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      Prevalência de sintomas músculo-esqueléticos em trabalhadoras de enfermagem Translated title: Self-reported musculoskeletal symptoms among nursing personnel Translated title: Prevalencia de síntomas músculo-esqueléticos en trabajadoras de enfermería

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          Abstract

          Este trabalho teve por objetivo avaliar sintomas músculo-esqueléticos em trabalhadoras de enfermagem. Os sujeitos compreenderam 105 auxiliares e técnicos de enfermagem que trabalhavam em unidades de internação de um hospital que atende pacientes com alto grau de dependência física. Utilizou-se um questionário contendo dados demográficos e ocupacionais e queixas osteomusculares, dentro de uma abordagem ergonômica, adaptado do Nordic Musculoskeletal Questionnaire. Das participantes, 93% referiram algum tipo de sintoma osteomuscular nos últimos 12 meses. As mais elevadas prevalências desses sintomas, segundo as áreas anatômicas, foram: região lombar (59%), ombros (40%), joelhos (33,3%) e região cervical (28,6%). Verificou-se também que, das respondentes, 29,5% faltaram ao trabalho e 47,6% consultaram um médico nos últimos 12 meses devido aos mesmos sintomas. Observou-se também menor tempo de trabalho na área de enfermagem e na unidade atual entre as trabalhadoras com ocorrência maior de dor nos joelhos (p=0,0272) e dor lombar (p=0,0332), respectivamente. No entanto, a dor em punhos/mãos mostrou-se mais freqüente entre as participantes com maior número de horas semanais trabalhadas (OR=3,72<OR<11,12; p=0,0141).

          Translated abstract

          The aim of this cross-sectional study was to evaluate musculoskeletal symptoms among female members of the nursing personnel. The sample consisted of 105 female nursing aides and technicians who were working at a university hospital with highly dependent patients. The questionnaire was composed of items on demographic and job-factor information and the symptom section was a modification of the "Nordic Musculoskeletal Questionnaire". In this study, 93% of the health workers reported at least one musculoskeletal symptom in the previous 12 months. The highest prevalence of musculoskeletal disorders was in the following anatomical areas: low back (59%), shoulders (40%), knees (33.3%) and neck (28.6%). As a result of musculoskeletal pain, 29.5% of the respondents reported missing work and 47.6% reported having had an appointment to see a physician in the previous 12 months. Limited experience on the job and in the present unit were also observed among those who had more frequent complaints of pain in the knees (p=0.0272) and low back pain (p=0.0332), respectively. However, hand/wrist pain occurred more often among the participants with the higher numbers of weekly worked hours (OR=3.72:1.26<OR<11.12; p=0.0141).

          Translated abstract

          Este trabajo tuvo por objetivo evaluar síntomas músculo-esqueléticos en trabajadoras de enfermería. Los sujetos fueron 105 auxiliares y técnicas de enfermería que trabajaban en unidades de hospitalización de una institución hospitalaria de pacientes con alto grado de dependencia física. Se utilizó un cuestionario conteniendo datos demográficos y ocupacionales y quejas osteomusculares dentro de un abordaje ergonómico, adaptado del "Nordic Musculoskeletal Questionnaire". De las participantes, 93% refirieron algún tipo de síntoma osteomuscular en los últimos 12 meses. Las más elevadas prevalencias de esos síntomas según las áreas anatómicas fueron: región lumbar (59%), hombros (40%), rodillas (33,3%) y región cervical (28,6%). Se verificó también que de las entrevistadas, 29,5% faltó al trabajo y 47,6% consultó un médico en los últimos 12 meses debido a los mismos síntomas. Se observó también menor tiempo de trabajo en el área de enfermería y en la unidad actual entre las trabajadoras con mayor ocurrencia de dolor en las rodillas (p=0,0272) y dolor lumbar (p=0,0332), respectivamente. No obstante, el dolor en puños/manos se mostró más frecuente entre las participantes con mayor número de horas semanales trabajadas (OR=3,72<OR<11,12;p=0,0141).

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          Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms

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            Cross-cultural adaptation of the Nordic musculoskeletal questionnaire.

            Reports in the literature have identified a need for internationally standardized and reliable measurements to analyse musculoskeletal symptoms. Screening of musculoskeletal disorders may serve as a diagnostic tool to evaluate the work environment. The Nordic general questionnaire is a standardized instrument used to analyse musculoskeletal symptoms in an ergonomic or occupational health context. To translate and adapt a version of the Nordic general questionnaire into Brazilian Portuguese and evaluate its reliability. The cross-cultural adaptation was performed according to internationally recommended methodology, using the following guidelines: translation; back-translation; committee review; and pretesting. First, the questionnaire was independently translated into Portuguese by two teachers and one doctor, and a consensus version was generated. Second, two other translators performed a back-translation independently from one another. This version was then submitted to a committee, consisting of six specialists in the area of knowledge of the instrument, to evaluate its equivalence to the original instrument. The final version was pretested on 20 subjects randomly selected in an outpatient clinic. Reliability was assessed by a test-retest procedure at 1-day intervals using the Kappa coefficient in a group of 40 subjects. The Kappa agreement values were calculated for each one of the four questions of the questionnaire. The agreement among the same observers was substantial, varying from 0.88 to 1, according to the Kappa values. these demonstrated strong agreement of the instrument, suggesting that the Brazilian version of the "Standardized Nordic Questionnaire" offers substantial reliability.
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              Occupational low back disorder causation and control.

              Low back disorders (LBDs) continue to be the most common musculoskeletal problem in the workplace. It affects many workers, is associated with high costs to industry and the individual, and can negatively influence the quality of life for the workers. Currently there is significant controversy about the work-relatedness of LBD and the ability of ergonomics interventions to control the problem. This paper systematically examines the body of knowledge associated with LBDs and considers how information from different disciplines of study collectively might be used to assess the causality and control of LBD due to physical factors associated with work.

                Author and article information

                Journal
                rlae
                Revista Latino-Americana de Enfermagem
                Rev. Latino-Am. Enfermagem
                Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo (, SP, Brazil )
                0104-1169
                1518-8345
                October 2003
                : 11
                : 5
                : 608-613
                Affiliations
                [01] orgnameUniversidade Estadual de Campinas orgdiv1Faculdade de Ciências Médicas
                Article
                S0104-11692003000500007 S0104-1169(03)01100507
                a7c8fcfa-e3b4-4e5b-8e5d-9020a189828a

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 17 April 2002
                : 16 June 2003
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 17, Pages: 6
                Product

                SciELO Revista de Enfermagem

                Categories
                Artigos Originais

                ergonomics,enfermagem,dor lombar,ergonomia,nursing,low back pain,enfermería,dolor de la región lumbar,ergonomía

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