Fatores associados à dor musculoesquelética em profissionais de enfermagem: um estudo transversal retrospectivo

Eduardo Gallas Leivas

Resumo


Objetivos: Analisar a prevalência e os fatores associados às queixas musculoesqueléticas (ou seja, dor e desconforto) em técnicos e auxiliares de enfermagem.Materiais e Métodos: Trata-se de um estudo retrospectivo composto por 61 registros de trabalhadoras de um banco de dados de uma empresa privada. Doze covariáveis pessoais, ocupacionais, clínicas e psicossociais foram avaliadas. Os resultados do estudo foram queixas musculoesqueléticas em nove regiões do corpo durante os últimos 12 meses. O modelo de análise multivariável avaliou a relação independente entre os potenciais fatores de exposição e as queixas musculoesqueléticas.Resultados: A prevalência de queixas musculoesqueléticas foi de 86,9% em uma região do corpo e 73,8% em mais de uma região do corpo. As regiões do corpo com as maiores prevalências foram a região lombar, ombro, parte superior das costas e pescoço. O modelo de regressão logística ajustado revelou associação entre queixas musculoesqueléticas no pescoço e ausência de pausas no trabalho, queixas nos ombros e sobrepeso ou obesidade, queixas nos punhos/mãos e jornada de trabalho > 8 horas, queixas na região lombar e sensação de cansaço frequente e entre queixas nos quadris/coxas e estresse mental.Conclusões: Evidenciou-se elevada prevalência de queixas musculoesqueléticas nos participantes. Características pessoais, ocupacionais, clínicas e psicossociais foram associadas às queixas musculoesqueléticas nos últimos 12 meses em técnicas e auxiliares de enfermagem.

Palavras-chave


Estudo transversais; Epidemiologia; Doenças Musculoesqueléticas; Enfermagem; Fatores de Risco.

Texto completo:

PT-BR ENG

Referências


Safiri S, Kolahi AA, Cross M, Hill C, Smith E, Carson-Chahhoud K, et al. Prevalence, Deaths, and Disability-Adjusted Life Years Due to Musculoskeletal Disorders for 195 Countries and Territories 1990-2017. Arthritis Rheumatol. 2021;73(4):702-14.

da Costa BR, Vieira ER. Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. Am J Ind Med. 2010;53(3):285-323.

Mohammadipour F, Pourranjbar M, Naderi S, Rafie F. Work-related Musculoskeletal Disorders in Iranian Office Workers: Prevalence and Risk Factors. J Med Life. 2018;11(4):328-33.

Besharati A, Daneshmandi H, Zareh K, Fakherpour A, Zoaktafi M. Work-related musculoskeletal problems and associated factors among office workers. Int J Occup Saf Ergon. 2020;26(3):632-8.

Adedoyin AR, Mbada CE, Ajayi OK, Idowu OA, Oghumu SN, Oke KI, et al. Prevalence and pattern of work-related musculoskeletal disorders among Nigerian bricklayers. Work. 2022;72(2):627-35.

Ekechukwu END, Useh E, Nna OL, Ekechukwu NI, Obi ON, Aguwa EN, et al. Ergonomic assessment of work-related musculoskeletal disorder and its determinants among commercial mini bus drivers and driver assistants (mini bus conductors) in Nigeria. PLoS One. 2021;16(12):e0260211.

Mishra S, Sarkar K. Work-related musculoskeletal disorders and associated risk factors among urban metropolitan hairdressers in India. J Occup Health. 2021;63(1):e12200.

Mansoor SN, Al Arabia DH, Rathore FA. Ergonomics and musculoskeletal disorders among health care professionals: Prevention is better than cure. J Pak Med Assoc. 2022;72(6):1243-5.

Roll SC, Tung KD, Chang H, Sehremelis TA, Fukumura YE, Randolph S, et al. Prevention and rehabilitation of musculoskeletal disorders in oral health care professionals: A systematic review. J Am Dent Assoc. 2019;150(6):489-502.

Anderson S, Stuckey R, Oakman J. Work-related musculoskeletal injuries in prosthetists and orthotists in Australia. Int J Occup Saf Ergon. 2021;27(3):708-13.

Yang S, Lu J, Zeng J, Wang L, Li Y. Prevalence and Risk Factors of Work-Related Musculoskeletal Disorders Among Intensive Care Unit Nurses in China. Workplace Health Saf. 2019;67(6):275-87.

Westergren E, Ludvigsen MS, Lindberg M. Prevalence of musculoskeletal complaints among haemodialysis nurses - a comparison between Danish and Swedish samples. Int J Occup Saf Ergon. 2021;27(3):896-901.

Arvidsson I, Gremark Simonsen J, Dahlqvist C, Axmon A, Karlson B, Björk J, et al. Cross-sectional associations between occupational factors and musculoskeletal pain in women teachers, nurses and sonographers. BMC Musculoskelet Disord. 2016;17:35.

Haeffner R, Kalinke LP, Felli VEA, Mantovani MF, Consonni D, Sarquis LMM. Absenteeism due to musculoskeletal disorders in Brazilian workers: thousands days missed at work. Rev Bras Epidemiol. 2018;21:e180003.

Fujii T, Matsudaira K. Prevalence of low back pain and factors associated with chronic disabling back pain in Japan. Eur Spine J. 2013;22(2):432-8.

Rypicz Ł, Karniej P, Witczak I, Kołcz A. Evaluation of the occurrence of work-related musculoskeletal pain among anesthesiology, intensive care, and surgical nurses: An observational and descriptive study. Nurs Health Sci. 2020;22(4):1056-64.

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.

Freimann T, Pääsuke M, Merisalu E. Work-Related Psychosocial Factors and Mental Health Problems Associated with Musculoskeletal Pain in Nurses: A Cross-Sectional Study. Pain Res Manag. 2016;2016:9361016.

Lin SC, Lin LL, Liu CJ, Fang CK, Lin MH. Exploring the factors affecting musculoskeletal disorders risk among hospital nurses. PLoS One. 2020;15(4):e0231319.

Younan L, Clinton M, Fares S, Jardali FE, Samaha H. The relationship between work-related musculoskeletal disorders, chronic occupational fatigue, and work organization: A multi-hospital cross-sectional study. J Adv Nurs. 2019;75(8):1667-77.

Langballe EM, Innstrand ST, Hagtvet KA, Falkum E, Gjerløw Aasland O. The relationship between burnout and musculoskeletal pain in seven Norwegian occupational groups. Work. 2009;32(2):179-88.

Benchimol EI, Smeeth L, Guttmann A, Harron K, Moher D, Petersen I, et al. The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement. PLoS Med. 2015;12(10):e1001885.

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

de Barros EN, Alexandre NM. Cross-cultural adaptation of the Nordic musculoskeletal questionnaire. Int Nurs Rev. 2003;50(2):101-8.

Kent P, Mirkhil S, Keating J, Buchbinder R, Manniche C, Albert HB. The concurrent validity of brief screening questions for anxiety, depression, social isolation, catastrophization, and fear of movement in people with low back pain. Clin J Pain. 2014;30(6):479-89.

Vaegter HB, Handberg G, Kent P. Brief Psychological Screening Questions Can be Useful for Ruling Out Psychological Conditions in Patients With Chronic Pain. Clin J Pain. 2018;34(2):113-21.

Gulledge CM, Lizzio VA, Smith DG, Guo E, Makhni EC. What Are the Floor and Ceiling Effects of Patient-Reported Outcomes Measurement Information System Computer Adaptive Test Domains in Orthopaedic Patients? A Systematic Review. Arthroscopy. 2020;36(3):901-12.e7.

Sigursteinsdóttir H, Skúladóttir H, Agnarsdóttir T, Halldórsdóttir S. Stressful Factors in the Working Environment, Lack of Adequate Sleep, and Musculoskeletal Pain among Nursing Unit Managers. Int J Environ Res Public Health. 2020;17(2).

Bird HA. Overuse syndrome in musicians. Clin Rheumatol. 2013;32(4):475-9.

Hoe VC, Urquhart DM, Kelsall HL, Zamri EN, Sim MR. Ergonomic interventions for preventing work-related musculoskeletal disorders of the upper limb and neck among office workers. Cochrane Database Syst Rev. 2018;10:CD008570.

Waongenngarm P, van der Beek AJ, Akkarakittichoke N, Janwantanakul P. Effects of an active break and postural shift intervention on preventing neck and low-back pain among high-risk office workers: a 3-arm cluster-randomized controlled trial. Scand J Work Environ Health. 2021;47(4):306-17.

Li J, Chen J, Qin Q, Zhao D, Dong B, Ren Q, et al. Chronic pain and its association with obesity among older adults in China. Arch Gerontol Geriatr. 2018;76:12-8.

Özkuk K, Ateş Z. The effect of obesity on pain and disability in chronic shoulder pain patients. J Back Musculoskelet Rehabil. 2020;33(1):73-9.

Chin SH, Huang WL, Akter S, Binks M. Obesity and pain: a systematic review. Int J Obes (Lond). 2020;44(5):969-79.

Smedley J, Inskip H, Buckle P, Cooper C, Coggon D. Epidemiological differences between back pain of sudden and gradual onset. J Rheumatol. 2005;32(3):528-32.

StatPearls. 2022.

Rothman KJ. BMI-related errors in the measurement of obesity. Int J Obes (Lond). 2008;32 Suppl 3:S56-9.

Gudmundsson P, Nakonezny PA, Lin J, Owhonda R, Richard H, Wells J. Functional improvement in hip pathology is related to improvement in anxiety, depression, and pain catastrophizing: an intricate link between physical and mental well-being. BMC Musculoskelet Disord. 2021;22(1):133.

Hämmig O. Work- and stress-related musculoskeletal and sleep disorders among health professionals: a cross-sectional study in a hospital setting in Switzerland. BMC Musculoskelet Disord. 2020;21(1):319.

Vinstrup J, Sundstrup E, Andersen LL. Psychosocial stress and musculoskeletal pain among senior workers from nine occupational groups: Cross-sectional findings from the SeniorWorkingLife study. BMJ Open. 2021;11(3):e043520.

Haukka E, Ojajärvi A, Kaila-Kangas L, Leino-Arjas P. Protective determinants of sickness absence among employees with multisite pain-a 7-year follow-up. Pain. 2017;158(2):220-9.

Henschke N, Kamper SJ, Maher CG. The epidemiology and economic consequences of pain. Mayo Clin Proc. 2015;90(1):139-47.


Apontamentos

  • Não há apontamentos.


 

 

Revista Brasileira de Pesquisa em Ciências da Saúde - RBPeCS - ISSN: 2446-5577


Indexadores: