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Advisor(s)
Abstract(s)
Enquadramento: A dor lombar Ă© uma ocorrĂȘncia bastante frequente, sobretudo em enfermeiros que trabalham em contexto hospitalar. As suas determinantes sĂŁo variadas, podendo ser de cariz individual, psicossocial e profissional/organizacional.
Objetivo: Identificar a prevalĂȘncia e as determinantes da lombalgia em enfermeiros que trabalham em contexto hospitalar. Pretende-se ainda procurar relaçÔes entre os sintomas auto-referidos e a avaliação clĂnica de sinais, contribuindo para a prevenção.
MĂ©todo: Trata-se de um estudo transversal, descritivo-correlacional e quantitativo. Numa primeira fase foi aplicado um questionĂĄrio sobre lombalgia a 135 enfermeiros de um hospital em Lisboa. Posteriormente foi realizada uma avaliação clĂnica a 48 desses enfermeiros.
Resultados: Os resultados evidenciam uma elevada prevalĂȘncia de lombalgia (60.7%) nos enfermeiros da amostra, estando esta associada a algumas variĂĄveis sociodemogrĂĄficas, organizacionais e profissionais. Destacam-se: o grupo etĂĄrio (p=0.016), a altura (p=0.035), o trabalho por turnos (p=0.044) e o tempo de profissĂŁo (p=0.005). De forma anĂĄloga, o âposicionamento/mobilização do doente na camaâ (p=0.026), o âlevantar o doente da cama sem ajuda mecĂąnicaâ (p=0.004), o âtrabalho de pĂ©â (65.9%), o âinclinar (86.6%) e rodar (76.8%) o troncoâ e a âmanipulação de cargasâ (85.4%) revelaram-se influentes na dor lombar.
Relativamente Ă avaliação clĂnica, dos enfermeiros avaliados (n=48), 89.6% referiram dor lombar com predominĂąncia de intensidade moderada (n=38), sendo que os sintomas se mantiveram desde a resposta ao questionĂĄrio.
ConclusĂ”es: Conclui-se, neste estudo, que a dor lombar assume especial relevĂąncia na profissĂŁo de enfermagem. A lombalgia dos enfermeiros que trabalham em meio hospitalar Ă© nĂŁo especĂfica e apresenta caraterĂsticas mecĂąnicas. Os fatores de risco relacionados com a atividade, presentes nas tarefas desempenhadas, sĂŁo os que mais contribuem para a existĂȘncia de lombalgia. Recomendam-se intervençÔes que se baseiem na avaliação dos fatores de prognĂłstico de cronicidade, de modo a evitar a evolução desfavorĂĄvel da lombalgia e prevenir o aparecimento de novos casos.
Abstract Background: Low back pain is common in nurses working in hospitals. The causes for this pain are various and can have its origins in individual, psychosocial and professional/organizational factors. Objective: To identify the prevalence and the causes of low back pain in nurses working in hospitals and relate the self-reported symptoms with clinical evaluation in order to contribute to the prevention. Method: This study is cross-sectional, descriptive-correlative and quantitative. Initially a questionnaire was applied on low back pain (adaptation of the Nordic Musculoskeletal Questionnaire) to 135 nurses at a hospital in Lisbon. Later was performed a clinical evaluation of 48 of these nurses. Results: The results show a high prevalence of low back pain (60.7%) in the sample nurses, this being associated with some sociodemographic, organizational and professional variables. Stand out from the age group (p=0.016), height (p=0.035), shift work (p=0.044) and length of service (p=0.005). Also âthe positioning/mobilization of patient in bedâ (p=0.026), âget the patient out of bed without mechanical assistanceâ (p=0.004), âstandingâ (65.9%), âtiltingâ (86.6%) and rotating (76.8%) the trunkâ and âhandling chargesâ (85.4%) proved related to the presence of low back pain. Concerning to clinical evaluation, 89.6% of nurses involved (n=48) reported suffering from low back pain with moderate intensity (n=38), and the symptoms remained since the response to the questionnaire. Conclusions: With this study, we come to the conclusion that low back pain is particularly relevant in the nursing profession. Low back pain of nurses working in hospitals is non-specific and has mechanical characteristics. Risk factors related to the activity, present in the tasks performed, are the most important to the existence of low back pain. It is recommended to work on interventions that are based on the evaluation of prognostic factors for chronicity in order to avoid the unfavorable evolution of low back pain and to prevent the appearance of new cases.
Abstract Background: Low back pain is common in nurses working in hospitals. The causes for this pain are various and can have its origins in individual, psychosocial and professional/organizational factors. Objective: To identify the prevalence and the causes of low back pain in nurses working in hospitals and relate the self-reported symptoms with clinical evaluation in order to contribute to the prevention. Method: This study is cross-sectional, descriptive-correlative and quantitative. Initially a questionnaire was applied on low back pain (adaptation of the Nordic Musculoskeletal Questionnaire) to 135 nurses at a hospital in Lisbon. Later was performed a clinical evaluation of 48 of these nurses. Results: The results show a high prevalence of low back pain (60.7%) in the sample nurses, this being associated with some sociodemographic, organizational and professional variables. Stand out from the age group (p=0.016), height (p=0.035), shift work (p=0.044) and length of service (p=0.005). Also âthe positioning/mobilization of patient in bedâ (p=0.026), âget the patient out of bed without mechanical assistanceâ (p=0.004), âstandingâ (65.9%), âtiltingâ (86.6%) and rotating (76.8%) the trunkâ and âhandling chargesâ (85.4%) proved related to the presence of low back pain. Concerning to clinical evaluation, 89.6% of nurses involved (n=48) reported suffering from low back pain with moderate intensity (n=38), and the symptoms remained since the response to the questionnaire. Conclusions: With this study, we come to the conclusion that low back pain is particularly relevant in the nursing profession. Low back pain of nurses working in hospitals is non-specific and has mechanical characteristics. Risk factors related to the activity, present in the tasks performed, are the most important to the existence of low back pain. It is recommended to work on interventions that are based on the evaluation of prognostic factors for chronicity in order to avoid the unfavorable evolution of low back pain and to prevent the appearance of new cases.
Description
Keywords
Dor lombar Enfermeiros Hospital Fatores de risco CaraterĂsticas do trabalho Prevenção Low back pain Nurses Hospital Risk Factors Work characteristics Prevention
Citation
Santos, P. M., Martins, R. & Serranheira, F. (2016). PrevalĂȘncia da dor lombar em enfermeiros em contexto hospitalar. GestĂŁo e Desenvolvimento, 24, 161-171.
Publisher
Universidade CatĂłlica Portuguesa, Centro Regional das Beiras, Departamento de Economia, GestĂŁo e CiĂȘncias Sociais