The Evaluation of Low Back Pain Prevalence in First Year of Anesthesiologists’ Career; A cross sectional study
-
Fariborz Mehrani
,
Mahsa Fadaee
,
Sahar Sadat Dehghan Manshadi
,
Parisa Gozali kalansara
,
Kosar Ahmadi
,
Amirhossein Orandi
,
Jayran Zebardast
,
Ali-Akbar Nejatisafa
,
Saeed Khorramnia
,
Negar Eftekhar
,
Hossein Majedi
Abstract
Background: Low Back Pain (LBP) is a common musculoskeletal disorder which may have an occupational or non-occupational etiology and is seen in many health care providers. It is an important cause of morbidity and workplace absence. Various factors may result in LBP but the role of occupational stress and anxiety personality disorder is still unclear.
Methods: Face-to-face interviews were conducted with 58 anesthesiologists working in the hospitals of Tehran University of Medical Sciences to evaluate the occurrence of LBP in the first year of work. The probable causes of LBP and the level of anxiety were assessed using a questionnaire designed for this purpose, based on Spielberger state-trait anxiety inventory (STAI), and the results were analyzed.
Results: Of 58 participants, 44 (75.9%) were men and 14 (24.1%) were women. The mean age of the participants was 45.6±6.3 years. Twenty-four of 58 participants (41.4%) reported LBP in the first year of work. Six participants (10.3%) did not have anxiety state but had LBP in the first year of work. Eighteen subjects (31%) with mild to severe anxiety state also had LBP in the first year of work. Nine anesthesiologists (15.5%) did not have anxiety trait but had LBP in the first year of work. Fifteen participants (25.8%) had mild to severe anxiety trait and had LBP in the first year of work.
In general, 24 of 58 participants (41.4%) with an anxiety score of 47.52 (moderate level of anxiety) had LBP, and 34 of 58 participants with an anxiety score of 41.01 (moderate level of anxiety) did not have LBP. There was a significant correlation between the occurrence of LBP and the level of anxiety (P=0.014).
The personality type, smoking, history of psychiatric disorders, occupational satisfaction, communication with colleagues, sleep quality, history of LBP during work years, especially in the first year, duration of LBP, stress in the first year of work, and weekly hours of exercise had a significant association with anxiety (P<0.05).
Conclusion: LBP is a multi factorial disorder of human. It seems that LBP can be related to stress and mechanical factors.
Hayden JA, Tougas ME, Riley R, Iles R, Pincus T. Individual recovery expectations and prognosis of outcomes in non‐specific low back pain: prognostic factor exemplar review. The Cochrane Library. 2014.
Patel VB, Wasserman R, Imani F. Interventional therapies for chronic low back pain: a focused review (efficacy and outcomes). Anesth Pain Med. 2015; 5(4): e29716.
Yip Y. A study of work stress, patient handling activities and the risk of low back pain among nurses in Hong Kong. J Adv Nurs. 2001; 36(6):794-804.
Spielberger CD, Gorsuch R, Lushene R, Vagg P, Jacobs G. State-trait anxiety inventory. Palo Alto. ca: consulting psychologists press; 1970.
Spielberger CD. Test Anxiety Inventory. Corsini Encyclopedia of Psychology. 1.; 2010.
Spielberger CD, Gonzalez-Reigosa F, Martinez-Urrutia A, Natalicio LF, Natalicio DS. The state-trait anxiety inventory. Revista Interamericana de Psicologia/Interamerican Journal of Psychology. 1971;5(3,4).
Videman T, Nurminen T, Tola S, Kuorinka I, Vanharanta H, Troup J. Low-back pain in nurses and some loading factors of work. Spine. 1984; 9(4):400-4.
Harber P, Billet E, Gutowski M, SooHoo K, Lew M, Roman A. Occupational low-back pain in hospital nurses. Journal of occupational medicine: official publication of the Industrial Medical Association. 1985; 27(7):518-24.
Baty D, Stubbs D. Postural stress in geriatric nursing. International journal of nursing studies. 1987;24(4):339-44.
Harber P, Billet E, Vojtecky M, Rosenthal E, Shimozaki S, Horan M. Nurses' beliefs about cause and prevention of occupational back pain. J Occup Med. 1988; 30(10):797-800.
Garg A, Owen B. Reducing back stress to nursing personnel: an ergonomic intervention in a nursing home. Ergonomics. 1992; 35(11):1353-75.
Coggan C, Norton R, Roberts I, Hope V. Prevalence of back pain among nurses. The New Zealand medical journal. 1994;107(983):306-8.
French P, Flora LFW, Ping LS, Bo LK, Rita WHY. The prevalence and cause of occupational back pain in Hong Kong registered nurses. J Adv Nurs. 1997; 26(2):380-8.
Marras WS, Davis KG, Heaney CA, Maronitis AB, Allread WG. The influence of psychosocial stress, gender, and personality on mechanical loading of the lumbar spine. Spine. 2000; 25(23):3045-54.
Taghinejad H, Azadi A, Suhrabi Z, Sayedinia M. Musculoskeletal disorders and their related risk factors among iranian nurses. Biotech Health Sci 2016; 3(1):e34473.
Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA. Epidemiology of low back pain in adults. Neuromodulation. 2014; 17(S2):3-10.
Menzel NN. Psychosocial factors in musculoskeletal disorders. Crit Care Nurs Clin North Am. 2007; 19(2):145-53.
Nielsen K, Albertsen K, Brenner S-O, Smith-Hansen L, Roepsdorff C. Comparing working conditions and physical and psychological health complaints in four occupational groups working in female-dominated workplaces. Int Arch Occup Environ Health. 2009; 82(10):1229-39.
Kane PP. Stress causing psychosomatic illness among nurses. Indian J Occup Environ Med; 13(1): 28–32.
Rahimi A, Vazini H, Alhani F, Anoosheh M. Relationship between low back pain with quality of life, depression, anxiety and stress among emergency medical technicians. Trauma Mon. 2015; 20(2): e18686.
Dhaini SR, Zúñiga F, Ausserhofer D, Simon M, Kunz R, De Geest S, et al. Care workers health in Swiss nursing homes and its association with psychosocial work environment: a cross-sectional study. Int J Nurs Stud. 2016; 53:105-15.
Del Campo M, Romo PE, de la Hoz RE, Villamor JM, Mahíllo-Fernández I. Anxiety and depression predict musculoskeletal disorders in health care workers. Arch Environ Occup Health. 2017; 72(1):39-44.
Linton SJ. Occupational psychological factors increase the risk for back pain: a systematic review. J Occup Rehabil. 2001 Mar;11(1):53-66.
Studnek JR, Crawford JM. Factors associated with back problems among emergency medical technicians. Am J Ind Med. 2007; 50(6):464-9.
Smedley J, Inskip H, Trevelyan F, Buckle P, Cooper C, Coggon D. Risk factors for incident neck and shoulder pain in hospital nurses. Occup Environ Med. 2003; 60(11):864-9.
Nasiry Zarrin Ghabaee D, Haresabadi M, Bagheri Nesami M, Esmaeili R, Talebpour Amiri F. Musculoskeletal disorders in nurses and their relationship with occupation-related stress. Journal of Mazandaran University of Medical Sciences. 2016;25(132):91-102.
Al-Eisa E, Al-Abbad H. Occupational back pain among rehabilitation nurses in Saudi Arabia: The influence of knowledge and awareness. Workplace Health Saf. 2013; 61(9):401-7.
Khetarpal R, Chatrath V, Kaur J, Verma A. Occupational Stress in Anesthesiologists and Coping Strategies: A Review. International Journal of Scientific study. 2015;3(6):188-92.
Smedley J, Egger P, Cooper C, Coggon D. Manual handling activities and risk of low back pain in nurses. Occup Environ Med. 1995; 52(3): 160-3.
Lin P-H, Tsai Y-A, Chen W-C, Huang S-F. Prevalence, characteristics, and work-related risk factors of low back pain among hospital nurses in Taiwan: a cross-sectional survey. Int J Occup Med Environ Health. 2012; 25(1):41-50.
Lovgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud. 2014; 51(4):625-39.
| Files | ||
| Issue | Vol 4 No 2 (2018): Spring |
|
| Section | Research Article(s) | |
| Keywords | ||
| low back pain anesthesiologist anxiety occupational stress | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
