Musculoskeletal disorders increases the insomnia severity in nurses

Objectives To determine prevalence of musculoskeletal disorders and the relationship between insomnia severity among nurses working in a training and research hospital.

Material and Methods This descriptive study was carried out with 293 nurses. Cornell musculoskeletal disorders questionnaire for musculoskeletal disorders and insomnia severity index were used to determine the insomnia severity.

Results In our study, the severity of the discomfort was mostly moderate and mild in painful areas. There was a significant difference in terms of gender, educational status, marital status, seniority, types of working, and presence of chronic diseases for musculoskeletal disorders in different body regions (p<0.05). It was determined that the threshold level of insomnia was significantly higher in those with musculoskeletal disorders in other body regions except the knee and lower leg region (p<0.05).

Conclusion In our study, it was determined that musculoskeletal disorders were common in the upper body areas and the severity of insomnia was at the threshold level. Neck, right shoulder and right upper arm were risky body areas for insomnia.

Musculoskeletal Diseases - Nurses - Sleep

Publication History

Received: 03 December 2020

Accepted: 22 February 2021

Article published online:
01 December 2023

• REFERENCES

• 1 International Labour Organization (ILO). Safety and health at work: a vision for sustainable prevention [Internet]. Frankfurt: ILO; 2014; [access in ANO Mês dia]. Available from: https://www.ilo.org/wcmsp5/ groups/public/---ed_protect/---protrav/---safework/documents/ publication/wcms_301214.pdf
• 2 Sadeghian F, Hosseinzadeh S, Aliyari R. Do psychological factors increase the risk for low back pain among nurses? A comparing according to crosssectional and prospective analysis. Saf Health Work. 2014 Mar;5(1):13-6. DOI: http://dx.doi.org/10.1016/j.shaw.2013.11.004
• 3 Smith DR, Leggat PA, Speare R. Musculoskeletal disorders and psychosocial risk factors among veterinarians in Queensland, Australia. Aust Vet J. 2009;87(7):260-5.Costa BR, Vieira ER. Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies. Am J Ind Med. 2010 Mar;53(3):285-323.
• 4 Warnakulasuriya SSP, Peiris-John RJ, Coggon D, Ntani G, Sathiakumar N, Wickremasinghe AR. Musculoskeletal pain in four occupational populations in Sri Lanka. Occup Med (Lond). 2012;62(4):269-72.
• 5 Chung YC, Hung CT, Li SF, Lee HM, Wang SG, Chang SC, et al. Risk of musculoskeletal disorder among Taiwanese nurses cohort: a nationwide population- based study. BMC Musculoskelet Disord. 2013 Apr;14:144.
• 6 Ferreira RC, Griep RH, Fonseca MJM, Rotenberg L. A multifactorial approach to sickness absenteeism among nursing staff. Rev Saude Publica. 2012 Apr;46(2):259-68.
• 7 Reza SK. Prevalence of musculoskeletal disorders among paramedics working in a large hospital in Ahwaz, southwestern Iran in 2010. Int J Occup Env Med [Internet]. 2011 Jul; [cited ANO Mês dia]; 2(3):157-65. Available from: https://theijoem.com/ijoem/index.php/ijoem/article/view/98/191
• 8 Kee D, Seo SR. Musculoskeletal disorders among nursing personnel in Korea. Int J Ind Ergon. 2007 Mar;37(3):207-12.
• 9 Souza AC, Alexandre NMC. Musculoskeletal symptoms, work ability, and disability among nursing personnel. Workplace Health Saf. 2012 Aug;60(8):353-60.
• 10 Roghayeh A, Choobineh A, Hasanzade J. Musculoskeletal load assessment in hospital nurses with patient transfer activity. Int J Occup Hyg. 2013;5(2):39-45.
• 11 Choobineh A, Rajaeefard A, Neghab M. Association between perceived demands and musculoskeletal disorders among hospital nurses of Shiraz University of Medical Sciences: a questionnaire survey. Int J Occup Saf Ergon. 2006;12(4):409-16.
• 12 Attar SM. Frequency and risk factors of musculoskeletal pain in nurses at a tertiary centre in Jeddah, Saudi Arabia: a cross sectional study. BMC Res Notes [Internet]. 2014; [cited ANO Mês dia]; 7:61. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T;JS&PAGE;reference&D;emed 12&NEWS;&AN;24460669
• 13 Karimian R, Rahnama N, Habibi E, Ghasemi GA, Karimian M. The effect of corrective exercises on musculoskeletal disorders. Health Syst Res Fall [Internet]. 2010; [cited ANO Mês dia]; 6(3):540-8. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?ID=208552
• 14 Vinstrup J, Jakobsen MD, Calatayud J, Jay K, Andersen LL. Association of stress and musculoskeletal pain with poor sleep: cross-sectional study among 3,600 hospital workers. Front Neurol. 2018 Nov;9:968.
• 15 Akinci E, Orhan F. Circadian rhythm sleep disorders. Curr Appr Psychiatr. 2016;8(2):178-89. DOI: https://doi.org/10.18863/pgy.81775
• 16 Hedge A, Morimoto S, McCrobie D. Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics. 1999 Oct;42(10):1333-49.
• 17 Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell musculoskeletal discomfort questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3):251-60.
• 18 Bastien CH, Vallières A, Morin CM. Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med. 2001 Jul;2(4):297-307.
• 19 Boysan M, Güleç M, Beşiroğlu L. Psychometric properties of the insomnia severity index in Turkish sample. Anatol J Psychiatry. 2010;11:248-52.
• 20 Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C. Work- related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and meta-analysis. Int J Nurs Stud. 2015 Feb;52(2):635-48. DOI: http:// dx.doi.org/10.1016/j.ijnurstu.2014.11.003
• 21 Daraiseh NM, Cronin SN, Davis LS, Shell RL, Karwowski W. Low back symptoms among hospital nurses, associations to individual factors and pain in multiple body regions. Int J Ind Ergon. 2010 Jan;40(1):19-24. DOI: http://dx.doi.org/10.1016/j.ergon.2009.11.004
• 22 Shawashi TO, Subih MM, Al Hadid LAR, Abu Adas M. Occupationalrelated back pain among Jordanian nurses: a descriptive study. Int J Nurs Pract. 2015 May;21(Suppl 2):108-14.
• 23 Gül A, Üstündağ H, Kahraman B, Purisa S. Evaluation of musculoskeletal pain among nurses. Arch Health Sci Res. 2014;1(1):1-10.
• 24 Soylar P, Ozer A. Evaluation of the prevalence of musculoskeletal disorders in nurses: a systematic review. Med Sci Int Med J. 2018 Sep;7(3):479-85.
• 25 Raeisi S, Hosseini M, Attarchi MS, Golabadi M, Rezaei MS, Namvar M. The association between job type and ward of service of nursing personnel and prevalence of musculoskeletal disorders. Razi J Med Sci. 2013 Jun;20(108):1-10.
• 26 Yilmaz E, Özkan S. Determination of the prevalence of low back pain among nurses working in hospitals. Turk J Phys Med Rehab. 2008;54(1):8-12.
• 27 Barrau-Baumstarck K, Rebeschini E, Dalivoust G, Durand-Bruguerolle D, Gazazian G, Martin F. Effets du type d’aménagement horaire du travail sur la qualité de vie: étude auprès de 145 agents paramédicaux des services de réanimation. Presse Med. 2009;38(3):346-53.
• 28 Brandt M, Sundstrup E, Jakobsen MD, Jay K, Colado JC, Wang Y, et al. Association between neck/shoulder pain and trapezius muscle tenderness in office workers. Pain Res Treat. 2014;2014:352735.
• 29 Wu S, He L, Li J, Wang J, Wang S. Visual display terminal use increases the prevalence and risk of work-related musculoskeletal disorders among Chinese office workers: a cross-sectional study. J Occup Health. 2012;54(1):34-43.
• 30 Baek JH, Kim YS, Yi KH. Relationship between comorbid health problems and musculoskeletal disorders resulting in musculoskeletal complaints and musculoskeletal sickness absence among employees in Korea. Saf Health Work. 2015 Jun;6(2):128-33. DOI: http://dx.doi. org/10.1016/j.shaw.2015.03.002
• 31 Madadizadeh F, Vali L, Rafiei S, Akbarnejad Z. Risk factors associated with musculoskeletal disorders of the neck and shoulder in the personnel of Kerman University of Medical Sciences. Electron Physician. 2017 May;9(5):4341-8.
• 32 Sezgin D, Esin MN. Predisposing factors for musculoskeletal symptoms in intensive care unit nurses. Int Nurs Rev. 2015 Mar;62(1):92-101.
• 33 Kalkim A, Midilli T, Dogru S. Musculoskeletal disorder symptoms in nurses and etiological factors: a cross-sectional research. Ann Med Res. 2019;26(3):374.
• 34 Bae SH, Fabry D. Assessing the relationships between nurse work hours/overtime and nurse and patient outcomes: systematic literature review. Nurs Outlook. 2014 Mar;62(2):138-56. DOI: http://dx.doi. org/10.1016/j.outlook.2013.10.009
• 35 Hagberg M, Violante FS, Bonfiglioli R, Descatha A, Gold J, Evanoff B, et al. Prevention of musculoskeletal disorders in workers: classification and health surveillance - Statements of the Scientific Committee on Musculoskeletal Disorders of the International Commission on Occupational Health. BMC Musculoskelet Disord. 2012 Jun;13:109.
• 36 Mehralizadeh S, Dehdashti A, Kashani MM. Structural equation model of interactions between risk factors and work-related musculoskeletal complaints among Iranian hospital nurses. Work. 2017;57(1):137-46.
• 37 Artner J, Cakir B, Spiekermann JA, Kurz S, Leucht F, Reichel H, et al. Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients. J Pain Res [Internet]. 2012 Dec; [cited ANO Mês dia]; 2013:1-6. Available from: https:// www.dovepress.com/prevalence-of-sleep-deprivation-in-patients-withchronic- neck-and-back-peer-reviewed-article-JPR
• 38 Zhang Y, Duffy JF, Castillero ER, Wang K. Chronotype, sleep characteristics, and musculoskeletal disorders among hospital nurses. Workplace Health Saf. 2018 Jan;66(1):8-15.