Prevalence of back pain and characteristics of the physical workload of community nurses

Knibbe, J.J.; Friele, R.D.

doi:10.1080/00140139608964450

Cited by 131 publications

(92 citation statements)

References 27 publications

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“…Also, the women's demonstrated pain might have had other meanings than did the men's, who more often used less words, see for example the Middle Eastern group. Total work load differed between men and women, and women with cleaning jobs, who being a little older and with large families had, in contrast to the men, signs of widespread muscular strain, to bear in mind when evaluating individual cases of severe pain [19]. The patients had various social and religious backgrounds.…”

Section: Discussionmentioning

confidence: 99%

“…Strain above the personal limit can contribute to pain [19]. Pain intensity and tender point counts may correlate well [39].…”

Section: Cultural Influencesmentioning

confidence: 99%

“…Some health professionals believe that these patients deliberately exaggerate pain (personal comments). However, severe pain could also be attributed to learned factors [6,26,36], to work load [19], emotional distress [2,12,21,22] or doctor-patient interactions [15].…”

Section: Introductionmentioning

confidence: 99%

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Pain intensity and severe pain in young immigrant patients with long-standing back pain

Löfvander

Taloyan

2007

Eur Spine J

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The aim of this study was to explore if self-rated pain intensity and severe pain differed significantly between immigrants from different regions, and if other socio-economic, or clinical, characteristics could predict severe pain. A total of 129 men and 217 women at a primary health centre in Stockholm, Sweden, 27-45 years, on long-term sick leave, were recruited in consecutive order and grouped into a Turkish (n = 122), Southern European (n = 52), Middle East (n = 69) and one Mixed (n = 173) group of immigrants. All were employed in service jobs. Somatic status, depression and level of psychosocial stressors, including pain anxiety, were established by standardized procedures. All reported long-standing disabling back pain. Patients rated intensity of pain ''right now'' on a 0-100 mm visual analogue scale (VAS) as a last part of the consultation with two doctors. Severe pain was defined as VAS 75-100. Median values (md) with inter-quartile ranges (IQR) were calculated for interval and ordinal data. Non-parametric statistics were used to calculate significant differences between groups. Crude and age-standardized odds ratios (OR) with 95% confidence intervals (95% CI) as rating severe pain were calculated by binary and forward conditional logistic regression. Men and women were analyzed separately. Women had more tender points, (P \ 0.001), and reported pain anxiety more often (P \ 0.01). Frequency of depression did not differ between the immigrant groups. The VAS-values varied, but not significantly, between the immigrant groups of men and women. Men had lower VAS values than women (md 50, IQR 36-69 vs. md 72, IQR 51-85), (P \ 0.001). Women had a three-fold risk to rate severe pain (OR 2.9, 95% CI 1.8-4.7). By sex, no immigrant group had significantly elevated OR to rate severe pain. Being 40-45 year old doubled the OR as rating severe pain. Men with depression, or little education, had high risks as rating severe pain (age-standardized ORs 4.1; 95% CI 1.7-10.0 and 2.7; 95% CI 1.1-6.8, respectively), and so had depressed women (age-standardized OR 1.9; 95% CI 1.1-3.4). Women with pain anxiety had a doubled, not statistically significant, elevated risk (age-standardized OR 2.0, 95% CI 0.95-4.3). The groups did not differ significantly in pain intensity or severe pain. Severe pain was predicted by depressed mood and probably linked to gender, age and sick roles.

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Section: Discussionmentioning

confidence: 99%

“…Strain above the personal limit can contribute to pain [19]. Pain intensity and tender point counts may correlate well [39].…”

Section: Cultural Influencesmentioning

confidence: 99%

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Pain intensity and severe pain in young immigrant patients with long-standing back pain

Löfvander

Taloyan

2007

Eur Spine J

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“…The main occupational risk factors are: lifting and handling of patients, uncomfortable and immobile postures, inadequate equipment, improper workplace design, heavy physical work, and inadequate work organization. 2,12 Other studies include factors such as physical activity, muscular weakness, smoking, obesity and psychological factors. 6 Back pain most often has a multifactorial origin.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a program to reduce back pain in nursing personnel

et al. 2001

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ObjectiveTo evaluate the effectiveness of a program designed to reduce back pain in nursing aides. Methods Female nursing aides from a university hospital who had suffered episodes of back pain for at least six months were included in the study. Participants were randomly divided into a control group and an intervention group. The intervention program involved a set of exercises and an educational component stressing the ergonomic aspect, administered twice a week during working hours for four months. All subjects answered a structured questionnaire and the intensity of pain was assessed before and after the program using a visual analogue scale (VAS). Student's t-test or the Wilcoxon Rank Sum Test for independent samples, and Chi-square test or the Exact Fisher test for categorical analysis, were used. The McNemar test and the Wilcoxon matched pairs test were used to compare the periods before and after the program. ResultsThere was a statistically significant decrease in the frequency of cervical pain in the last two months and in the last seven days in the intervention group. There was also a reduction in cervical pain intensity in the two periods (2 months, 7 days) and lumbar pain intensity in the last 7 days. ConclusionsThe results suggest that a program of regular exercise with an emphasis on ergonomics can reduce musculoskeletal symptoms in nursing personnel. Resumo Objetivo

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“…Pesquisadores de várias partes do mundo têm demonstrado que os trabalhadores de enfermagem são um dos grupos ocupacionais mais afetados por algias e lesões dorsais ocupacionais (1)(2)(3)(4) . Países desenvolvidos têm voltado sua atenção especificamente aos acidentes do trabalho que comprometem a coluna e já foi comprovado que a equipe de enfermagem apresenta uma das maiores taxas de ocorrência deste tipo de acidente (5)(6)(7)(8)(9)(10) .…”

Section: Introductionunclassified