Adhikari S, Dhakal G
National Academy of Medical Sciences, Kathmandu, Nepal.
Nepalese Army Institute of Health Sciences, College of Nursing, Kathmandu, Nepal.
J Nepal Health Res Counc. 2014 Sep-Oct;12(28):167-71.
Nursing is considered as caring profession and nurse is a person who provides holistic care to the individual or community. Nurse's jobs vary from simple task to more complex one and are at risk of various occupational health problems. Among those, musculoskeletal problem including low back pain (LBP) is commonest one. Thus this study examines the prevalence and perceived causes of low back pain and its impact among the nurses working in national heart centre.
A descriptive cross-sectional study design was used. After informed verbal consent, 50 nurses were selected purposively. Semi structured self administered questionnaires with single and multiple response items were distributed to them and were collected next day. Response rate was 100%. Data was analyzed using the Statistical Package for the Social Sciences (SPSS) version 16 for windows. Descriptive statistics i.e., percentage, mean and chi square was used to interpret the data. For multiple responses, percentage was calculated in terms of total responses therefore exceeds 100%.
Among 50 nurses, 78% of nurses were suffering from LBP. Study found that LBP was predominant among married nurses (88%) compared to unmarried (69%). Prolonged standing (82%), heavy physical workload and frequent bending & twisting (51% each) were some perceived causes of low back pain. Due to LBP, 44% were not able to perform their job properly, 33% became less productive, 28% had restriction in work and 26% could not provide quality care to the patient.
Three fourth of nurses working at national heart centre were suffering from low back pain which indicates high prevalence. Therefore it is recommended to maintain proper body mechanics and use supportive devices like back belts, knee cap, and chair with back rest during patient care.
护理被视为一项关怀性职业，护士是为个人或社区提供整体护理的人员。护士的工作从简单任务到复杂任务各不相同，且面临各种职业健康问题的风险。其中，包括腰痛（LBP）在内的肌肉骨骼问题是最常见的。因此，本研究调查了国家心脏中心护士中腰痛的患病率、感知到的病因及其影响。
采用描述性横断面研究设计。在获得知情口头同意后，有目的地选取了50名护士。向他们发放了包含单项和多项回答项目的半结构化自填式问卷，并于次日收回。回复率为100%。使用适用于Windows的社会科学统计软件包（SPSS）版本16对数据进行分析。描述性统计，即百分比、均值和卡方检验用于解释数据。对于多项回答，按总回答数计算百分比，因此可能超过100%。
在50名护士中，78%的护士患有腰痛。研究发现，已婚护士中腰痛更为普遍（88%），而未婚护士中为69%。长时间站立（82%）、繁重的体力工作量以及频繁弯腰和扭转（各51%）是一些被认为的腰痛原因。由于腰痛，44%的人无法正常履行工作职责，33%的人工作效率降低，28%的人工作受到限制，26%的人无法为患者提供优质护理。
在国家心脏中心工作的四分之三护士患有腰痛，这表明患病率很高。因此，建议在护理患者期间保持正确的身体力学姿势，并使用诸如背带、护膝和有靠背的椅子等支撑设备。
