Abstract |
Introduction: Work-related musculoskeletal injuries and disorders (WMSD) are a significant issue in the health care sector. Allied Health professionals (AHP) in this sector are exposed to physical and psychosocial factors associated with increased risk of developing a WMSD.
Aim of the study: The investigation of the association between work-related musculoskeletal disorders and the detection of anxiety among nursing staff of the University General Hospital of Heraklion. Additional objectives of the study are: a) Detection of musculoskeletal disorders and anxiety in nurses, b) Recording of the incidence of musculoskeletal disorders and anxiety in nurses, c) Detection of the causes of musculoskeletal disorders and anxiety in the work environment of nurses d) investigation of risk factors in developing musculoskeletal disorders in nurses, e) The correlation between absenteeism and the cost of nurses for self-care due to musculoskeletal disorders
Materials and Methods: A cross – sectional study was conducted where 510 questionnaires were distributed to 34 (clinics, units, laboratories). Out of 510, 262 questionnaires were returned, of which 227 were fully completed, while 35 questionnaires for reasons related to workload were not completed. The Nordic Questionairre was used to investigate the prevalence of musculoskeletal symptoms, the Short Anxiety Screening Test (SAST) for the detection of anxiety and a data collection tool was developed for the clinical - demographic and anthropometric characteristics of the nursing staff of PAGNI. , body mass index, morbidity, health habits, etc.
Results: From the sample of the study (184/227, 88.0%,) were women who constituted the majority of the sample. 82.1% of nurses have developed at least one musculoskeletal symptom in the last 12 months. The total prevalence of musculoskeletal symptoms in the last 12 months is as follows: neck (110/227, 53.9%), shoulder (102/227, 50.8%), lumbar region (99/227, 49.5%), wrists / hands (69/227, 34.5 %), hips (57/227, 29.5%), knees with (58/227, 29.3%), ankles / feet with (31/227, 15.8%), upper back (30/227, 15.7%), elbows (30/227, 15.0%). There was a positive correlation between anxiety and the occurrence of musculoskeletal symptoms over time (r = 0.216, p = 0.002), severe musculoskeletal disorders over time (r = 0.172, p = 0.013) and present musculoskeletal disorders (r = 0.225, p = 0.001). The anatomical areas that seems to appear musculoskeletal symptoms when anxiety levels are elevated are the neck, shoulder and lower back. Absence from work seems to be associated with the onset of severe musculoskeletal symptoms (p <0.001) while nurses' personal financial expense (pocket - payment) appears to be associated with the onset of any symptom at 12 months, severe musculoskeletal symptoms at 12 months and the present musculoskeletal symptoms (p <0.001), (p = 0.002) and (p = 0.002) respectively. The most common morbidity in nurses was B-12 deficiency, irritable bowel syndrome, anemia, dyslipidemia and hypertension while body mass index (BMI) does not seems to be associated with the onset of musculoskeletal symptoms (p = 0.137) .
Conclusions: The musculoskeletal disorders are quit common among nursing staff and their appearance showed similar ranking as in many studies. Association of musculoskeletal symptoms with anxiety, showed that higher anxiety levels were associated with higher prevalence of musculoskeletal symptoms.
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