Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190028
Brazilian Journal of Pain
Original Article

Self-reported musculoskeletal disorders by the nursing team in a university hospital

Distúrbios musculoesqueléticos autorreferidos na equipe de enfermagem em um hospital universitário

Edilson Gonçalves Maciel Júnior; Francis Trombini-Souza; Paula Adreatta Maduro; Fabrício Olinda Souza Mesquita; Tarcísio Fulgêncio Alves da Silva

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Abstract

BACKGROUND AND OBJECTIVES: The hospital environment is considered to be unhealthy, and, moreover, the work performed by nursing professionals presents several risk factors for the development of pain. In this sense, the present study aims to analyze the musculoskeletal disorders in the nursing team and to correlate with the level of physical activity, anthropometric characteristics and the professional profile at the University Hospital in Petrolina, Pernambuco.

METHODS: This was a cross-sectional study with 143 nursing professionals, of which 122 were female (37±7 years) and 21 were male (33±6 years). The individuals answered the International Physical Activity Questionnaire and the Nordic Musculoskeletal Questionnaire.

RESULTS: Pain was reported in 77 volunteers, which corresponds to 53.8% of the sample. In 35 (24.4%) volunteers there was the presence of musculoskeletal disorders in more than one body segment. Regarding pain distribution by body segment, the higher prevalence's were observed in the lumbar region and the knees, both with 17.4%. In addition, there were associations between being male and pain in the elbows (PR=5.5, 95% CI: 1.1, 25.5, p=0.028) and ankles (PR=5.1, 95% CI: 1.3; 19.2, p=0.016), and pain and physical inactivity for the elbow segments (PR=3.4, 95% CI: 1.1, 10.3, p=0.027) and knees (PR=2.4, 95% CI: 1.1, 5.0, p=0.021).

CONCLUSION: It can be noticed that the prevalence of pain in the team of professionals analyzed was high and that the risk factors, such as physical inactivity and being male were associated with a greater onset of musculoskeletal disorders.

Keywords

Cumulative trauma disorders, Occupational health, Pain

Resumo

JUSTIFICATIVA E OBJETIVOS: O ambiente hospitalar é considerado como insalubre, além disso, a atividade laboral desempenhada pelos profissionais de enfermagem apresenta diversos fatores de risco para o desenvolvimento de dor. Nesse sentido, o presente estudo teve por objetivo analisar os distúrbios musculoesqueléticos na equipe de enfermagem e correlacionar com o nível de atividade física, características antropométricas e o perfil profissional no Hospital Universitário em Petrolina, Pernambuco.

MÉTODOS: Trata-se de um estudo transversal, com 143 profissionais de enfermagem, sendo 122 do sexo feminino (37±7 anos) e 21 do sexo masculino (33±6 anos). Os indivíduos responderam aos questionários Internacional de Atividade Física e ao Nórdico de Sintomas Osteomusculares.

RESULTADOS: Foi constatada a presença de dor em 77 voluntários, o que equivale a 53,8% da amostra. Em 35 (24,4%) voluntários houve a presença de distúrbios musculoesqueléticos em mais de um segmento corporal. Quanto à distribuição de dor por segmento corporal, foram observadas maiores prevalências na região lombar e nos joelhos, ambas com 17,4%. Além disso, foram verificadas associações entre o sexo masculino e dor nos cotovelos (RP=5,5, IC 95%:1,1;25,5, p=0,028) e tornozelos (RP=5,1, IC 95%:1,3;19,2, p=0,016), e dor e inatividade física para os segmentos em cotovelos (RP=3,4, IC 95%:1,1;10,3, p=0,027) e joelhos (RP= 2,4, IC95%: 1,1; 5,0, p=0,021).

CONCLUSÃO: Observou-se que a prevalência de dor na equipe de profissionais analisada foi elevada, e que fatores de risco como a inatividade física e o sexo masculino, foram associados com maior surgimento dos distúrbios musculoesqueléticos.

Palavras-chave

Dor, Saúde do Trabalhador, Transtornos traumáticos cumulativos

References

Lelis CM, Battaus MR, Freitas FC, Rocha FL, Marziale MH, Robazzi ML. Distúrbios osteomusculares relacionados ao trabalho em profissionais de enfermagem: revisão integrativa da literatura. Acta Paul Enferm. 2012;25(3):477-82.

Magnago TS, de Lima AC, Prochnow A, Ceron MD, Tavares JP, Urbanetto Jde S. Intensity of musculoskeletal pain and (in) ability to work in nursing. Rev Lat Am Enfermagem. 2012;20(6):1125-33.

De Souza Magnago TS, Lisboa MT, Griep RH, Kirchhof ALC, de Azevedo Guido L. Psychosocial aspects of work and musculoskeletal disorders in nursing workers. Rev Lat Am Enfermagem. 2010;18(3):429-35.

Harcombe H, Herbison GP, McBride D, Derrett S. Musculoskeletal disorders among nurses compared with two other occupational groups. Occup Med. 2014;64(8):601-7.

Ribeiro NF, Fernandes Rde C, Solla DJ, Santos Junior AC, de Sena Junior AS. Prevalence of musculoskeletal disorders in nursing professionals. Rev Bras Epidemiol. 2012;15(2):429-38.

Vieira MV, Alcântara DS. Prevalence of chronic low back pain in nursing: a bibliographic review. Rev Amazônia. 2013;1(3):49-55.

Pinheiro FA, Tróccoli BT, Carvalho CV. Validity of the Nordic Musculoskeletal Questionnaire as morbidity measurement tool. Rev Saude Publica. 2002;36(3):307-12.

Hugue TD, Pereira Júnior AA. Prevalência de dor osteomuscular entre os funcionários administrativos da Unifebe. Rev Unifebe. 2011;1(9):1-9.

Lima DM, Araújo RC, Pitangui AC, Rizzo JA, Sarinho SW, Santos CM. Descrição da atividade física e da jornada de trabalho na qualidade de vida de profissionais de terapia intensiva: comparação entre um grande centro urbano e uma cidade do interior brasileiro. Rev Bras Ativ Fís Saúde. 2015;20(4):386-96.

Lopes JA, Longo GZ, Peres KG, Boing AF, de Arruda MP. Factors associated with insufficient physical activity: a population-based study in southern Brazil. Rev Bras Epidemiol. 2010;13(4):689-98.

Vespasiano BS, Dias R, Corrêa DA. Using the international of physical activity questionnaire (IPAQ) as a diagnostic tool in the level of physical fitness. Review in Brazil. Saúde Rev. 2012;12(32):49-54.

Garcia LM, Osti RF, Ribeiro EH, Florindo AA. Validação de dois questionários para a avaliação da atividade física em adultos. Rev Bras Ativ Fís Saúde. 2013;18(3):317-8.

Fonseca Nda R, Fernandes Rde C. Factors related to musculoskeletal disorders in nursing workers. Rev Lat Am Enfermagem. 2010;18(6):1076-83.

Tinubu BM, Mbada CE, Oyeyemi AL, Fabunmi AA. Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskelet Disord. 2010;11:12.

Freimann T, Coggon D, Merisalu E, Animägi L, Pääsuke M. Risk factors for musculoskeletal pain amongst nurses in Estonia: a cross-sectional study. BMC Musculoskelet Disord. 2013;14:334.

Rathore FA, Attique R, Asmaa Y. Prevalence and perceptions of musculoskeletal disorders among hospital nurses in Pakistan: a cross-sectional survey. Cureus. 2017;9(1).

Moreira RF, Sato TO, Foltran FA, Silva LC, Coury HJ. Prevalence of musculoskeletal symptoms in hospital nurse technicians and licensed practical nurses: associations with demographic factors. Braz J Phys Ther. 2014;18(4):323-33.

Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health. 2004;12(6):241-5.

Reed LF, Battistutta D, Young J, Newman B. Prevalence and risk factors for foot and ankle musculoskeletal disorders experienced by nurses. BMC Musculoskelet Disord. 2014;15:196.

Correa LQ, Rombaldi AJ, Silva MC. Physical activity level and self-reported musculoskeletal pain perception among older males. Rev Dor. 2016;17(3):183-7.

Sundstrup E, Jakobsen MD, Brandt M, Jay K, Aagaard P, Andersen LL. Strength training improves fatigue resistance and self-rated health in workers with chronic pain: a randomized controlled trial. Biomed Res Int. 2016;2016.

Sundstrup E, Jakobsen MD, Andersen CH, Jay K, Persson R, Aagaard P. Effect of two contrasting interventions on upper limb chronic pain and disability: a randomized controlled trial. Pain Physician. 2014;17(2):145-54.

Andersen LL, Jakobsen MD, Pedersen MT, Mortensen OS, Sjøgaard G, Zebis MK. Effect of specific resistance training on forearm pain and work disability in industrial technicians: cluster randomised controlled Trial. BMJ Open. 2012;2(1).

Freitas DA, Guedes MB, Fonseca SF, Amorim MR, Gomes WF, Melo GE. Efeito de um programa de treinamento aeróbio na dor, desempenho físico e funcional e na resposta inflamatória em idosos com osteoartrite de joelho-resultados preliminares. Rev Ter Man. 2012;10(47):52-9.

Dobson JL, McMillan J, Li L. Benefits of exercise intervention in reducing neuropathic pain. Front Cell Neurosci. 2014;8(1):102.

Fernandes GS, Bhattacharya A, McWilliams DF, Ingham SL, Doherty M, Zhang W. Risk prediction model for knee pain in the Nottingham community: a Bayesian modelling approach. Arthritis Res Ther. 2017;19(1):59.


Submitted date:
10/22/2018

Accepted date:
03/21/2019

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