Prevalence and Risk Factors Associated with Chronic Occupational Low Back Pain among Healthcare Professionals Working at Hospitals: Exploratory Survey Study

Abstract

Objective This study aimed to describe the methodological process for developing a questionnaire to identify the prevalence and risk factors for chronic occupational low back pain in healthcare professionals working at hospitals.

Method An exploratory crossectional survey study was carried out in Belo Horizonte, MG, Brazil, and its metropolitan region, in two stages. Initially, the authors prepared a questionnaire based on the Roland Morris disability questionnaire and sent it to a committee of low back pain specialists for validation using the Delphi technique. The second stage consisted of sending the final questionnaire to health professionals working in a hospital environment for at least 2 years and presenting chronic low back pain for at least 3 months.

Results Validation occurred in two rounds of questionnaire adjustments by a panel consisting of physical therapists and physician experts in the field (orthopedists with more than 3 years of experience). Both rounds had 13 participants. The questionnaire initially consisted of 27 items, and, after validation, it had 19 items. The study included 65 subjects, with an average age of 40.91 years old and an average time working at a hospital of 40 hours per week. The total sample had 76.9% of physicians, 10.8% of physical therapists, and 12.3% of nurses or nursing technicians. Most (52.3%) subjects reported staying in uncomfortable positions affecting the lower back for 5 to 10 hours per day.

Conclusion We developed and validated, using the Delphi technique, a questionnaire on the prevalence and risk factors associated with chronic occupational low back pain among healthcare professionals working at hospitals. This unprecedented tool can benefit the population studied since the questionnaires currently used to evaluate chronic low back pain are not specific for investigating the occupational cause of this condition.

Keywords

back pain - health professionals - low back pain - quality of life - work capacity evaluation

Work performed at the Faculdade de Ciências Médicas de Minas Gerais (FCMMG), Belo Horizonte, MG, Brazil.

Publikationsverlauf

Eingereicht: 24. Oktober 2022

Angenommen: 06. November 2023

Artikel online veröffentlicht:
22. Juni 2024

• Referências

• 1 Hartvigsen J, Hancock MJ, Kongsted A. et al; Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. Lancet 2018; 391 (10137): 2356-2367
• 2 Buchbinder M, Brassfield ER, Mishra M. Health Care Providers' Experiences with Implementing Medical Aid-in-Dying in Vermont: a Qualitative Study. J Gen Intern Med 2019; 34 (04) 636-641
• 3 Şimşek Ş, Yağcı N, Şenol H. Prevalence of and risk factors for low back pain among healthcare workers in Denizli. Agri 2017; 29 (02) 71-78
• 4 Keriri HM. Prevalence and Risk Factors of Low Back Pain Among Nurses in Operating Rooms, Taif, Saudi Arabia. J Med Sci Res 2013; 4 (01) 3-10
• 5 Verbeek J, Burdorf A. National variations in back pain: ecological fallacy or cultural differences?. Scand J Work Environ Health 2014; 40 (01) 1-3
• 6 Chatprem T, Puntumetakul R, Boucaut R, Wanpen S, Chatchawan U. A Screening Tool for Patients With Lumbar Instability: A Criteria-related Validity of Thai Version. Spine 2020; 45 (21) E1431-E1438
• 7 Nusbaum L, Natour J, Ferraz MB, Goldenberg J. Translation, adaptation and validation of the Roland-Morris questionnaire–Brazil Roland-Morris. Braz J Med Biol Res 2001; 34 (02) 203-210
• 8 Costa M. Contribuição ao estudo das cervicodorsolombalgias em profissionais de enfermagem [tese]. Ribeirão Preto, São. Paulo: 1993
• 9 Marras WS. Spine biomechanics, government regulation, and prevention of occupational low back pain. Spine J 2001; 1 (03) 163-165
• 10 Silva MC, Fassa AG, Valle NCJ. Dor lombar crônica em uma população adulta do Sul do Brasil: prevalência e fatores associados. Cad Saude Publica, Rio de Janeiro 2004; 20 (02) 377-385
• 11 Almeida MHM, Spínola AWP, Lancman S. Técnica Delphi: validação de um instrumento para uso do terapeuta ocupacional em gerontologia. Rev Ter Ocup Univ Sao Paulo 2009; 20 (01) 49-58
• 12 Burbridge C, Randall JA, Abraham L, Bush EN. Measuring the impact of chronic low back pain on everyday functioning: content validity of the Roland Morris disability questionnaire. J Patient Rep Outcomes 2020; 4 (01) 70
• 13 Ghaffari M, Alipour A, Farshad AA, Jensen I, Josephson M, Vingard E. Effect of psychosocial factors on low back pain in industrial workers. Occup Med (Lond) 2008; 58 (05) 341-347
• 14 Serranheira F, Sousa-Uva M, Heranz F, Kovacs F, Sousa-Uva A. Low Back Pain (LBP), work and absenteeism. Work 2020; 65 (02) 463-469
• 15 Almeida DC, Kraychete DC. Low back pain – a diagnostic approach. Rev Dor 2017; 18 (02) 173-177
• 16 Almeida ICG, Sá KN, Silva M, Baptista A, Matos MA, Lessa I. Chronic low back pain prevalence in the population of the city of Salvador. Rev Bras Ortop 2008; 43 (03) 96-102
• 17 Bendebba M, Dizerega GS, Long DM. The Lumbar Spine Outcomes Questionnaire: its development and psychometric properties. Spine J 2007; 7 (01) 118-132
• 18 Massuda KC, Muzili NA, Lima DF, Taciro C, Oliveira Júnior S, Martinez PF. Incidence of low back pain according to physical activity level in hospital workers. Rev Dor 2017; 18 (01) 8-11
• 19 Hämmig O. Work- and stress-related musculoskeletal and sleep disorders among health professionals: a cross-sectional study in a hospital setting in Switzerland. BMC Musculoskelet Disord 2020; 21 (01) 319
• 20 Anderson SP, Oakman J. Allied Health Professionals and work-related musculoskeletal disorders: A systematic review. Saf Health Work 2016; 7 (04) 259-267