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A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses.

https://arctichealth.org/en/permalink/ahliterature76092
Source
J Safety Res. 2006 May 4;
Publication Type
Article
Date
May-4-2006
Author
Derek R Smith
Mutsuko Mihashi
Yasuko Adachi
Hatsuyo Koga
Tatsuya Ishitake
Author Affiliation
Department of Hazard Assessment, National Institute of Industrial Health, 6–21–1 Nagao, Tama-Ku, Kawasaki 214–8585 Japan.
Source
J Safety Res. 2006 May 4;
Date
May-4-2006
Language
English
Publication Type
Article
Abstract
INTRODUCTION: Although Musculoskeletal Disorders (MSD) represent a common occupational problem, few epidemiological studies have investigated MSD risk factors among Asian nurses, particularly those in Japan. METHOD: We administered a modified Japanese-language version of the Standardized Nordic Questionnaire to 1,162 nurses from a large teaching hospital. MSD categories focused on the neck, shoulder, upper back, and lower back regions. RESULTS: A total of 844 completed questionnaires were analyzed (response rate: 72.6%). The 12-month period-prevalence of MSD at any body site was 85.5%. MSD was most commonly reported at the shoulder (71.9%), followed by the lower back (71.3%), neck (54.7%), and upper back (33.9%). Alcohol consumption, tobacco smoking, and having children were shown to be significant risk factors, with adjusted Odds Ratios of 1.87 (95%CI: 1.17-2.96), 2.45 (95%CI: 1.43-4.35), and 2.53 (95%CI: 1.32-4.91), respectively. Workplace risk factors included manually handling patients (OR: 2.07 to 11.97) and undertaking physically laborious work (OR: 2.09 to 2.76). Nurses reporting pre-menstrual tension were 1.66 and 1.94 times more likely to suffer from lower back and upper back MSD, respectively. High mental pressure was also identified as a significant risk factor for MSD of the neck (OR: 1.53) and shoulder (OR: 2.07). IMPACT ON INDUSTRY: The complex nature of MSD risk factors identified during this study suggests that remediation strategies which focus only on manual handling tasks would probably be suboptimal in reducing MSD among nurses. Therefore, to help alleviate their considerable MSD burden, a greater emphasis will need to be placed on job satisfaction, work organization, and occupational stress, as well as the more traditional hazard reduction strategies such as manual handling, work tasks, and other occupational factors.
PubMed ID
16678854 View in PubMed
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Musculoskeletal complaints and psychosocial risk factors among Chinese hospital nurses.

https://arctichealth.org/en/permalink/ahliterature70835
Source
Occup Med (Lond). 2004 Dec;54(8):579-82
Publication Type
Article
Date
Dec-2004
Author
Derek R Smith
Ning Wei
Li Zhao
Rui-Sheng Wang
Author Affiliation
Department of Hazard Assessment, National Institute of Industrial Health, Kawasaki, Japan. smith@niih.go.jp
Source
Occup Med (Lond). 2004 Dec;54(8):579-82
Date
Dec-2004
Language
English
Publication Type
Article
Keywords
Adult
Back Pain - epidemiology - psychology
China - epidemiology
Epidemiologic Methods
Female
Humans
Low Back Pain - epidemiology - psychology
Musculoskeletal Diseases - epidemiology - psychology
Neck Pain - epidemiology - psychology
Nursing Staff, Hospital
Occupational Diseases - epidemiology - psychology
Research Support, Non-U.S. Gov't
Shoulder Pain - epidemiology - psychology
Stress, Psychological
Abstract
BACKGROUND: Musculoskeletal complaints represent a common occupational problem for health care workers throughout the world. Despite their sizeable numbers, however, few epidemiological studies have investigated musculoskeletal complaints among Chinese hospital nurses. Objective To assess the prevalence of, and risk factors for, musculoskeletal complaints among hospital nurses in mainland China. METHODS: A total of 282 female, registered nurses were surveyed (92% response rate) using a modified Chinese-language version of the Standardized Nordic Questionnaire. Body sites were divided into the neck, shoulder, upper back and lower back regions. RESULTS: The 12 month period-prevalence of musculoskeletal complaints at any of the four regions was 70%. The lower back was the most commonly reported body site (56%), followed by the neck (45%), shoulder (40%) and upper back (37%). High mental pressure, boring or tedious tasks and limited work support were identified as significant risk factors (adjusted odds ratios: 1.79-2.52). No correlations were found between manual handling or perceived physical exertion and increased reporting of musculoskeletal complaints. CONCLUSION: This study has shown that musculoskeletal complaints are prevalent among Chinese hospital nurses. The correlation with various psychosocial factors is also consistent with evidence from other countries.
PubMed ID
15576874 View in PubMed
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