Elzem Bolkan Günaydın, Mustafa Çağrı Öcalan, Okan Günaydın, Aslıhan Uzunkulaoğlu, Saime Ay

Assessment of Pain, Occupational Fatigue, Sleep and Quality of Life in Nurses

Amaç: Hemşirelerde ağrı, mesleki yorgunluk, uyku ve yaşam kalitesini ve aralarındaki ilişkileri değerlendirmektir. Gereç ve Yöntem: Kesitsel tipteki bu çalışmaya 102 gönüllü hemşire dahil edilmiştir. İskandinav Kas-İskelet Sistemi anketi, Mesleki Yorgunluk/ Tükenmişlik/Toparlanma ölçeği, Uyku Hijyen indeksi ve Dünya Sağlık Örgütü Yaşam Kalitesi Kısa Form ölçeği Türkçe versiyonu anketlerinde yer alan sorular katılımcılar tarafından cevaplandırılmıştır. Bu anketlerin skorları, meslek yılı ve haftalık çalışma saati verileri analizlerde kullanılmıştır. Bulgular: Son 12 ayda ağrı ve rahatsızlık yakınması olduğu en sık bildirilen vücut bölgeleri sırasıyla bel (%76,5), sırt (%72,5) ve boyun (%66,7); son 12 ayda iş engeline neden olan ağrı ve rahatsızlık yakınması yaşandığı en sık bildirilen vücut bölgeleri sırasıyla bel (%42,2), sırt (%30,4) ve boyun (%25,5); son 7 günde ağrı yakınması olduğu en sık bildirilen vücut bölgeleri sırasıyla bel (%57,8), sırt (%30,4) ve boyun (%50) bölgeleriydi. Ortalama kronik (52,9±25,3) ve akut (62,8±20,1) yorgunluk alt skorları orta-yüksek yorgunluk düzeyindeydi. Yüksek uyku hijyen indeksi skorunun son 12 aydaki bel ağrısı ve bel ağrısına bağlı iş engelinde [odds oranı (OR)=1,11, p=0,03; OR=1,11, p=0,005]; yüksek kronik yorgunluk alt skorunun son 12 aydaki sırt ve boyun ağrısına bağlı iş engelinde (OR=1,04, p=0,02; OR=1,05, p=0,002) istatistiksel olarak anlamlı risk faktörleri oldukları tespit edildi. Sonuç: Hemşirelerde kas-iskelet sistemi sorunları yaygın görülmektedir. Kötü uyku hijyeni ve yüksek kronik yorgunluk önemli risk faktörleridir. Uyku hijyenini artırmaya ve kronik yorgunluğu azaltmaya yönelik müdahaleler hemşirelerde ağrılı durumları ve bunlara bağlı disabiliteyi azaltabilir.

Assessment of Pain, Occupational Fatigue, Sleep and Quality of Life in Nurses

Objectives: The aim of this study is to evaluate the pain, occupational fatigue, sleep, and quality of life in nurses and the relationships between them. Materials and Methods: One hundred two volunteer nurses were included in this cross-sectional study. The questions included in the Nordic Musculoskeletal questionnaire, Occupational Fatigue/Exhaustion/Recovery scale, Sleep Hygiene index, and World Health Organization Quality of Life scale Short Form Turkish version questionnaires were answered by the participants. The scores of these questionnaires, professional year, and weekly working hours data were used in the analysis. Results: The most reported body regions where pain or discomfort were felt in the last 12 months were the low back (76.5%), upper back (72.5%), and neck (66.7%); the regions with pain or discomfort that caused work disability in the last 12 months were the low back (42.2%), upper back (30.4%) and neck (25.5%); the regions with pain in the last seven days were the low back (57.8%), upper back (30.4%) and neck (50%), respectively. The mean chronic (52.9±25.3) and acute fatigue (62.8±20.1) sub-scores were at medium-high fatigue levels. High sleep hygiene index scores in the low back pain and work disability due to low back pain in the last 12 months [odds ratio (OR)=1.11, p=0.03; OR=1.11, p=0.005] and high chronic fatigue sub-scores in the work disability due to upper back and neck pain in the last 12 months (OR=1.04, p=0.02; OR=1.05, p=0.002) were found to be significant risk factors. Conclusion: Musculoskeletal problems were common in nurses. Poor sleep hygiene and high chronic fatigue are significant risk factors. Interventions to improve sleep hygiene and reduce chronic fatigue can reduce painful conditions and related disability in n

PDF

___

1. Soroush A, Shamsi M, Izadi N, et al. Musculoskeletal Disorders as Common Problems among Iranian Nurses: A Systematic Review and Meta-analysis Study. Int J Prev Med. 2018;9:27.
2. Bernal D, Campos-Serna J, Tobias A, et al. Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: A systematic review and meta-analysis. Int J Nurs Stud. 2015;52:635-648.
3. Ellapen TJ, Narsigan S. Work Related Musculoskeletal Disorders among Nurses: Systematic Review. J Ergon. 2014;4:2-6.
4. Soylar P, Ozer A. Evaluation of the prevalence of musculoskeletal disorders in nurses: A systematic review. Med Sci Int Med J. 2018;7:479-485.
5. Pınar R. Work-Related Musculoskeletal Disorders in Turkish Hospital Nurses. Turkiye Klinikleri J Med Sci. 2010;30:1869-1875.
6. Kang J, Noh W, Lee Y. Sleep quality among shift-work nurses: A systematic review and meta-analysis. Appl Nurs Res. 2020;52:151227.
7. Whibley D, AlKandari N, Kristensen K, et al. Sleep and Pain: A Systematic Review of Studies of Mediation. Clin J Pain. 2019;35:544-558.
8. Çelik S, Taşdemir N, Kurt A, et al. Fatigue in Intensive Care Nurses and Related Factors. Int J Occup Environ Med. 2017;8:199-206.
9. Min A, Min H, Hong HC. Psychometric properties of the Korean version of the Occupational Fatigue Exhaustion Recovery Scale in a nurse population. Res Nurs Health. 2019;42:358-368.
10. Gifkins J, Johnston A, Loudoun R, et al. Fatigue and recovery in shiftworking nurses: A scoping literature review. Int J Nurs Stud. 2020;112:103710.
11. Yıldırım A, Hacıhasanoğlu R. Quality of Life and Effective Variables Among Health Care Professionals. J Psychiatric Nurs. 2011;2:61-68.
12. Al-Mutairi MD. Quality of Life among Nurses with Low Back Pain: A Review. Open J Nurs. 2019;9:1138-1142.
13. Kuorinka I, Jonsson B, Kilbom A, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18:233- 237.
14. Kahraman T, Genç A, Göz E. The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disabil Rehabil. 2016;38:2153-2360.
15. Winwood PC, Winefield AH, Dawson D, et al. Development and Validation of a Scale to Measure Work-Related Fatigue and Recovery: The Occupational Fatigue Exhaustion/Recovery Scale (OFER). J Occup Environ Med. 2005;47:594-606.
16. Havlioglu S, Ortabag T, Winwood PC. Turkish validity and reliability of the occupational fatigue exhaustion / recovery scale. Med Sci Int Med J. 2019;8:916-922.
17. Mastin DF, Bryson J, Corwyn R. Assessment of Sleep Hygiene Using the Sleep Hygiene Index. J Behav Med. 2006;29:223-227.
18. Ozdemir PG, Boysan M, Selvi Y, et al. Psychometric properties of the Turkish version of the Sleep Hygiene Index in clinical and non-clinical samples. Compr Psychiatry. 2015;59:135-140.
19. No authors listed. Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. The WHOQOL Group. Psychol Med. 1998;28:551-558.
20. Eser E, Fidaner H, Fidaner C, et al. Psychometric properties of the WHOQOL-100 and WHOQOL-BREF. 3P Dergisi. 1999;7:23-40.
21. Soler-Font M, Ramada JM, van Zon SKR, et al. Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial. PLoS One. 2019;14:e0225198.
22. Karahan A, Kav S, Abbasoglu A, et al. Low back pain: prevalence and associated risk factors among hospital staff. J Adv Nurs. 2009;65:516-524.
23. Younan L, Clinton M, Fares S, et al. The relationship between work- related musculoskeletal disorders, chronic occupational fatigue, and work organization: A multi-hospital cross-sectional study. J Adv Nurs. 2019;75:1667-1677.
24. Li Y, Fang J, Zhou C. Work-Related Predictors of Sleep Quality in Chinese Nurses: Testing a Path Analysis Model. J Nurs Res. 2019;27:e44.
25. Ungard W, Kroger-Jarvis M, Davis LS. The Impact of Shift Length on Mood and Fatigue in Pediatric Registered Nurses. J Pediatr Nurs. 2019;47:167-170.
26. Joslin LE, Davis CR, Dolan P, et al. Quality of life and neck pain in nurses. Int J Occup Med Environ Health. 2014;27:236-242.
27. Smith DR, Mihashi M, Adachi Y, et al. A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses. J Safety Res. 2006;37:195-200.
28. Luger T, Maher CG, Rieger MA, et al. Work-break schedules for preventing musculoskeletal symptoms and disorders in healthy workers. Cochrane Database Syst Rev. 2019;7:CD012886.