INVESTIGATION OF NONSPECIFIC LOW BACK PAIN IN HOSPITAL AND HOME HEALTH CARE PROFESSIONALS

Yıl 2020, Cilt: 3 Sayı: 1, 15 - 19, 20.02.2020

Alis Kostanoğlu , Şüheda Gözaydınoğlu , Tuba Mertekçi

Öz

Objective: The aim of this study was to investigate the effect of
nonspecific low back pain on disability in home care health providers.

Methods: Fifty-four health care providers with a mean age of 33.03±7.34
years were included in the study. Health care providers in hospital was
referred as Group 1, health care providers in home care was referred as Group
2. The sociodemographic characteristics of the participants were questioned.
Nonspecific low back pain was measured by Visual Analog Scale (VAS). The
Quebec Back Pain Disability Scale (QBPDS) was used to assess functional
disability associated with low back pain.

Results: When the pain intensity of both groups was compared, the VAS
activity and VAS night scores of Group II were higher than Group I
(p<0.05). QBPDS scores were significantly higher in Group II compared to
the groups (p<0.05). A moderate positive correlation was found between the
VAS activity score and QBPDS disability scores (r=0.50; p=0.005).

Conclusion: Nonspecific low back pain severity of health care providers
at home care service is high. Particularly, the severity of the pain felt in
the activity is related to disability.

Anahtar Kelimeler

Nonspesific low back pain, home health care providers, disability

Hastanede ve Evde Bakımda Çalışan Sağlık Profesyonellerinin Nonspesifik Bel Ağrılarının İncelenmesi

Öz

Amaç: Bu çalışmanın amacı,
evde bakım hizmetinde görev alan sağlık çalışanlarının nonspesifik bel
ağrısının özürlülüğe etkisinin araştırılmasıdır.

Yöntem: Çalışmaya, 24-65
yaş aralığında (33,03±7,34 yıl) 54 sağlık çalışanı dahil edildi. Hastanede
görev alan sağlık çalışanları I. Gruba, evde bakım hizmetinde görev alan
sağlık çalışanları II. Gruba dahil edildi. 
Katılımcıların sosyodemografik bilgileri sorgulandı. Nonspesifik bel
ağrısını değerlendirmek için Vizüel Analog Skalası (VAS) kullanıldı. Bel
ağrısıyla ilişkili özürlülüğü değerlendirmede Quebec Bel Ağrısı Özürlülük
Ölçeği (QBAÖÖ) kullanıldı.

Bulgular: Her iki grubun ağrı
şiddeti karşılaştırıldığında Grup II’in VAS aktivite ve VAS gece skorları Grup
I'den daha yüksek bulundu (p<0,05). Gruplar arası QBAÖÖ skorları
karşılaştırıldığında, Grup II’nin istatistiksel olarak anlamlı derecede daha
yüksek olduğu görüldü (p<0,05). VAS aktivite skoru ile QBAÖÖ skorları
arasında orta düzeyde pozitif ilişki gösterildi (r=0,50; p=0,005).

Sonuç: Evde bakım
hizmetinde görev alan sağlık çalışanlarının nonspesifik bel ağrısı şiddeti
yüksektir. Özellikle aktivitede hissedilen ağrı şiddeti özürlülük ile
ilişkilidir.

Anahtar Kelimeler

nonspesifik bel ağrısı, evde bakım sağlık çalışanları, özürlülük, özürlülük

Kaynakça

• Haladay DE, Blorstad AL, McBrier NM, Denegar CR, Lengerich EJ. Back pain among health care workers in Pennsylvania 2002--2006. Work. 2012;41(1):93–98. doi:10.3233/WOR-2012-1288.
• Luckhaupt SE, Calvert GM. Work-relatedness of selected chronic medical conditions and workers' compensation utilization: National health interview survey occupational health supplement data. Am J Ind Med. 2010;53(12):1252-1263. doi:10.1002/ajim.20885.
• Walker BF, Muller R, Grant WD. Low back pain in Australian adults: prevalence and associated disability. J Manipulative Physiol Ther. 2004;27(4):238-244. doi:10.1016/j.jmpt.2004.02.002.
• Leboeuf-Yde C, Fejer R, Nielsen J, Kyvik KO, Hartvigsen J. Pain in the three spinal regions: the same disorder? Data from a population-based sample of 34,902 Danish adults. Chiropr Man Therap. 2012;5(20):11. doi:10.1186/2045-709X-20-11.
• Louw QA, Morris LD, Grimmer-Somers K. The prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Disord. 2007;1(8):105. doi:10.1186/1471-2474-8-105.
• Vos T, Barber RM, Bell B, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990- 2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743-800. doi:10.1016/S01406736(15) 60692-4.
• O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242-255. doi:10.1016/j.math.2005.07.001.
• Melloh M, Elfering A, Stanton TR, et al. Low back pain risk factors associated with persistence, recurrence and delayed presentation. J Back Musculoskelet Rehabil. 2014;27(3):281-289. doi:10.3233/BMR-130445.
• Rudy TE, Weiner DK, Lieber SJ, Slaboda J, Boston JR. The impact of chronic low back pain on older adults: a comparative study of patients and controls. Pain. 2007;131(3):293-301. doi:10.1016/j.pain.2007.01.012
• Furlan AD, Yazdi F, Tsertsvadze A, et al. A systematic review and meta-analysis of efficacy, cost-effectiveness, and safety of selected complementary and alternative medicine for neck and low-back pain. Evid Based Complement Alternat Med. 2012;2012:953139.
• Çinar-Medeni O, Elbasan B, Düzgün İ, Kilinç M. The factors that correlated with back pain in physiotherapists. Clinical and Experimental Health Sciences. 2015;5(4):215.
• Gomes B, Calanzani N, Curiale V, McCrone P, Higginson IJ. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane database syst rev. 2009;6. doi:10.1002/14651858.CD007760.pub2.
• Macdonald M, Lang A, Storch J, et al. Home care safety markers: a scoping review. Home Health Care Serv Q. 2013;32(2):126-148. doi:10.1080/01621424.2013.783523.
• Trinkoff AM, Lipscomb JA, Geiger‐Brown J, Brady B. Musculoskeletal problems of the neck, shoulder, and back and functional consequences in nurses. Am J Ind Med. 2002;41(3):170-178. doi:10.1002/ajim.10048.
• Davis KG, Kotowski SE. Prevalence of musculoskeletal disorders for nurses in hospitals, long-term care facilities, and home health care: a comprehensive review. Hum Factors. 2015;57(5):754-792. doi:10.1177/001872081558 1933.
• Agbonifo N, Hittle B, Suarez R, Davis K. Occupational exposures of home healthcare workers. Home Healthc Now. 2017;35(3):150-159. doi:10.1097/NHH.00000000 00000509.
• Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scale as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45-56. doi:10.1016/0304-3959(83)90126-4
• Kopec JA, Esdaile JM, Abrahamowicz M, et al. The Quebec Back Pain Disability Scale. Measurement properties. Spine. 1995;20(3):341-352. doi:10.1097/00007632 19950200000016.
• Melikoglu MA, Kocabas H, Sezer I, Bilgilisoy M, Tuncer T. Validation of the Turkish version of the Quebec back pain disability scale for patients with low back pain. Spine. 2009;34(6):E219-224. doi:10.1097/BRS.0b013e3181971e 2d.
• Hansson T, Jensen I. Swedish Council on Technology Assessment in Health Care (SBU). Chapter 6. Sickness absence due to back and neck disorders. Scand J Public Health Suppl. 2004;63:109-151. doi:10.1080/14034950410021862.
• Guo J, Konetzka RT, Manning WG. The causal effects of home care use on institutional long-term care utilization and expenditures. Health Econ. 2015;24(S1):4-17. doi:10. 1002/hec.3155.
• Galinsky T, Feng HA, Streit J, et al. Risk factors associated with patient assaults of home healthcare workers. Rehabil Nurs. 2010;35(5):206-215. doi:10.1002/j.2048-7940.2010. tb00049.x.
• Cheung K, Szeto G, Lai GKB, Ching SSY. Prevalence of and Factors Associated with Work-Related Musculoskeletal Symptoms in Nursing Assistants Working in Nursing Homes. Int J Environ Res Public Health. 2018;4:15(2). doi:10.3390/ijerph15020265.
• Ellis BE. Moving and Handling Patients: An evaluation of current training for physiotherapy students. Physiotherapy. 1993;79(5):323-326.
• Meyer JD, Muntaner C. Injuries in home health care workers: An analysis of occupational morbidity from a state compensation database. Am J Ind Med. 1999;35(3):295-301. doi:10.1002/(sici)10970274(199903) 35:3<295.
• Heuch I, Hagen K, Heuch I, Nygaard O, Zwart JA. The impact of body mass index on the prevalence of low back pain. The HUNT Study. Spine. 2010;35(7):764-768. doi:10.1097/BRS.0b013e3181ba1531.
• Jensen JN, Holtermann A, Clausen T, Mortensen OS, Carneiro IG, Andersen LL. The greatest risk for low-back pain among newly educated female health care workers; body weight or physical work load? BMC musculoskeletal disorders. 2012;13(1):87. doi:10.1186/1471-2474-13-87.
• Fjell Y, Alexanderson K, Karlqvist L, Bildt C. Self-reported musculoskeletal pain and working conditions among employees in the Swedish public sector. Work. 2007;28(1):33-46. PMID: 17264418.
• Andersen GR, Westgaard RH. Perceived occcupational exposures of home care workers and the association to general tension, shoulder-neck and low back pain. Work. 2014;49(4):723-733. doi:10.3233/WOR-131710.
• Coudeyre E, Tubach F, Rannou F, et al. Fear-avoidance beliefs about back pain in patients with acute LBP. Clin J Pain. 2007;23(8):720-725. doi:10.1097/AJP.0b013e31814 da407.