Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Türk Hemşirelerinde Kas-İskelet Sistemi Rahatsızlıkları: Sistematik Derleme
Musculoskeletal System Disorders in the Turkish Nurses: The Systematic Review
Eylül Gülnur ERDOĞANa, Özlem ÖRSALb
aHemşirelik Bölümü, Halk Sağlığı Hemşireliği ABD, Eskişehir Osmangazi Üniversitesi Sağlık Bilimleri Enstitüsü,
bHemşirelik Bölümü, Halk Sağlığı Hemşireliği ABD, Eskişehir Osmangazi Üniversitesi, Sağlık Bilimleri Fakültesi,
Eskişehir, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2019;11(3):262-72
doi: 10.5336/nurses.2018-64391
Article Language: TR
Full Text
ÖZET
 Amaç: Bu sistematik derlemenin amacı, Türk hemşirelerinde kas iskelet sistemi rahatsızlıklarını belirlemektir. Gereç ve Yöntemler: Çalışma, PubMed, EBSCO Host, ULAKBİM Tıp Veri Tabanı ve Google Akademi taranarak yürütülmüştür. İngilizce anahtar kelimeler için ?Medical Subject Headings?, Türkçe anahtar kelimeler için ise ?Türkiye Bilim Terimleri? dizinlerine bakılmıştır. Konuyla ilgili 2.575 çalışma incelenmiştir. Araştırmaya dâhil edilme kriterlerine uygun toplam yedi yayın çalışma kapsamına alınmış ve karşılaştırma, sınırlılık ve sonuçlar açısından değerlendirilmiştir. Bu sistematik derlemede; üçü tanımlayıcı, üçü kesitsel ve biri ise tanımlayıcı ve kesitsel araştırma desenindeki araştırmalarda en az 120 en fazla 2.400 hemşire ile çalışılmıştır. Derlemeye dâhil edilme kriterlerini; Türk hemşirelerinde kas-iskelet sistemi rahatsızlıklarını belirten, yıl ve dil sınırlaması olmayan tüm çalışmalar oluşturmaktadır. Bulgular: Çalışmalardan yedisinde %12,1-69,0?ının bel, beşinde %30,3-54,0?ının boyun, beşinde %17,8-46,0?ının omuz, beşinde %12,1-56,2?sinin sırt, üçünde %12,2-64,4?ünün bacak, ikisinde %10,4-14,6?sının kol, birinde %9,6?sının el/el bileği, birinde %35?inin diz ağrısı yaşadığı bildirilmektedir. Derlemelerde kas-iskelet sistemi rahatsızlığına etki eden faktörler; çalışma yılı, çalışılan birim, iş yükü, duruş pozisyonları, yaş, eğitim, çalışma şekli, işten ayrılma, görev değişikliği, ilaç kullanma, rapor alma ve iş kazasıdır. Sonuç: Bu sistematik derlemede, 2001 yılından itibaren yedi çalışmaya ulaşılmış olması, tüm vücut bölümlerini ele alan çalışmaların çoğunluğunun tanımlayıcı olması hemşirelerde kas iskelet sistemi rahatsızlıklarıyla yapılan çalışmaların yetersizliğini ortaya çıkarmaktadır.

Anahtar Kelimeler: Kas iskelet hastalıkları; kas iskelet ağrısı; hemşirelik
ABSTRACT
 Objective: The aim of this systematic review is to determine musculoskeletal system disorders in Turkish nurses. Material and Methods: The study was conducted by scanning the PubMed, EBSCO Host, ULAKBİM Medical Database and Google Academy. For the English keywords ?Medical Subject Headings? and Turkish key words, the ?Turkish Science Terms? directories are examined. 2.575 studies on the subject were examined. A total of seven publications were included in the study and evaluated in terms of comparison, limitations and results. In this systematic review, three identifiers, three of which were cross-sectional and one of the descriptive and cross-sectional research patterns, were studied with at least 120 and a maximum of 2.400 nurses. Inclusion criteria; Turkish nurses constitute all the studies indicating the problems of musculoskeletal system, without year and language limitation. Results: In seven of the studies, the back of 12.1-69% of the waist, 5% of the neck of 30.3-54.0%, 5 of 17.8-46.0 in the shoulder, 5% of 12.1-56.2, on 3, 64.4% of the leg, 2% of the arm of 10.4-14.6%, the hand/wrist of 9.6% in 1, 35% of the knee pain in 1 is reported to have lived. Factors affecting musculoskeletal system discomfort in the assemblies; Working year, work unit, workload, posture positions, age, education, work style, severance, task change, drug use, report retrieval and work accident. Conclusion: In this systematic review, seven studies have been reached since 2001, and the majority of the works taking over all body parts are descriptive of the work carried out with the musculoskeletal disorders of the nurses.

Keywords: Musculoskeletal diseases; musculoskeletal pain; nursing
REFERENCES:
  1. The European Musculoskeletal Conditions Surveillance and Information Network (EUMUSC) Musculoskeletal health in Europe report v5.0. http://www.eumusc.net /myUpload Data/files/Musculoskeletal Health in Europe Report v5. Erişim tarihi: 7 Temmuz 2018.
  2. Violante FS, Farioli A, Graziosi F, Marinelli F, Curti S, Armstrong TJ, et al. Carpal tunnel syndrome and manual work: the OCTOPUS cohort, results of a ten-year longitudinal study. Scand J Work Environ Health. 2016;42(4): 280-90. [Crossref]  [PubMed] 
  3. Madeleine P, Vangsgaard S, Hviid Andersen J, Ge HY, Arendt-Nielsen L. Computer work and self-reported variables on anthropometrics, computer usage, work ability, productivity, pain, and physical activity. BMC Musculoskelet Disord. 2013;14:226. [Crossref]  [PubMed]  [PMC] 
  4. Republic of Turkey Ministry of Health. Türkiye Kas ve İskelet Sistemi Hastalıkları Önleme ve Kontrol Programı (2015-2020). Yayın No: 1013. Ankara: Anıl Reklam Matbaa Ltd. Şti; 2015. p.58.
  5. Uz Tunçay S, Yeldan İ. [Is physical inactivity associated with musculoskeletal disorders?]. AĞRI. 2013;25(4):147-55. [Crossref]  [PubMed] 
  6. Irastorza X, Milczarek M, Cockburn W, European Agency for Safety and Health at Work (EU-OSHA). Second European Survey of Enterprises on New and Emerging Risks (ESENER-2) Overview Report: Managing Safety and Health at Work European Risk Observatory. EU-OSHA-European Agency for Safety and Health at Work, 2016. https://osha.europa.eu/en/tools-and-publications/publications/second-european-survey-enterprises-new-and-emerging-risks-esener |
  7. Berk M, Önal B, Güven R, Çalışma ve Sosyal Güvenlik Bakanlığı, İş Sağlığı ve Güvenliği Genel Müdürlüğü (İSGGM). Meslek Hastalıkları Rehberi. Ankara: Matsa Basımevi; 2011. p.479.
  8. Ribeiro T, Serranheira F, Loureiro H. Work related musculoskeletal disorders in primary health care nurses. Appl Nurs Res. 2017;33:72-7. [Crossref]  [PubMed] 
  9. Freimann T, Coggon D, Merisalu E, Animagi L, Pääsuke M. Risk factors for musculoskeletal pain amongst nurses in Estonia: a cross-sectional study. BMC Musculoskelet Disord. 2013;14:334. [Crossref]  [PubMed]  [PMC] 
  10. Niskanen T, Naumanen P, Hirvonen ML. An evaluation of EU legislation concerning risk assessment and preventive measures in occupational safety and health. Appl Ergon. 2012;43(5):829-42. [Crossref]  [PubMed] 
  11. Chiou ST, Chiang JH, Huang N, Wu CH, Chien LY. Health issues among nurses in Taiwanese hospitals: national survey. Int J Nurs Stud. 2013;50(10):1377-84. [Crossref]  [PubMed] 
  12. Tokur Kesgin M, Kublay G. [The evaluation of healthy problems caused from working conditions and life habits of nurses that working in a private hospital]. Hacettepe University Faculty of Health Sciences Nursing Journal. 2011;41-9.
  13. Cebeci H. [Work-related accidents and employee safety in the hospitals: an application at Karabuk city centre]. Uluslararası İşletme ve Yönetim Dergisi. 2013;1(1):62-82. [Crossref] 
  14. CRD, University of York. Systematic Reviews. CRD's guidance for undertaking reviews in health care. 3. baskı. Hallfield Rd York: York Publishing Services Ltd; 2009. p.277.
  15. Tezel A. Musculoskeletal complaints among a group of Turkish nurses. Int J Neurosci. 2005;115(6):871-80. [Crossref]  [PubMed] 
  16. Pınar R. Work-related musculoskeletal disorders in turkish hospital nurses. Turkiye Klinikleri J Med Sci. 2010;30(6):1869-75. [Crossref] 
  17. Ergüney S, Tan M, Sivrikaya S, Erdem N. [Occupational risks that nurses face]. Atatürk Üniv. Hemşirelik Yüksekokulu Dergisi. 2001;4(1):63-73.
  18. Yılmaz E, Özkan S. [The evaluation of health problems and life habits of nurses who works in a district]. Fırat Sağlık Hizmetleri Dergisi. 2006;1(3):82-99.
  19. Gül A, Üstündağ H, Kahraman B, Purisa S. [Evaluation of musculoskeletal pain among nurses]. HSP. 2014;1(1):1-10. [Crossref] 
  20. Sezgin D, Esin MN. Predisposing factors for musculoskeletal symptoms in intensive care unit nurses. Int Nurs Rev. 2015;62(1):92-101. [Crossref]  [PubMed] 
  21. Borenstein D. [Romatizmal hastalığı olan hastaya yaklaşım]. In: Imboden J, Hellman DB, Stone JH, eds. Arasıl T, çeviri editörü. 1. baskı. Current Romatoloji Tanı ve Tedavi. Ankara: Güneş Kitabevi; 2006. p.504.
  22. Devin C, Sillay K, Cheng J. Neck pain. In: Firestein GS, Budd RC, Harris ED, et al., eds. Kelley's Textbook of Rheumatology. 8th ed. Edinburgh; Philadelphia: Elsevier Saunders; 2008. p.571-86. [Crossref] 
  23. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-64. [Crossref]  [PubMed]  [PMC] 
  24. Moradi A, Ebrahimzadeh MH, Ring D. Nonspecific arm pain. Arch Bone Jt Surg. 2013;1(2):53-8.
  25. Hadler MN. Nerve entrapment syndromes. In: Koopman JW, Moreland WL, eds. Arthritis and Allied Conditions. A Textbook of Rheumatology. 15th ed. Baltimore: Lippincott Williams Wilkins; 2005. p.2109-16.
  26. Lewis LC, Mireles DZ. Occupational health hazard: carpal tunnel syndrome. Semin Perioper Nurs. 1997;6(2):105-10.
  27. Cooper G, Tatli Y, Lutz GE. Spine and musculoskeletal medicine. In: Cooper G, ed. Essential Physical Medicine and Rehabilitation. 1. Baskı. Humana Press: New Jersey; 2006. p.249-85. [Crossref]  [PubMed] 
  28. Trinkoff AM, Lipscomb JA, Geiger-Brown J, Storr CL, Brady BA. Perceived physical demands and reported musculoskeletal problems in registered nurses. Am J Prev Med. 2003;24(3):270-5. [Crossref] 
  29. Alexopoulos EC, Burdorf A, Kalokerinou A. Risk factors for musculoskeletal disorders among nursing personel in Greek hospitals. Int Arch Occup Environ Health. 2003;76(4): 289-94.
  30. Roupa Z, Vassilopoulos Α, Sotiropoulou P, Makrinika E, Νoula Μ, Faros E, et al. The problem of lower back pain in nursing staff and its effect on human activity. HSJ. 2008;2(4): 219-25.
  31. Mitchell T, O'Sullivan PB, Burnett AF, Straker L, Rudd C. Low back pain characteristics from undergraduate student to working nurse in Australia: a cross-sectional survey]. Int J Nurs Stud. 2008;45(11):1636-44. [Crossref]  [PubMed] 
  32. Karahan A, Bayraktar N. Determination of the usage of body mechanics in clinical settings and the occurrence of low back pain in nurses. Int J Nurs Stud. 2004;41(1):67-75. [Crossref] 
  33. Smedley J, Egger P, Cooper C, Coggon D. Prospective cohort study of predictors of ıncident low back pain in nurses. BMJ. 1997;314(7089):1225-8. [Crossref]  [PubMed]  [PMC] 
  34. Fredericson M, Wun C. Differential diagnosis of leg pain in the athlete. J Am Podiatr Med Assoc. 2003;93(4):321-4. [Crossref]  [PubMed] 
  35. Louw JA. The differential diagnosis of neurogenic and referred leg pain. SA Orthopaedic Journal Winter. 2014;13(2):17-30.
  36. Huddleston JI, Goodman SB. Hip and knee pain. In: Firestein GS, Budd RC, Harris ED, et al., eds. Kelley's Textbook of Rheumatology. 8th ed. Elsevier: Philadelphia 2008. p.524-9.
  37. Ko YJ, Kim YT, Kim DDJ. Problem oriented history taking and physical examination of patients with foot pain. Phys Med Rehabil. 2001;15(3):439-56.
  38. Aydın AT. Ayak Bileği Artroskopisinin tarihsel gelişimi. In: Aydın AT, editör. Ayak Bileği Artroskopisi. Antalya: Orkun Ozan Medya Hiz. AŞ; 2009. p.42-4.
  39. Kılıç D, Karabulut N, Köse S. [Study of professionel risk health problems and preventive behaviours of nurses]. MN Dahili Tıp Bilimleri. 2008;3(1):32-9.
  40. Leung AS, Chang LM. Organizational downsizing: psychological impact on surviving managers in Hong Kong. Asia Pacific Business Review. 2002;8(3):76-94. [Crossref] 
  41. Ashfaq S, Mahmood Z, Ahmad M. Impact of work-life conflict and work over load on employee performance in banking sector of Pakistan. Middle-East J Sci Res. 2013;14(5): 688-95.
  42. O'Brien-Pallas L, Duffield C, Murphy GT, Birch S, Meyer R. Nursing workforce planning: mapping the policy trail. Issue 2. In The Global Nursing Review Initiative Geneva. International Council of Nurses. 2005.
  43. Carayon P, Gurses AP. Nursing Workload and Patient Safety-A Human Factors Engineering Perspective. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 30.
  44. Top M, Gider Ö, Taş Y, Çimen S. [Physicians' assessments about casual factors of medical errors: a field study from Kocaeli province]. Hacettepe Sağlık İdaresi Dergisi. 2009;11(2): 166-70.
  45. Demirgöz Bal M. [Nursing manpower planning approaches in hospital]. Sağlık ve Hemşirelik Yönetim Dergisi. 2014;3(1):148-50. [Crossref] 
  46. Esen H, Fığlalı N. [Working posture analysis methods and the effects of working posture on musculoskeletal disorders]. SU J Sci. 2013;17(1):41-51. [Crossref] 
  47. Lu JM, Twu LJ, Wang MJJ. Risk assessments of work-related musculoskeletal disorders among the TFT-LCD manufacturing operators. Int J Ind Ergon. 2016;52:40-51. [Crossref] 
  48. Goswami S, Ghosh S, Sahu S. Evaluation of ergonomic risk factors in manual patient handling tasks of Indian nurses. Ergonomics SA. 2017;29(1):2-10. [Crossref] 
  49. Soyuer F, Soyuer A. [Older adults and physical activity]. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008;15(3):219-24.
  50. Meeks-Sjostrom D, Lopuszynski SA, Bairan A. The wisdom of retaining experienced nurses at the bedside: a pilot study examining a minimal lift program and its impact on reducing patient movement related injuries of bedside nurses. Medsurg Nurs. 2010;19(4): 233-6.
  51. Gupta S. Ergonomic applications to dental practice. Indian J Dent Res. 2011;22(6):816-22. [Crossref]  [PubMed] 
  52. Şirzai H, Doğu B, Erdem P, Yılmaz F, Kuran B. [Work-related musculoskeletal diseases in hospital workers: upper extremity problems]. The Medical Bulletin of Şişli Etfal Hospital. 2015;49(2):135-41. [Crossref] 
  53. Cımbız A, Uzgören N, Aras Ö, Öztürk S, Elem E, Aksoy CC. [Determination of musculoskeletal pain risk factors using logistic regression analysis: a pilot study]. Fizyoterapi Rehabilitasyon Dergisi. 2007;18(1):20-7.

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www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com