mass index and duration of standing were investigated and the Extended Nordic
Musculoskeletal System Questionnaire was completed by 65 operating room and
intensive care staff.
Results: Low back, knee and neck pain were the most frequent ones
in the employees (66.2%, 63.1%, 53.8% respectively). Neck, hip / thigh, low
back and shoulder pain are the leading cause of hospitalization (8,6%, 8,3%,
4,7%, 3,7% respectively). In the last 12 months, use of
painkillers and limitation of home or out-of-home activities due to pain, often
caused from low back, neck and knee pain. During the last 12 months, the sick leave foot / ankle, low back and hip-thigh pains are
the leading ones.
Conclusion: In the intensive care
unit and operating room staff, the MSD is mainly characterized by waist, neck
and knee pain; It is an important source of disability with the increase in the
use of sick leave and limitation in home and work activities, referral to the
doctor, increase in the use of painkillers.
Anahtar Kelimeler
Kaynakça
- Referans1. Caillard J, Iwatsubo Y. Prevention of Musculoskeletal Disorders among Health Care Workers. Proceedings of the Human Factors and Ergonomics Society Annual Meeting 2000; 44(31):5–781 -5-784. doi: 10.1177/154193120004403144Referans2. Rempel DM, Harrison RJ, Barnhart S. Work-related cumulative trauma disorders of the upper extremity. JAMA. 1992; 267(6):838–42. doi: 10.1001/jama.267.6.838 PMID: 1732657 Referans3. Ashbury FD. Occupational repetitive strain injuries and gender in Ontario, 1986 to 1991. J Occup Environ Med. 1995; 37(4):479–85. doi: 10.1097/00043764-199504000-00021 PMID: 7670905 Referans4. Silverstein BA, Fine LJ, Armstrong TJ. Hand wrist cumulative trauma disorders in industry. Br J Ind Med. 1986; 43(11):779–84. doi: 10.1136/oem.43.11.779 PMID: 3790459 Referans5. Carson R. Reducing cumulative trauma disorders: use of proper workplace design. AAOHN J. 1994; 42 (6):270–6. PMID: 8037829 Referans6. Coffin C. Work-related musculoskeletal disorders in sonographers: a review of causes and types of injury and best practices for reducing injury risk. Reports in Medical Imaging. 2014: 15. doi: 10.2147/ rmi.s34724 Referans7. Podniece Z, Heuvel S, Blatter B. Work-related musculoskeletal disorders: prevention report: European Agency for Safety and Health at Work; 2008.Referans8. Engkvist IL, Kjellberg A, Wigaeus HE, Hagberg M, Menckel E, Ekenvall L. Back injuries among nursing personnel–identification of work conditions with cluster analysis. Saf Sci. 2001;37:1–18. Referans9. Fujishiro K, Weaver JL, Heaney CA, Hamrick CA, Marras WS. The effect of ergonomic interventions in healthcare facilities on musculoskeletal disorders. Am J Ind Med. 2005;48:338–47.Referans10. Kuorinka I, Jonsson B, Kilbom A, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergonomics. 1987;18:233–237.Referans11. Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test–retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): A screening instrument for musculoskeletal pain. J Pain. 2009; 10 ( 5): 517-526.Referans12. Josephson M, Lagerström M, Hagberg M, Hjelm EW. Musculoskeletal symptoms and job strain among nursing personnel: a study over a three year period. Occup Environ Med. 1997;54:681–685. Referans13. Smedley J, Egger P, Cooper C, Coggon D. Manual handling activities and risk of low back pain in nurses. Occup Environ Med. 1995;52:160–163.Referans14. Bork BE, Cook TM, Rosecrance JC, et al. Work-related musculoskeletal disorders among physical therapists. Phys Ther. 1996;76:827–835.Referans15. Cromie JE, Robertson VJ, Best MO. Work-related musculoskeletal disorders in physical therapists: prevalence, severity, risks, and responses. Phys Ther. 2000;80:336–351.Referans16. Engels JA, Van der Gulden JWJ, Senden TF, van’t Hof B. Work-related risk factors for musculoskeletal complaints in the nursing profession: results of a questionnaire survey. Occup Environ Med. 1996;53:636–641.Referans17. Retsas A, Pinikahana J. Manual handling practices and injuries among ICU nurses. Aust J Adv Nurs. 1999;17:37–42.Referans18. Retsas A, Pinikahana J. Manual handling activities and injuries among nurses: an Australian hospital study. J Adv Nurs, 2000;31:875–883.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 21 Aralık 2019 |
| Gönderilme Tarihi | 29 Mayıs 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 52 Sayı: 3 |