Prevalence and Factors Associated with Occupational Musculoskeletal Disorders among the Nurses of a Tertiary Care Center of Nepal

Introduction: Musculoskeletal disorders (MSDs) are injuries or pain in the human musculoskeletal system which could lead to temporary or permanent impairments. The nature of nursing jobs makes nurses vulnerable to MSDs. This study aimed to assess the prevalence and potential risk factors associated...

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Main Authors: Pratima Karki, Yadav Prasad Joshi, Shankar Prasad Khanal, Sujan Gautam, Shishir Paudel, Roshna Karki, Radha Acharya
Format: Article
Language:English
Published: Occupational Health and Safety Society of Nepal 2023-07-01
Series:International Journal of Occupational Safety and Health
Subjects:
Online Access:https://www.nepjol.info/index.php/IJOSH/article/view/51792
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author Pratima Karki
Yadav Prasad Joshi
Shankar Prasad Khanal
Sujan Gautam
Shishir Paudel
Roshna Karki
Radha Acharya
author_facet Pratima Karki
Yadav Prasad Joshi
Shankar Prasad Khanal
Sujan Gautam
Shishir Paudel
Roshna Karki
Radha Acharya
author_sort Pratima Karki
collection DOAJ
description Introduction: Musculoskeletal disorders (MSDs) are injuries or pain in the human musculoskeletal system which could lead to temporary or permanent impairments. The nature of nursing jobs makes nurses vulnerable to MSDs. This study aimed to assess the prevalence and potential risk factors associated with MSDs among nurses. Methods: In between March to June 2021, a cross-sectional study was conducted among 165 nurses using self-administered questionnaires. A standardized Nordic Questionnaire was used to measure MSDs. Pearson’s chi-square test and binary logistic regression at a 5% level of significance were performed to identify factors associated with upper extremities and spinal musculoskeletal disorders (UMSD) and lower extremities musculoskeletal disorders (LMSD). Variables associated with UMSD and LMSD in bivariate analysis were subjected to multiple logistic regression.  Results: The prevalence of UMSD and LMSD experienced by nurses was 86.1% (95% CI: 79.4%-90.9%) and 66.1% (95% CI: 58.9%-74.3%), respectively. Among several factors, working in same position for long periods (AOR: 4.16, 95% CI: 1.2-13.4), not receiving training in injury prevention programs (AOR: 3.15, 95% CI: 1.0-9.2), not enough rest breaks during the day (AOR: 4.65, 95% CI: 1.3-15.9) and moderate to higher job stress (AOR: 3.62, 95% CI: 1.2-10.8) were found to be significantly associated with UMSD. Not having enough rest breaks during the day (AOR: 2.19, 95% CI: 1.0-4.7) was significantly associated with LMSD. Conclusion: Higher prevalence of MSDs among nurses is a serious concern that threatens individual health as well as the overall healthcare system. Sensitization and capacity enhancement programs on the issue could prevent MSDs among nurses.
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spelling doaj.art-a630b050b0e747eeaf504bdd95c263e72023-07-24T10:03:43ZengOccupational Health and Safety Society of NepalInternational Journal of Occupational Safety and Health2738-97072091-08782023-07-0113310.3126/ijosh.v13i3.51792Prevalence and Factors Associated with Occupational Musculoskeletal Disorders among the Nurses of a Tertiary Care Center of NepalPratima Karki0Yadav Prasad Joshi1Shankar Prasad Khanal2Sujan Gautam3Shishir Paudel4Roshna Karki5Radha Acharya6Manmohan Memorial Institute of Health Sciences, Kathmandu, NepalManmohan Memorial Institute of Health Sciences, Kathmandu, Nepal Central Department of Statistics, Tribhuvan University, Kathmandu, Nepal Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal CiST college, Pokhara University, Naya Baneshwor, Kathmandu, NepalManmohan Memorial Institute of Health Sciences, Kathmandu, NepalSchool of Medical Science, Kathmandu University, Kavrepalanchok, Nepal Introduction: Musculoskeletal disorders (MSDs) are injuries or pain in the human musculoskeletal system which could lead to temporary or permanent impairments. The nature of nursing jobs makes nurses vulnerable to MSDs. This study aimed to assess the prevalence and potential risk factors associated with MSDs among nurses. Methods: In between March to June 2021, a cross-sectional study was conducted among 165 nurses using self-administered questionnaires. A standardized Nordic Questionnaire was used to measure MSDs. Pearson’s chi-square test and binary logistic regression at a 5% level of significance were performed to identify factors associated with upper extremities and spinal musculoskeletal disorders (UMSD) and lower extremities musculoskeletal disorders (LMSD). Variables associated with UMSD and LMSD in bivariate analysis were subjected to multiple logistic regression.  Results: The prevalence of UMSD and LMSD experienced by nurses was 86.1% (95% CI: 79.4%-90.9%) and 66.1% (95% CI: 58.9%-74.3%), respectively. Among several factors, working in same position for long periods (AOR: 4.16, 95% CI: 1.2-13.4), not receiving training in injury prevention programs (AOR: 3.15, 95% CI: 1.0-9.2), not enough rest breaks during the day (AOR: 4.65, 95% CI: 1.3-15.9) and moderate to higher job stress (AOR: 3.62, 95% CI: 1.2-10.8) were found to be significantly associated with UMSD. Not having enough rest breaks during the day (AOR: 2.19, 95% CI: 1.0-4.7) was significantly associated with LMSD. Conclusion: Higher prevalence of MSDs among nurses is a serious concern that threatens individual health as well as the overall healthcare system. Sensitization and capacity enhancement programs on the issue could prevent MSDs among nurses. https://www.nepjol.info/index.php/IJOSH/article/view/51792Ergonomicsoccupational healthprevalencerisk factorsmusculoskeletal disordernepal
spellingShingle Pratima Karki
Yadav Prasad Joshi
Shankar Prasad Khanal
Sujan Gautam
Shishir Paudel
Roshna Karki
Radha Acharya
Prevalence and Factors Associated with Occupational Musculoskeletal Disorders among the Nurses of a Tertiary Care Center of Nepal
International Journal of Occupational Safety and Health
Ergonomics
occupational health
prevalence
risk factors
musculoskeletal disorder
nepal
title Prevalence and Factors Associated with Occupational Musculoskeletal Disorders among the Nurses of a Tertiary Care Center of Nepal
title_full Prevalence and Factors Associated with Occupational Musculoskeletal Disorders among the Nurses of a Tertiary Care Center of Nepal
title_fullStr Prevalence and Factors Associated with Occupational Musculoskeletal Disorders among the Nurses of a Tertiary Care Center of Nepal
title_full_unstemmed Prevalence and Factors Associated with Occupational Musculoskeletal Disorders among the Nurses of a Tertiary Care Center of Nepal
title_short Prevalence and Factors Associated with Occupational Musculoskeletal Disorders among the Nurses of a Tertiary Care Center of Nepal
title_sort prevalence and factors associated with occupational musculoskeletal disorders among the nurses of a tertiary care center of nepal
topic Ergonomics
occupational health
prevalence
risk factors
musculoskeletal disorder
nepal
url https://www.nepjol.info/index.php/IJOSH/article/view/51792
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