Back and neck pain disability and upper limb symptoms of home healthcare workers: A case-control study from Northern Italy.
Objectives: Work-related musculoskeletal disorders (MSD) are quite frequent in healthcare workers (HCWs), but data about MSD in home-based healthcare workers (HHWs) are lacking. In this study we describe the prevalence of MSD among Italian HHWs.Material and Methods: A case-control study was carried...
| Publicado en: | International Journal of Occupational Medicine & Environmental Health Vol. 30; no. 2; pp. 291 - 305 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Nofer Institute of Occupational Medicine
2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122281920&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122281920 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12321087 E5J jtl: International Journal of Occupational Medicine & Environmental Health issn: 12321087 maglogo: N pubinfo: dt: 2017 vid: 30 iid: 2 pid: 28640 pub: Nofer Institute of Occupational Medicine artinfo: ui: 122281920 122281920 NLM28366958 122281920 10.13075/ijomeh.1896.00629 NLM28366958 122281920 ppf: 291 ppct: 14 formats: tig: atl: Back and neck pain disability and upper limb symptoms of home healthcare workers: A case-control study from Northern Italy. aug: au: RICCÒ, MATTEO PEZZETTI, FEDERICA SIGNORELLI, CARLO Riccò, Matteo affil: Provincial Agency for Health Services of the Autonomous Province of Trento, Trento, Italy sug: subj: Arm Back Pain Epidemiology Community Health Nursing Neck Pain Epidemiology Female Italy Computer Terminals Occupational Diseases Epidemiology Musculoskeletal Diseases Epidemiology Prevalence Middle Age Case Control Studies Adult Risk Factors Human Middle Aged: 45-64 years Adult: 19-44 years Female ab: Objectives: Work-related musculoskeletal disorders (MSD) are quite frequent in healthcare workers (HCWs), but data about MSD in home-based healthcare workers (HHWs) are lacking. In this study we describe the prevalence of MSD among Italian HHWs.Material and Methods: A case-control study was carried out among 300 random-selected female HCWs, the sample comprising 100 HHWs, 100 HCWs with a low exposure to patient handling (MAPO - Movimentazione e Assistenza Pazienti Ospedalizzati - Movement and Assistance of Hospital Patients index 0-5) and 100 HCWs with high exposure to patient handling (MAPO index ≥ 5.01). As a negative control group, 200 visual display unit workers were also randomly selected. Musculoskeletal disorder cases were collected using a standardized case definition. A multivariate logistic regression analysis was performed comparing the MSD prevalence in the 4 groups.Results: The overall prevalence of MSD was 17% in the reference group and 28.3% for HCWs. HHWs and HCWs with MAPO index ≥ 5.01 had similar prevalence of neck pain (9% and 11%, respectively), whereas lumbosacral pain prevalence was higher in the HHWs group (31%), with similar results in residential HCWs groups (21% in MAPO index 0-5 group and 25% in MAPO index ≥ 5.01 group). HCWs of group MAPO index ≥ 5.01 and HHWs showed the higher prevalence of upper limb complaints, with a prevalence of 20% and 10%, respectively. In multivariate regression analysis, prevalence of MSD complaints was quite similar in HHWs (adjusted odds ratio (ORadj) = 2.335, 95% confidence interval (CI): 1.318-4.138) and in HCWs of the group MAPO ≥ 5.01 (ORadj = 2.729, 95% CI: 1.552-4.797).Conclusions: The prevalence of MSD in the examined HCWs was relatively high, with HHWs appearing as a particularly high-risk group for lumbosacral back pain. In higher exposed HCWs, upper-limb symptoms were particularly frequent, probably reflecting the different tasks required to manage residential and homebased patients. In conclusion, this study reaffirms the high prevalence of MSD in HHWs, seemly similar to high-risk residential groups. Int J Occup Med Environ Health 2017;30(2):291-304. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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