Predicting of pain, disability, and sick leave regarding a non-clinical sample among Swedish nurses

Scandinavian Journal of Pain - Tập 1 - Trang 160-166 - 2010
Annika Nilsson1,2, Per Lindberg2, Eva Denison2,3
1Department of Caring Science and Sociology, University of Gävle, Gävle, Sweden
2Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
3Department of Caring and Public Health Sciences, Mälardalen University, Västerås, Sweden

Tóm tắt

Abstract Objective Health care providers, especially registered nurses (RNs), are a professional group with a high risk of musculoskeletal pain (MSP). This longitudinal study contributes to the literature by describing the prevalence and change in MSP, work-related factors, personal factors, self-reported pain, disability and sick leave (>7 days) among RNs working in a Swedish hospital over a 3-year period. Further, results concerning prediction of pain, disability and sick leave from baseline to a 3-year follow-up are reported. Method In 2003, a convenience sample of 278 RNs (97.5% women, mean age 43 years) completed a questionnaire. In 2006, 244 RNs (88% of the original sample) were located, and 200 (82%) of these completed a second questionnaire. Results Logistic regression analyses revealed that pain, disability and sick leave at baseline best predicted pain, disability, and sick leave at follow-up. The personal factors self-rated health and sleep quality during the last week predicted pain at follow-up, while age, self-rated health, and considering yourself as optimist or pessimist predicted disability at follow-up, however weakly. None of the work-related factors contributed significantly to the regression solution. Conclusions The results support earlier studies showing that a history of pain and disability is predictive of future pain and disability. Attention to individual factors such as personal values may be needed in further research.

Tài liệu tham khảo

Turk DC, Okifuji A. Evaluating the role of physical, operant, cognitive, and affective factors in the pain behaviours of chronic pain patients. Behav Modif 1997;21:259–80. Dysvik E, Natvig GK, Eikeland OJ, Lindstrom TC. Coping with chronic pain. Int J Nurs Stud 2005;42:297–305. Hornsten AH, Sandstrom H, Lundman B. Personal understandings of illness among people with type 2 diabetes. J Adv Nurs 2004;47:174–82. Yip Y. A study of work stress, patient handling activities and the risk of low back pain among nurses in Hong Kong. J Adv Nurs 2001;36:794–804. Eriksen W, Bruusgaard D, Knardahl S. Work factors as predictors of intense or disabling low back pain; a prospective study of nurses’ aides. Occup Environ Med 2004;61:398–404. Lagerstrom M, Hansson T, Hagberg M. Work-related low-back problems in nursing. Scand J Work Environ Health 1998;24:449–64. Bond FW, Bunce D. Job control mediates change in a work reorganization intervention for stress reduction. J Occup Health Psychol 2001;6:290–302. Alexopoulos EC, Burdorf A, Kalokerinou A. Risk factors for musculoskeletal disorders among nursing personnel in Greek hospitals. Int Arch Occup Environ Health 2003;76:289–94. Smith DR, Kondo N, Tanaka E, Tanaka H, Hirasawa K, Yamagata Z. Musculoskeletal disorders among hospital nurses in rural Japan. Rural Remote Health 2003;3:241. Smith DR, Wei N, Kang L, Wang RS. Musculoskeletal disorders among professional nurses in mainland China. J Prof Nurs 2004;20:390–5. Fochsen G, Josephson M, Hagberg M, Toomingas A, Lagerstrom M. Predictors of leaving nursing care: a longitudinal study among Swedish nursing personnel. Occup Environ Med 2006;63:198–201. Hignett S. Work-related back pain in nurses. J Adv Nurs 1996;23:1238–46. Vieira ER, Kumar S, Coury HJ, Narayan Y. Low back problems and possible improvements in nursing jobs. J Adv Nurs 2006;55:79–89. Nicholas MK. In: Linton S, editor. Reducing disability in injured workers: the importance of collaborative management. Pain research and clinical management. Vol. 12: New avenues for the prevention of chronic musculoskeletal pain and disability, 2. Amsterdam: Elsevier; 2002. p. 306. Linton S. New research provides new avenues for prevention: an overview of the book. In: Linton S, editor. Pain research and clinical management, vol. 12. Amsterdam: Elsevier; 2002. p. 1–3. Linton S. Occupational psychological factors increase the risk for back pain: a systematic review. J Occup Rehabil 2001;11:53–66. Kivimaki MJ, Ferrie E, Hagberg J, Head J, Westerlund H, Vahtera J, Alexanderson K. Diagnosis-specific sick leave as a risk marker for disability pension in a Swedish population. J Epidemiol Community Health 2007;61:915–20. Kivimaki MR, Sutinen R, Elovainio M, Vahtera J, Rasanen K, Toyry S, Ferrie JE, Firth-Cozens J. Sickness absence in hospital physicians: 2 year follow up study on determinants. Occup Environ Med 2001;58:361–6. Lotters F, Burdorf A. Prognostic factors for duration of sickness absence due to musculoskeletal disorders. Clin J Pain 2006;22:212–21. Turner JA, Franklin G, Turk DC. Predictors of chronic disability in injured workers: a systematic literature synthesis. Am J Ind Med 2000;38:707–22. Linton S, Keefe F, Lefebvre JC. The behavior management and prevention of chronic pain. In: Caddy GR, Byrne DG, editors. Behavirol medicine: international perspectives. Norwood, NJ: Ablex Publishing; 1992. Tait RC, Chibnall JT, Krause S. The Pain Disability Index: psychometric properties. Pain 1990;40:171–82. Jzelenberg IW, Burdorf A. Impact of musculoskeletal co-morbidity of neck and upper extremities on healthcare utilisation and sickness absence for low back pain. Occup Environ Med 2004;61:806–10. Cannella DT, Lobel M, Glass P, Lokshina I, Graham JE. Factors associated with depressed mood in chronic pain patients: the role of intrapersonal coping resources. J Pain 2007;8:256–62. Ockander M, Timpka T. A female lay perspective on the establishment of longterm sickness absence. Int J Soc Welfare 2001;10:74–9. Poissonnet CM, Veron M. Health effects of work schedules in healthcare professions. J Clin Nurs 2000;9:13–23. Edell-Gustafsson UM. Sleep quality and responses to insufficient sleep in women on different work shifts. J Clin Nurs 2002;11:280–7. Trinkoff AM, Lipscomb JA, Geiger-Brown J, Brady B. Musculoskeletal problems of the neck, shoulder, and back and functional consequences in nurses. Am J Ind Med 2002;41:170–8. Mahat G. Perceived stressors and coping strategies among individuals with rheumatoid arthritis. J Adv Nurs 1997;25:1144–50. Wong WS, Fielding R. Quality of life and pain in Chinese lung cancer patients: is optimism a moderator or mediator? Qual Life Res Int J Qual Life Asp Treat Care Rehabil 2007;16:53–63. Bourbonnais R, Comeau M, Vezina M, Dion G. Job strain, psychological distress, and burnout in nurses. Am J Ind Med 1998;34:20–8. Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R, editors. Handbook of pain assessment. 2nd ed. USA: The Guilford; 2001. p. 15–34. Breivik H. International Association for the Study of Pains: update on WHO-IASP activities. J Pain Symptom Manage 2000;24:97–101. Lu W, Gwee KA. Functional bowel disorders in rotating shift nurses may be related to sleep disturbances. Eur J Gastroenterol Hepatol 2006;18:623–7. Swedish Council on Technology in Health Care. Ont i ryggen och ont i nacken (Back and neck pain). Stockholm: Swedish Council on Technology Assessment in Health Care; 2000. Swedish Council on Technology in Health Care. Sjukskrivning, orsaker konsekvenser och praxis (Sickness absence, causes, consequences and practices). Stockholm: Swedish Council on Technology Assessment in Health Care; 2003. Swedish Council on Technology in Health Care. Metoder för behandling av långvarig smärta (Methods for long term pain treatment). Stockholm: Swedish Council on Technology Assessment in Health Care; 2006. Twisk J, de Vente W. Attrition in longitudinal studies. How to deal with missing data. J Clin Epidemiol 2002;55:329–37.