COVID-19 Salgınında Sağlık Çalışanlarının Stres Algı Düzeyinin Kas İskelet Sistemi Ağrılarına Etkisi

Yıl 2021, Cilt: 12 Sayı: 43, 106 - 113, 19.08.2021

Mesut Arslan , Sibel Gayretli Atan , İsmail Palalı

https://doi.org/10.17944/mkutfd.904051

Cited By: 1

Öz

Amaç: Bu araştırma, COVID-19 salgınında sağlık çalışanlarının stres algı düzeyinin kas iskelet sistemi ağrılarına etkisinin değerlendirilmesi amacıyla planlandı.Yöntem: Araştırmaya COVID-19 sürecinde sağlık alanında çalışan ve çalışmaya gönüllü olarak katılan 232 birey alındı. Çalışmaya katılan bireyler, Demografik Bilgi Formu, Algılanan Stres Ölçeği ve Nordic Kas İskelet Sistemi Anketinden oluşan bir değerlendirme formu ile değerlendirildi. Değerlendirme formu Google formlar uygulaması üzerinden oluşturuldu. Veriler internet üzerinden Whatsapp ve e-posta yoluyla toplandı. Nicel bağımsız verilerin analizi için Ki Kare test ve T test kullanıldı. Tüm analizler için anlamlılık düzeyi p<0,05 olarak kabul edildi.Bulgular: Çalışmaya 96 erkek (%53,4) ve 110 kadın (%46,6) olmak üzere 206 kişi dahil edildi. Katılımcıların yaş ortalaması 32,71± 7,55 yıl idi. Katılımcıların 85’i (%41,3) Hekim, 56’sı (%27,2) Fizyoterapist, 26’sı (%12,6) Hemşire/Ebe ve 30’u (%14,6) Sağlık Teknikeri idi. Algılanan stres düzeyi ile son 12 ay ağrı, son 12 ay ağrıdan kaynaklı iş engeli ve son 7 gün ağrı varlığı karşılaştırıldığında sadece son 12 ay ve son 7 gün bel ağrısı ve son 7 gün el bilekleri/eller ağrısı ile algılanan stres düzeyi arasında anlamlı ilişki bulundu (sırasıyla p=0,039, p=0,013, p=0,047). Algılanan stres düzeyi ile tanımlayıcı parametreler arasında anlamlı bir ilişki bulunmadı. Son 7 gün el bilekleri/eller ağrısı ile tanımlayıcı parametreler karşılaştırıldığında sadece cinsiyet ile anlamlı bir ilişki bulundu (p=0,023).Sonuç: Bu çalışmada COVID-19 ortamında çalışan sağlık personellerinde el/ el bileği ve bel ağrısının stresle ilişkili olduğuna dair bulunan sonuçlar literatüre katkı sağlayacaktır. Bu konuda yapılan çalışmaların sayısı oldukça azdır. Gelecekte popülasyonu yüksek olan çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

COVID-19, Sağlık Çalışanları, Kas İskelet Sistemi Ağrıları, Algılanan Stres

Teşekkür

Fikir aşamasındaki kıymetli katkıları için Fzt. Merve PALALI’ya teşekkür ederiz.

The Effect Of The Stress Perceptıon Level of Health Care Workers on the Musculoskeletal Paın in the COVID-19 Outbreak

Öz

Objective: This study was planned to evaluate the effect of the stress perception level of healthcare workers on musculoskeletal pain in the COVID-19 epidemic.Methods: 232 individuals who worked in the field of health and participated voluntarily in the study during the COVID-19 process were included in the study. Individuals participating in the study were evaluated with an evaluation form consisting of the Demographic Information Form, the Perceived Stress Scale, and the Nordic Musculoskeletal System Questionnaire. The evaluation form was created on google forms application. Data were collected on the internet via WhatsApp and e-mail. Chi-square test and T test were used to analyze quantitative independent data. The level of significance was accepted as p <0.05 for all analyzes.Results: 206 people, 96 men (53.4%) and 110 women (46.6%), was included in the study. The average age of the participants was 32.71 ± 7.55 year. Individuals participating in the study; 85 (41.3%) were Physicians, 56 (27.2%) were Physiotherapists, 26 (12.6%) were Nurses / Midwives and 30 (14.6%) were Health Technicians. According to the comparison of the perceived stress level was compared with pain in the last 12 months, work disability due to pain in the last 12 months, and presence of pain in the last 7 days, a significant relationship was found between the perceived stress level and low back pain in the last 12 months and last 7 days, and wrist / hand pain in the last 7 days. (p = 0.039, p = 0.013, p = 0.047, respectively). There was no significant relationship between perceived stress level and descriptive parameters. When descriptive parameters were compared with wrist / hands pain in the last 7 days, a significant relationship was found only with gender (p = 0.023).Conclusion: In this study, the results found that hand/wrist and low back pain are associated with stress in healthcare personnel working in the COVID-19 environment will contribute to the literature. The number of studies on this subject is very few. Studies with a high population are needed in the future.

Anahtar Kelimeler

COVID-19, Health Workers, Musculoskeletal System Pains, Perceived Stress

Kaynakça

• Huang X, Wei F, Hu L, et al. Epidemiology and clinical characteristics of COVID-19. Archives of Iranian medicine. 2020;23:268-71. DOI: 10.34172/aim.2020.09
• Wu J, Liu J, Zhao X, et al. Clinical characteristics of imported cases of COVID-19 in Jiangsu province: a multicenter descriptive study. Clin Infect Dis. 2020;71:706-712. DOI: 10.1093/cid/ciaa199
• WHO. https://www.who.int/emergencies/diseases/novel-coronavirus-2019 2020. Erişim tarihi 10.02.2021
• Sağlık Bakanlığı TCS. https://covid19.saglik.gov.tr/. 2020. Erişim tarihi 10.02.2021
• Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet. 2020;395:497-506. DOI: 10.1016/S0140-6736(20)30183-5
• Formica S, González-García C, Senoussi M, et al. Neural Oscillations Dissociate Between Maintenance And Proceduralization Of Novel Instructions. bioRxiv. 2020:1-43. DOI: 10.1016/j.neuroimage.2021.117870
• Ayittey FK, Dzuvor C, Ayittey MK, et al. Updates on Wuhan 2019 novel coronavirus epidemic. Journal of Medical Virology. 2020;92:403. DOI: 10.1002/jmv.25695
• Lee AM, Wong JG, McAlonan GM, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. The Canadian Journal of Psychiatry. 2007;52:233-40. DOI: 10.1177/070674370705200405
• Li W, Yang Y, Liu Z-H, et al. Progression of mental health services during the COVID-19 outbreak in China. International journal of biological sciences. 2020;16:1732. DOI: 10.7150/ijbs.45120
• Bair MJ, Wu J, Damush TM, et al. Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosomatic medicine. 2008;70:890. DOI: 10.1097/PSY.0b013e318185c510
• Buscemi V, Chang W-J, Liston MB, et al. The role of perceived stress and life stressors in the development of chronic musculoskeletal pain disorders: A systematic review. The Journal of Pain. 2019;20:1127-39. DOI: 10.1016/j.jpain.2019.02.008
• Blackburn‐Munro G, Blackburn‐Munro R. Chronic pain, chronic stress and depression: coincidence or consequence? Journal of neuroendocrinology. 2001;13:1009-23. DOI: 10.1046/j.0007-1331.2001.00727.x
• Yasobant S, Rajkumar P. Work-related musculoskeletal disorders among health care professionals: A cross-sectional assessment of risk factors in a tertiary hospital, India. Indian journal of occupational and environmental medicine. 2014;18:75. DOI: 10.4103/0019-5278.146896
• Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of health and social behavior. 1983;24:385-96. DOI: https://doi.org/10.2307/2136404
• Eskin M, Harlak H, Demirkıran F, ve ark. Algılanan stres ölçeğinin Türkçeye uyarlanması: güvenirlik ve geçerlik analizi. New/Yeni Symposium Journal; 2013;51;132-140
• Kahraman T, Genç A, Göz E. The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disability and rehabilitation. 2016;38:2153-60. DOI: https://doi.org/10.3109/09638288.2015.1114034
• Kuorinka I, Jonsson B, Kilbom A, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied ergonomics. 1987;18:233-7. DOI: 10.1016/0003-6870(87)90010-x
• Jang T-W, Koo J-W, Kwon S-C, et al. Work-related musculoskeletal diseases and the workers' compensation. Journal of Korean medical science. 2014;29:S18-S23. DOI: 10.3346/jkms.2014.29.S.S18
• Briggs AM, Bragge P, Smith AJ, et al. Prevalence and associated factors for thoracic spine pain in the adult working population: a literature review. Journal of occupational health. 2009;51:177. DOI: 10.1539/joh.k8007
• Akbaba YA, Yeldan İ, Kuru T, ve ark. Ofis çalışanlarında omurga ağrısı üzerine cinsiyetin etkisi. Cerrahpaşa Tıp Dergisi. 2009;40:121-8.
• Skovlund SV, Bláfoss R, Sundstrup E, et al. Association between physical work demands and work ability in workers with musculoskeletal pain: Cross-sectional study. BMC Musculoskeletal Disorders. 2020;21:1-8. DOI: 10.1186/s12891-020-03191-8
• Davis KG, Kotowski SE. Prevalence of musculoskeletal disorders for nurses in hospitals, long-term care facilities, and home health care: a comprehensive review. Human factors. 2015;57:754-92. DOI: 10.1177/0018720815581933
• McBeth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best practice & research Clinical rheumatology. 2007;21:403-25. DOI: 10.1016/j.berh.2007.03.003
• Sirzai H, Dogu B, Erdem P, ve ark. Hastane Çalisanlarinda Ise Bagli Kas Iskelet Sistemi Hastaliklari: Üst Ekstremite Problemleri/Work-related musculoskeletal diseases in hospital workers: Upper extremity problems. Şişli Etfal Hastanesi Tip Bülteni. 2015;49:135. DOI:10.5350/SEMB.20141202054038
• Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. Jama. 2007;298:1685-7. DOI: 10.1001/jama.298.14.1685
• Bayrak B, Oğuz S, Arslan S, ve ark. Miyokard İnfarktüsü Geçirmiş Hastalarda Algılanan Stresin Belirlenmesi. Turk J Cardiovasc Nurs. 2019;10:129-37. DOI: 10.5543/khd.2019.09719
• Cimmino MA, Ferrone C, Cutolo M. Epidemiology of chronic musculoskeletal pain. Best practice & research Clinical rheumatology. 2011;25:173-83. DOI: 10.1016/j.berh.2010.01.012
• Savci M, Aysan F. Üniversite öğrencilerinde algılanan stres düzeyi ile stresle başa çıkma stratejileri arasındaki ilişki. Uluslararası Türk Eğitim Bilimleri Dergisi. 2014;2014:44-56.
• Atanes AC, Andreoni S, Hirayama MS, et al. Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals. BMC complementary and alternative medicine. 2015;15:303. DOI: 10.1186/s12906-015-0823-0
• Tekin E, Çilesiz ZY, Selçuk G. Farklı mesleklerde çalışanların algılanan stres düzeyleri ve stresle başa çıkma tarzları üzerine bir araştırma. ODÜ Sosyal Bilimler Araştırmaları Dergisi (ODÜSOBİAD). 2019;9:79-89.
• Tsuboi Y, Ueda Y, Naruse F, et al. The association between perceived stress and low back pain among eldercare workers in Japan. Journal of occupational and environmental medicine. 2017;59:765-7. DOI: 10.1097/JOM.0000000000001062
• Harris ML, Loxton D, Sibbritt DW, et al. The influence of perceived stress on the onset of arthritis in women: findings from the Australian Longitudinal Study on women's health. Annals of Behavioral Medicine. 2013;46:9-18. DOI: 10.1007/s12160-013-9478-6
• Chang K-C, Liao Y-H, Lee H-C, et al. Musculoskeletal disorders, psychosocial stress and associated factors among home-based migrant care workers. Work. 2020:1-13. DOI: 10.3233/WOR-203119
• Mehrdad R, Dennerlein JT, Haghighat M, et al. Association between psychosocial factors and musculoskeletal symptoms among Iranian nurses. American journal of industrial medicine. 2010;53:1032-9. DOI: 10.1002/ajim.20869
• McFarlane AC. Stress-related musculoskeletal pain. Best Practice & Research Clinical Rheumatology. 2007;21:549-65. DOI: 10.1016/j.berh.2007.03.008
• Şimşek Ş, Yağcı N, Şenol H. Prevalence and risk factors of low back pain among health-care workers in Denizli. Ağrı-The Journal of The Turkish Society of Algology. 2017;29:71-8. DOI: 10.5505/agri.2017.32549
• Chen W, Yu IT, Wong T. Impact of occupational stress and other psychosocial factors on musculoskeletal pain among Chinese offshore oil installation workers. Occupational and environmental medicine. 2005;62:251-6. DOI: 10.1136/oem.2004.013680
• Karahan A, Kav S, Abbasoglu A, et al. Low back pain: prevalence and associated risk factors among hospital staff. Journal of advanced nursing. 2009;65:516-24. DOI: 10.1111/j.1365-2648.2008.04905.x