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      Journal of Pain Research (submit here)

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      Low Back Pain Among Nurses Working at Public Hospitals in Eastern Ethiopia

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          Abstract

          Objective

          This study assessed the prevalence of low back pain and factors associated with it among nurses working at public hospitals in eastern Ethiopia.

          Materials and Methods

          Institutional-based cross-sectional study was conducted from February 1 to March 20, 2018 among randomly selected 404 nurses working in public hospitals of Harari region and Dire Dawa city administration. Six trained nurses collected the data through a self-administered data collection technique. All variables that yield p< 0.25 in bivariable logistic regression were subjects for multivariable logistic regression analysis. The direction and strength of statistical association were measured by odds ratio with the corresponding 95% confidence interval (CI). Finally, statistical significance was declared at p < 0.05.

          Results

          The 12-month prevalence of low back pain was 38.1% [95% CI: 32.7–42.7%]. It was more prevalent among females (65%). More than 5 years of work experience [adjusted odds ratio (AOR) =3.135; 95% CI (1.292–7.605)], manual lifting of weight >10kg [AOR=5.260; 95% CI (1.869–14.805)] and working in awkward posture [AOR=3.93; 95% CI (1.109–13.924)] were variables significantly associated with low back pain among nurses.

          Conclusion

          About two in five nurses working at public hospitals in Harari region and Dire Dawa city administration were suffering from low back pain. So, tailored intervention is needed to prevent nurses from further injury and retain experienced nurses.

          Most cited references38

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          Low back pain: prevalence and associated risk factors among hospital staff.

          This paper is a report of a study conducted to describe the prevalence and risk factors for lower back pain amongst a variety of Turkish hospital workers including nurses, physicians, physical therapists, technicians, secretaries and hospital aides. Hospital workers experience more low back pain than many other groups, the incidence varies among countries. Work activities involving bending, twisting, frequent heavy lifting, awkward static posture and psychological stress are regarded as causal factors for many back injuries. A 44-item questionnaire was completed by 1600 employees in six hospitals associated with one Turkish university using a cross-sectional survey design. Data were collected over nine months from December 2005 to August 2006 and analysed using Chi square and multivariate logistic regression techniques. Most respondents (65.8%) had experienced low back pain, with 61.3% reporting an occurrence within the last 12 months. The highest prevalence was reported by nurses (77.1%) and the lowest amongst secretaries (54.1%) and hospital aides (53.5%). In the majority of cases (78.3%), low back pain began after respondents started working in the hospital, 33.3% of respondents seeking medical care for 'moderate' low back pain while 53.8% (n = 143) had been diagnosed with a herniated lumbar disc. Age, female gender, smoking, occupation, perceived work stress and heavy lifting were statistically significant risk-factors when multivariate logistic regression techniques were conducted (P < 0.05). Preventive measures should be taken to reduce the risk of lower back pain, such as arranging proper rest periods, educational programmes to teach the proper use of body mechanics and smoking cessation programmes.
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            Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital.

            The objective of this study was to determine the prevalence and risk factors of LBP among nurses in a typical Nigerian Specialist Hospital. A cross-sectional study was designed to determine the prevalence and risk factors for LBP among nurses in a typical Nigerian Hospital. A department-to-department enquiry was conducted using a self structured valid and reliable questionnaire. Four hundred and eight respondents (148 [36.27%] males and 260 [63.73%] females) participated in the study. The 12 month prevalence of LBP was 300 (73.53%). LBP was more prevalent among female nurses (68%) than the male nurses (32%). It was also associated with occupational hazard and poor knowledge of back care ergonomics. The prevalence of LBP in MMSH is comparable to levels recorded abroad. However, in this study LBP did not feature as a major cause of sickness absence in the work place It was concluded that poor back care ergonomics is the major predisposing factor of LBP.
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              Low back pain and work-related factors among nurses in intensive care units.

              To examine the relationship of low back pain prevalence and treatment to personal and work-related characteristics among intensive care unit nurses. Back pain is the most common work-related health problem among nurses. A cross-sectional study including a survey conducted in 2007. The study sample included 1345 nurses in 65 intensive care units in 22 South Korean hospitals. Back pain prevalence was measured by the frequency of back pain (always, once a week, once a month or once in two or more months) during the past year. Multilevel logistic regression analyses were conducted to examine the relationship between back pain and personal and work-related characteristics. The mean age of nurses was 27.2 years. Overall, 90.3% of nurses had back pain at least once a month (21.9% always, 40.7% once a week and 27.7% once a month). Only 18.3% had received medical treatment for their back pain. Compared with neonatal intensive care unit nurses, who had the lowest prevalence, nurses in other specialties, excluding paediatric intensive care units, had a greater likelihood of back pain. Specialty medical (e.g. cardiology, neurology) intensive care unit nurses had the greatest probability of back pain and treatment. Perceiving staffing as inadequate and working 6 or more night shifts per month were related to a 64% increase (OR = 1.64; 95% CI =1.16-2.33) and 48% increase (OR =1.48; 95% CI = 1.10-1.99) in back pain, respectively. Nurses with 2-4 years of working experience in intensive care units had the greatest probability of back pain and treatment. A high prevalence of back pain was found in intensive care unit nurses, even though they comprise a very young workforce in Korea. Improving nurse staffing, reducing the frequency of night shifts and assessing risk factors in specific intensive care unit specialties are suggested to decrease back pain prevalence. © 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd.
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                Author and article information

                Journal
                J Pain Res
                J Pain Res
                JPR
                jpainres
                Journal of Pain Research
                Dove
                1178-7090
                08 June 2020
                2020
                : 13
                : 1349-1357
                Affiliations
                [1 ]School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University , Harar, Ethiopia
                [2 ]Department of Nursing, College of Health and Medical Sciences, Meda Welabu University , Bale-Robe, Ethiopia
                Author notes
                Correspondence: Sagni Girma Fage School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University , P.O. Box 235, Harar, Ethiopia, Tel +251 919231902 Email giruu06@gmail.com
                Author information
                http://orcid.org/0000-0001-5409-4979
                http://orcid.org/0000-0002-8812-4838
                http://orcid.org/0000-0003-3404-2682
                http://orcid.org/0000-0002-3858-190X
                Article
                255254
                10.2147/JPR.S255254
                7292259
                32606901
                741d26cb-69cc-4730-af24-b51580319ced
                © 2020 Mijena et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 28 March 2020
                : 23 May 2020
                Page count
                Tables: 6, References: 48, Pages: 9
                Funding
                Haramaya University has provided financial support for this study. We declare that the funding body has no role in the designing of the study, in the collection, analysis and interpretation of the data, in the writing of this manuscript and in the decision to submit for publication.
                Categories
                Original Research

                Anesthesiology & Pain management
                low back pain,nurses,public hospitals,eastern ethiopia
                Anesthesiology & Pain management
                low back pain, nurses, public hospitals, eastern ethiopia

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