Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210013
Brazilian Journal of Pain
Original Article

Prevalence and associated factors with musculoskeletal pain in professionals of the Mobile Emergency Care Service

Prevalência e fatores associados à dor musculoesquelética em profissionais do Serviço de Atendimento Móvel de Urgência

Roberto Airon Veras dos Santos; Maria Cristina Falcão Raposo; Renato de Souza Melo

Downloads: 0
Views: 28

Abstract

BACKGROUND AND OBJECTIVES: The professionals who work in pre-hospital care are exposed to unhealthy environments, which can represent risk factors for the development of musculoskeletal disorders. Thus, the objective of this study was to observe the prevalence of musculoskeletal pain in professionals of the Mobile Emergency Care Service (SAMU) and identify its associated factors.

METHODS: Cross-sectional study, carried out at three SAMU bases in Pernambuco. Ninety five professionals were evaluated, of both sexes and age range between 21-58 years old, being (n=36: ambulance drivers, n=38: nursing technicians, n=15: nurses and n=6: physicians). For the musculoskeletal pain evaluation, the Nordic Questionnaire of Musculoskeletal Symptoms was used. To quantify the intensity of pain, the visual analogue scale was used.

RESULTS: Musculoskeletal pain was reported by 71.6% (n=68) of the rescuers; of these, only 18% (n=17) mentioned that they already had these pains before their SAMU labor activity. Nursing technicians were the professionals most affected by the musculoskeletal pain (89.5%), followed by nurses (73.3%), ambulance drivers (55.6%) and the physicians (50%). The lumbar spine (53.5%), knees (32.6%) and cervical spine (30.5%) were the body regions most affected by pain and the female sex was associated with musculoskeletal pain presence (p=0.024).

CONCLUSION: High musculoskeletal pain prevalence was observed among professionals of SAMU, especially in the nursing professionals. In addition, the female sex was shown to be a factor associated with musculoskeletal pain presence in this group of professionals.

Keywords

Emergency medical services, Knee joint, Low back pain, Neck pain, Occupational health.

Resumo

JUSTIFICATIVA E OBJETIVOS: Os profissionais do atendimento pré-hospitalar estão expostos a ambientes insalubres, que podem representar fatores de risco para o desenvolvimento de distúrbios musculoesqueléticos. Sendo assim, o objetivo deste estudo foi observar a prevalência de dor musculoesquelética em profissionais do Serviço de Atendimento Móvel de Urgência (SAMU) e seus fatores associados.

MÉTODOS: Estudo de corte transversal, realizado em três bases do SAMU de Pernambuco. Foram avaliados 95 profissionais, de ambos os sexos, com faixa etária entre 21 e 58 anos, sendo (n=36: condutores socorristas, n=38: técnicos de enfermagem, n=15: enfermeiros e n=6: médicos). Para a avaliação da dor musculoesquelética foi utilizado o Nordic Questionnaire of Musculoskeletal Symptoms e, para quantificar a intensidade das dores, a escala analógica visual.

RESULTADOS: As dores musculoesqueléticas foram relatadas por 71,6% (n=68) dos socorristas, desses, apenas 18% (n=17) mencionaram que já apresentavam tais dores antes das suas atividades laborais no SAMU. Os técnicos de enfermagem foram os profissionais mais acometidos pelas dores musculoesqueléticas (89,5%), seguidos dos enfermeiros (73,3%), dos condutores socorristas (55,6%) e médicos (50%). A coluna lombar (53,5%), os joelhos (32,6%) e a coluna cervical (30,5%) foram regiões corporais mais acometidas pelas dores e o sexo feminino foi um fator associado à presença das dores musculoesqueléticas (p=0,024).

CONCLUSÃO: Foi observada elevada prevalência de dor musculoesquelética nos profissionais do SAMU avaliados, sobretudo nos profissionais de enfermagem, Além disso, o sexo feminino foi um fator associado à presença de dor musculoesquelética nesse grupo de profissionais.

Palavras-chave

Articulação do joelho, Cervicalgia, Dor lombar, Saúde do trabalhador, Serviços médicos de emergência.

References

Lelis CM, Battaus MRB, Freitas FCT, Rocha FLR, Marziale MHP, Robazzi MLCC. Work-related musculoskeletal disorders in nursing professionals: an integrative literature review. 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.

Leite PC, Silva A, Merighi MA. Female nurses and the osteomuscular disturbances related to their work. Rev Esc Enferm USP. 2007;41(2):287-91.

Barboza MC, Milbrath VM, Bielemann VM, de Siqueira HC. Work-related musculoskeletal disorders and their association with occupational nursing. Rev Gaúcha Enferm. 2008;29(4):633-8.

Ramalho-Neto H, Borba EO, Neves EB, Macedo RMB, Ulbricht L. Características do atendimento pré-hospitalar intradomiciliar em Curitiba-PR. J Health Sci Inst. 2013;31(2):155-60.

Alexandre NMC, Angerami ELS, Moreira-Filho DC. Back pain and nursing. Rev Esc Enferm USP. 1996;30(2):267-85.

Fernandes CS, Couto G, Carvalho R, Fernandes D, Ferreira P. Self-reported work-related musculoskeletal disorders among health professionals at a hospital in Portugal. Rev Bras Med Trab. 2018;16(3):353-9.

Roberts MH, Sim MR, Black O, Smith P. Occupational injury risk among ambulance officers and paramedics compared with other healthcare workers in Victoria, Australia: analysis of workers' compensation claims from 2003 to 2012. Occup Environ Med. 2015;72(7):489-95.

Senmar M, Pour FZ, Soleimani P, Yamini M, Rafiei H. The prevalence of musculoskeletal disorders among nurses working in emergency department. J Prev Epidemiol. 2019;4(2).

Sedrez JA, Kasten APS, Chaise FO, Candotti CT. Fatores de risco para doenças cardiovasculares e osteomusculares relacionadas ao trabalho em profissionais do atendimento pré-hospitalar de urgência: uma revisão sistemática. Rev Bras Med Trab. 2017;15(4):355-63.

Vasconcelos DV, Silva LM, Lima LAMS, Pinho MMR, Motta PD, Dantas ST. Absenteísmo em dois hospitais públicos de Minas Gerais: perfil epidemiológico. Rev Med Minas Gerais. 2017;27(Suppl 1):S4-10.

von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9.

Malta M, Cardoso LO, Bastos FI, Magnanini MM, Silva CM. STROBE initiative: guidelines on reporting observational studies. Rev Saude Publica. 2010;44(3):559-65.

von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495-9.

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

Campbell WI, Lewis S. Visual analogue measurement of pain. Ulster Med J. 1990;59(2):149-54.

Ludington E, Dexter F. Statistical analysis of total labor pain using the visual analog scale and application to studies of analgesic effectiveness during childbirth. Anesth Analg. 1998;87(3):723-7.

Monteiro ET, Albuquerque SP, Melo RS. Organ and tissue donation in a public hospital of Pernambuco. Rev Bioét. 2020;28(1):69-75.

Lúcio MG, Torres MC, Gusmão CMP. Riscos ocupacionais do atendimento pré-hospitalar: uma revisão bibliográfica. Interfaces Científicas - Saúde e Ambiente. 2013;1(3):69-77.

Célia Rde C, Alexandre NM. Musculoskeletal disorders and quality of life in health care providers working with patient transportation. Rev Bras Enferm. 2003;56(5):494-8.

Kim H, Dropkin J, Spaeth K, Smith F, Moline J. Patient handling and musculoskeletal disorders among hospital workers: analysis of 7 years of institutional workers' compensation claims data. Am J Ind Med. 2012;55(8):683-90.

Araújo LKR, Oliveira SS. Mapping of psychosocial risks in the SAMU/DF. Psicol Cienc Prof. 2019;39:1-12.

Chaise FO, Furlanetto TS, Candotti CT, Kasten AP, Vieira A, Paiva LL. Pain, cumulative trauma disorders and cardiovascular disease in professional of SAMU 192 Porto Alegre/RS. Rev Ter Ocup Univ São Paulo. 2018;29(3):204-14.

Saçala R, Luvizotto JR, Oselame GB, Neves EB. Related musculoskeletal disorders work process pre-hospital care. Rev Univ Vale do Rio Verde. 2017;15(2):751-8.

Santos-Júnior BJ, Silveira CLS, Araújo EC. Work conditions and ergonomic factors of health risks to the nursing team of the mobile emergency care/SAMU in Recife-PE city. Rev Enferm UFPE. 2010;4(1):245-53.

Weaver MD, Patterson PD, Fabio A, Moore CG, Freiberg MS, Songer TJ. An observational study of shift length, crew familiarity, and occupational injury and illness in emergency medical services workers. Occup Environ Med. 2015;72(11):798-804.

Aljerian N, Alshehri S, Masudi E, Albawardi AM, Alzahrani F, Alanazi R. The prevalence of musculoskeletal disorders among EMS personnel in Saudi Arabia, Riyadh. Egyptian J Hosp Med. 2018;73(1):5777-82.

Zhang Q, Dong H, Zhu C, Liu G. Low back pain in emergency ambulance workers in tertiary hospitals in China and its risk factors among ambulance nurses: a cross-sectional study. BMJ Open. 2019;9(9).

Vacari DA, Ulbricht L, Schneider FK, Neves EB. Main methods for posture diagnosis of the lumbar spine. Rev Educ Fis/UEM. 2013;24(2):305-15.

Mauro MYC, Veiga AR. Health problems and occupational risks in hospital: nursing workers perceptions. Rev Enferm UERJ. 2008;16(1):64-9.

Studnek JR, Crawford JM, Wilkins 3rd JR, Pennell ML. Back problems among emergency medical services professionals: the LEADS health and wellness follow-up study. Am J Ind Med. 2010;53(1):12-22.

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.

Rambabu T, Suneetha K. Prevalence of work-related musculoskeletal disorders among physicians, surgeons, and dentists: a comparative study. Ann Med Health Sci Res. 2014;4(4):578-82.

Santos EC, Andrade RD, Lopes SG, Valgas C. Prevalence of musculoskeletal pain in nursing professionals working in orthopedic setting. Rev Dor. 2017;18(4):298-306.

Maciel-Junior EG, Trombini-Souza F, Maduro PA, Mesquita FO, Silva TF. Self-reported musculoskeletal disorders by the nursing team in a university hospital. BrJP. 2019;2(2):155-8.

Dong H, Zhang Q, Liu G, Shao T, Xu Y. Prevalence and associated factors of musculoskeletal disorders among Chinese healthcare professionals working in tertiary hospitals: a cross-sectional study. BMC Musculoskeletal Disord. 2019;20(1):175.

Gaowgzeh RAM. Low back pain among nursing professionals in Jeddah, Saudi Arabia: prevalence and risk factors. J Back Musculoskelet Rehabil. 2019;32(4):555-60.

Marques DO, Pereira MS, Souza ACS, Vila VSC, Almeida CCOF, Oliveira EC. Absenteeism - illness of the nursing staff of a university hospital. Rev Bras Enferm. 2015;68(5):594-600.

Mizuhira VF, Soler ZASG, Oliveira de KA. Absenteeism among nursing professionals: integrative review. J Nurs UFPE. 2015;9(5):7936-46.

Rocha FP, Saito CA, Pinto TCNO. Sickness absenteeism among health care workers in a public hospital in São Paulo, Brazil. Rev Bras Med Trab. 2019;17(3):355-62.

Célia Rde C, Alexandre NM. Ergonomics aspect and musculoskeletal symptoms in a transport sector. Rev Gaucha Enferm. 2004;25(1):33-43.

Brulin C, Gerdle B, Granlund B, Hoog J, Knutson A, Sundelin G. Physical and psychosocial work-related risk factors associated with musculoskeletal symptoms among home care personnel. Scand J Caring Sci. 1998;12(2):104-10.

Mimura C, Griffiths P. The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence-based literature review. Occup Environ Med. 2003;60(1):10-5.

Bost N, Wallis M. The effectiveness of a 15-minute weekly massage in reducing physical and psychological stress in nurses. Aust J Adv Nurs. 2006;23(4):28-33.

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

Campos TF, Maher CG, Steffens D, Fuller JT, Hancock MJ. Exercise programs may be effective in preventing a new episode of neck pain: a systematic review and meta-analysis. J Physiother. 2018;64(3):159-65.

Gomes-Neto M, Lopes JM, Conceição CS, Araújo A, Brasileiro A, Sousa C. Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: a systematic review and meta-analysis. Phys Ther Sport. 2017;23:36-42.


Submitted date:
04/13/2020

Accepted date:
12/18/2020

60873891a9539575b3409584 brjp Articles

BrJP

Share this page
Page Sections