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Work-Related Ergonomıc Rısks and Musculoskeletal Problems in Operating Room Nurses

Year 2023, Volume: 6 Issue: 3, 168 - 177, 31.12.2023

Selcan Ataseven Tuğran Aysegul Savci

https://doi.org/10.56150/tjhsl.1315755

Abstract

Purpose: The purpose of this study was to investigate on the work-related ergonomic risks and musculoskeletal problems operating room nurses.
Methods: This study was a descriptive study.The study was conducted on operating room nurses from 3 state, 1 pivate and 1 university hospital in Turkey (N= 92). Data were collected to Descriptive form , The Oswestry Disability Index (ODI), Neck Disability Indeks (NDI) and Rapid Entire Body Assesment (REBA). The study conducted from March to October 2019.
Results: The mean age of nurses was 34.99±8.31 years and it was found that nurses had lumbar (76.1%), back (64.1%) and neck (59.8%) pain. It was determined that 75.2% of the nurses have a very high risk in terms of ergonomics. It was found that there is a statistically significant negative relationship between age and work posture of nurses. It was determined that there was a statistically significant difference between disability caused by low back and neck pain and exercise statu. There was a statistically significant difference between weekly and daily standing hours and disability due to neck pain . A strong positive correlation was found between the mean ODI scores and NDI scores. A weak negative correlation was found between the mean NDI scores and REBA scores.
Conclusion: It was determined that the majority of operating room nurses experience musculoskeletal disorders. It was found that the work-related ergonomic risks of the operating room nurses and the issue requires urgent measures.

Keywords

Operating room nurse Work Posture Musculoskeletal problems

Thanks

The authors would like to thank all the operating room nurses and the entire team working in the operating room. The authors would like to thank Dr. Hakan Akkan (Physiotherapist Dr. Health Sciences University) for his help with the REBA analysis.

References

  • Abdollahzade F, Mohammad F, Dianat I, Asghari E, Asghari-Jafarabadi M. et al. Working posture and its predictors in hospital operating room nurses. Health Promot Perspect. 2016; 6(1),17–22.
  • Kandemir D, Karaman A, Altun Uğraş G, Deniz Öztekin S. Examination of musculoskeletal pain in operating room nurses. J Educ Res Nurs. 2019;16 (1): 1-7.
  • Dianat I, Sedghi A, Bagherzade J, Asghari Jafarabadi M, Stedmon AW. Objective and subjective assessments of lighting in a hospital setting: implications for health, safety, and performance. Ergonomics. 2013;56(10).1535-45.
  • Aydın Sayılan A, Öztekin S. Body postures of operating room nurses and related factors. GU Journal of Health Sciences. 2018; 7(1), 23-27.
  • Fernandes AM, Lopes Chaves EC, Miguel ORM, Simao TP, Nogueira DA. et al. Evaluation of body posture in nursing students. Revista da Escola de Enfermagem da USP. 2017; 51, e03241.
  • Mahmoudifar Y, Seyedamini B. Ergonomic relationship during work in nursing staff of intensive care unit with operating room. Int Arch Health Sc. 2017; 4,42-7.
  • Alexandre D, Prieto M, Beaumont F, Taiar R, Polidori G. Wearing lead aprons in surgical operating rooms: Ergonomic injuries evidenced by infrared thermography. Journal of Surgical Research. 2017; 209:227-233.
  • Akın Takmaz S. Approach and evaluation methods for patients with chronic back and neck pain. TOTBİD Dergisi. 2017; 16:81–88 doi: 10.14292/totbid.dergisi.2017.
  • Liao JC, Ho CH, Chiu HY, Koo M. Physiotherapists working in clinics have increased risk for new-onset spine disorders: a 12-year population-based study. Medicine (Baltimore). 2016; 95(32), e4405.
  • Wang SY, Liu LC, Lu MC, Koo M. Comparisons of Musculoskeletal Disorders among Ten Different Medical Professions in Taiwan: A Nationwide, Population-Based Study. PloS one. 2015; 10, e0123750.
  • Chung YC, Hung CT, Li SF, Lee H, Wang SG. et al. Risk of musculoskeletal disorder among Taiwanese nurses cohort: a nationwide population-based study. BMC Musculoskelet. Disord. 2013; 14:144.
  • Yasak K, Vural F. Assessment of the environmental and physical ergonomic conditions of ORs in Turkey. AORN journal. 2019;110(5):517-523.
  • Clari M, Garzaro G, Maso MD, Donato F, Godono A, et al. Upper limb work-related musculoskeletal disorders in operating room nurses: a multicenter cross-sectional study. Int. J. Environ. Res. Public Health. 2019;16(16):2844.
  • Nottidge TE, Nottidge BA, Ekrikpo UE. Prevalence and predictors of low back pain in a Southern Nigerian hospital. Ann Afr Med. 2019;18(3):167-172.
  • Soler-Font M, Ramada JM, van Zon SKR, Almansa J, Bültmann U. et al. Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial. PLoS ONE. 2019;14(11): e0225198.
  • Stevens MC, Boyle E, Hartvigsen J, Mansell G, Søgaard K. et al. Mechanisms for reducing low back pain: a mediation analysis of a multifaceted intervention in workers in elderly care. Int Arch Occup Environ Health. 2019;92(1):49-58.
  • Dianat I, Kord M, Yahyazade P, Karimi MA, Stedmon AW. Association of individual and work-related risk factors with musculoskeletal symptoms among Iranian sewing machine operators. Appl Ergon. 2015;51,180-8.
  • Fairbank, J., Couper, J., Davies, J., O'Brien, J. P. (1980). The Oswestry low back pain questionnaire. Physiotherapy, 66, 271–273
  • Yakut E, Düger T, Oksüz C, Yörükan S, Uretan K. et al. Validation of theTurkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29, 581-58.
  • Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14, 409–15.
  • Aslan Telci E, Karaduman A, Yakut Y, Aras B, Şimşek IE., et al. The Cultural adaptation, reliability and validity of Neck Disability Index in patients with neck pain: a Turkish version study. Spine. 2009;33(11),362-365.
  • Hita-Gutiérrez M, Gómez-Galán M, Díaz-Pérez M, Callejón-Ferre ÁJ. An overview of REBA method applications in the world. IJERPH. 2020;17(8):2635.
  • Hignett S, Mc Atamney L. Rapid entire body assessment: A full description of the REBA method is contained in the original journal article REBA. Appl. Ergon. 2000;31,201-5.
  • El Ata GA, El Desouky S, Manawil M, Khalifa E. Assessment of work-related musculoskeletal symptoms in operation room nurses. Curr. Sci. Int. 2016; 5(2): 215-222.
  • Guilkey RE, Draucker, CB, Wu J, Yu Z, Kroenke K. Acceptability of a telecare intervention for persistent musculoskeletal pain show less. Sage Journal J Telemed Telecare. 2016; 44-50. 016;34(8):561-565.
  • Yan P, Li FY, Yang Y. Current status of work-related musculoskeletal disorders in nurses in Xinjiang, China. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. Chinese journal of industrial hygiene and occupational diseases. 34(8), 561–565. https://doi.org/10.3760/cma.j.issn.1001-9391.2016.08.001.
  • Ribeiro T, Serranheira F, Loureiro H. Work-related musculoskeletal disorders in primary health care nurses. Appl Nurs Res. 2017;33:72-77.
  • Aghilinejad M, Ehsani AA, Talebi A, Koohpayehzadeh J, Dehghan N. Ergonomic risk factors and musculoskeletal symptoms in surgeons with three types of surgery: open, laparoscopic, and microsurgery. Med J Islam Repub Iran.2016;30: 1232–1237.
  • Kavitha MOT, Vinodhini CA. Study to determine the effectiveness of ergonomic training on body posture and musculoskeletal disorder in hospital nurses. Int. J. Pharm. Clin. Res. 2017;9(7): 498-504.
  • Janki S, Mulder EEAP, IJzermans JNM, Tran TCK. Ergonomics in the operating room. Surg Endosc.2017;31(6): 2457–2466.
  • Voss RK, Chiang YJ, Cromwell KD, Urbauer DL, Lee JE. et al. Do no harm, except to ourselves? A survey of symptoms and injuries in oncologic surgeons and pilot study of an intraoperative ergonomic intervention. J Am Coll Surg. 2017;224(1): 16-25.
  • Bakola H, Zyga S, Stergioulas A, Kipreos G, Panoutsopoulos G. Musculoskeletal problems among greek perioperative nurses in regional hospitals in southern Peloponnese. Adv Exp Med Biol. 2017;989:21-37.
  • Azizpour Y, Delpisheh A, Montazeri Z, Sayehmiri K. Prevalence of low back pain in Iranian nurses: a systematic review and meta-analysis. BMC Nurs. 2017;16, 5.
  • Arvidsson I, Gremark Simonsen J, Dahlqvist C. Cross-sectional Associations between occupational factors and musculoskeletal pain in women teachers, nurses, and sonographers. BMC Musculoskelet Disorders.2016;17:35.
  • Özünlü Pekyavaş N, Yürük ZÖ, Saygılı F. Artan Mobil Teknoloji Kullanımının Yol Açtığı Ağrı Sendromu: “Text Neck”. ADÜ Sağlık Bilimleri Fakültesi Dergisi. 2020; 4(3):251-257.
  • Bağrı G, Güngörer K. Akıllı Telefonlarda Bulunan Postür Düzeltme Uygulamalarının Boyun Ağrısı ve Fonksiyonuna Etkileri. SDÜ Sağlık Bilimleri Dergisi.2022; 13(2): 161-170.
  • Kayhan F, Albayrak Gezer İ, Kayhan A, Kitiş S, Gölen M. Mood and anxiety disorders in patients with chronic low back and neck pain caused by disc herniation. Int. J. Psychiatry Clin. Pract. 2015;1–5.

Year 2023, Volume: 6 Issue: 3, 168 - 177, 31.12.2023

Selcan Ataseven Tuğran Aysegul Savci

https://doi.org/10.56150/tjhsl.1315755

Abstract

References

  • Abdollahzade F, Mohammad F, Dianat I, Asghari E, Asghari-Jafarabadi M. et al. Working posture and its predictors in hospital operating room nurses. Health Promot Perspect. 2016; 6(1),17–22.
  • Kandemir D, Karaman A, Altun Uğraş G, Deniz Öztekin S. Examination of musculoskeletal pain in operating room nurses. J Educ Res Nurs. 2019;16 (1): 1-7.
  • Dianat I, Sedghi A, Bagherzade J, Asghari Jafarabadi M, Stedmon AW. Objective and subjective assessments of lighting in a hospital setting: implications for health, safety, and performance. Ergonomics. 2013;56(10).1535-45.
  • Aydın Sayılan A, Öztekin S. Body postures of operating room nurses and related factors. GU Journal of Health Sciences. 2018; 7(1), 23-27.
  • Fernandes AM, Lopes Chaves EC, Miguel ORM, Simao TP, Nogueira DA. et al. Evaluation of body posture in nursing students. Revista da Escola de Enfermagem da USP. 2017; 51, e03241.
  • Mahmoudifar Y, Seyedamini B. Ergonomic relationship during work in nursing staff of intensive care unit with operating room. Int Arch Health Sc. 2017; 4,42-7.
  • Alexandre D, Prieto M, Beaumont F, Taiar R, Polidori G. Wearing lead aprons in surgical operating rooms: Ergonomic injuries evidenced by infrared thermography. Journal of Surgical Research. 2017; 209:227-233.
  • Akın Takmaz S. Approach and evaluation methods for patients with chronic back and neck pain. TOTBİD Dergisi. 2017; 16:81–88 doi: 10.14292/totbid.dergisi.2017.
  • Liao JC, Ho CH, Chiu HY, Koo M. Physiotherapists working in clinics have increased risk for new-onset spine disorders: a 12-year population-based study. Medicine (Baltimore). 2016; 95(32), e4405.
  • Wang SY, Liu LC, Lu MC, Koo M. Comparisons of Musculoskeletal Disorders among Ten Different Medical Professions in Taiwan: A Nationwide, Population-Based Study. PloS one. 2015; 10, e0123750.
  • Chung YC, Hung CT, Li SF, Lee H, Wang SG. et al. Risk of musculoskeletal disorder among Taiwanese nurses cohort: a nationwide population-based study. BMC Musculoskelet. Disord. 2013; 14:144.
  • Yasak K, Vural F. Assessment of the environmental and physical ergonomic conditions of ORs in Turkey. AORN journal. 2019;110(5):517-523.
  • Clari M, Garzaro G, Maso MD, Donato F, Godono A, et al. Upper limb work-related musculoskeletal disorders in operating room nurses: a multicenter cross-sectional study. Int. J. Environ. Res. Public Health. 2019;16(16):2844.
  • Nottidge TE, Nottidge BA, Ekrikpo UE. Prevalence and predictors of low back pain in a Southern Nigerian hospital. Ann Afr Med. 2019;18(3):167-172.
  • Soler-Font M, Ramada JM, van Zon SKR, Almansa J, Bültmann U. et al. Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial. PLoS ONE. 2019;14(11): e0225198.
  • Stevens MC, Boyle E, Hartvigsen J, Mansell G, Søgaard K. et al. Mechanisms for reducing low back pain: a mediation analysis of a multifaceted intervention in workers in elderly care. Int Arch Occup Environ Health. 2019;92(1):49-58.
  • Dianat I, Kord M, Yahyazade P, Karimi MA, Stedmon AW. Association of individual and work-related risk factors with musculoskeletal symptoms among Iranian sewing machine operators. Appl Ergon. 2015;51,180-8.
  • Fairbank, J., Couper, J., Davies, J., O'Brien, J. P. (1980). The Oswestry low back pain questionnaire. Physiotherapy, 66, 271–273
  • Yakut E, Düger T, Oksüz C, Yörükan S, Uretan K. et al. Validation of theTurkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29, 581-58.
  • Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14, 409–15.
  • Aslan Telci E, Karaduman A, Yakut Y, Aras B, Şimşek IE., et al. The Cultural adaptation, reliability and validity of Neck Disability Index in patients with neck pain: a Turkish version study. Spine. 2009;33(11),362-365.
  • Hita-Gutiérrez M, Gómez-Galán M, Díaz-Pérez M, Callejón-Ferre ÁJ. An overview of REBA method applications in the world. IJERPH. 2020;17(8):2635.
  • Hignett S, Mc Atamney L. Rapid entire body assessment: A full description of the REBA method is contained in the original journal article REBA. Appl. Ergon. 2000;31,201-5.
  • El Ata GA, El Desouky S, Manawil M, Khalifa E. Assessment of work-related musculoskeletal symptoms in operation room nurses. Curr. Sci. Int. 2016; 5(2): 215-222.
  • Guilkey RE, Draucker, CB, Wu J, Yu Z, Kroenke K. Acceptability of a telecare intervention for persistent musculoskeletal pain show less. Sage Journal J Telemed Telecare. 2016; 44-50. 016;34(8):561-565.
  • Yan P, Li FY, Yang Y. Current status of work-related musculoskeletal disorders in nurses in Xinjiang, China. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. Chinese journal of industrial hygiene and occupational diseases. 34(8), 561–565. https://doi.org/10.3760/cma.j.issn.1001-9391.2016.08.001.
  • Ribeiro T, Serranheira F, Loureiro H. Work-related musculoskeletal disorders in primary health care nurses. Appl Nurs Res. 2017;33:72-77.
  • Aghilinejad M, Ehsani AA, Talebi A, Koohpayehzadeh J, Dehghan N. Ergonomic risk factors and musculoskeletal symptoms in surgeons with three types of surgery: open, laparoscopic, and microsurgery. Med J Islam Repub Iran.2016;30: 1232–1237.
  • Kavitha MOT, Vinodhini CA. Study to determine the effectiveness of ergonomic training on body posture and musculoskeletal disorder in hospital nurses. Int. J. Pharm. Clin. Res. 2017;9(7): 498-504.
  • Janki S, Mulder EEAP, IJzermans JNM, Tran TCK. Ergonomics in the operating room. Surg Endosc.2017;31(6): 2457–2466.
  • Voss RK, Chiang YJ, Cromwell KD, Urbauer DL, Lee JE. et al. Do no harm, except to ourselves? A survey of symptoms and injuries in oncologic surgeons and pilot study of an intraoperative ergonomic intervention. J Am Coll Surg. 2017;224(1): 16-25.
  • Bakola H, Zyga S, Stergioulas A, Kipreos G, Panoutsopoulos G. Musculoskeletal problems among greek perioperative nurses in regional hospitals in southern Peloponnese. Adv Exp Med Biol. 2017;989:21-37.
  • Azizpour Y, Delpisheh A, Montazeri Z, Sayehmiri K. Prevalence of low back pain in Iranian nurses: a systematic review and meta-analysis. BMC Nurs. 2017;16, 5.
  • Arvidsson I, Gremark Simonsen J, Dahlqvist C. Cross-sectional Associations between occupational factors and musculoskeletal pain in women teachers, nurses, and sonographers. BMC Musculoskelet Disorders.2016;17:35.
  • Özünlü Pekyavaş N, Yürük ZÖ, Saygılı F. Artan Mobil Teknoloji Kullanımının Yol Açtığı Ağrı Sendromu: “Text Neck”. ADÜ Sağlık Bilimleri Fakültesi Dergisi. 2020; 4(3):251-257.
  • Bağrı G, Güngörer K. Akıllı Telefonlarda Bulunan Postür Düzeltme Uygulamalarının Boyun Ağrısı ve Fonksiyonuna Etkileri. SDÜ Sağlık Bilimleri Dergisi.2022; 13(2): 161-170.
  • Kayhan F, Albayrak Gezer İ, Kayhan A, Kitiş S, Gölen M. Mood and anxiety disorders in patients with chronic low back and neck pain caused by disc herniation. Int. J. Psychiatry Clin. Pract. 2015;1–5.
There are 37 citations in total.

Details

Primary Language English
Subjects Surgical Diseases Nursing​​
Journal Section Articles
Authors

Selcan Ataseven Tuğran 0000-0003-1576-1067

Aysegul Savci 0000-0002-9176-7420

Publication Date December 31, 2023
Published in Issue Year 2023 Volume: 6 Issue: 3

Cite

APA Ataseven Tuğran, S., & Savci, A. (2023). Work-Related Ergonomıc Rısks and Musculoskeletal Problems in Operating Room Nurses. Turkish Journal of Health Science and Life, 6(3), 168-177. https://doi.org/10.56150/tjhsl.1315755
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