Risk Indicators for Reported Over-Exertion Back Injuries among Female Nursing Personnel

We conducted a case-referent study to identify and quantify work-related and non-work-related risk indicators for reported over-exertion back injuries among nursing personnel. The source population was all nursing personnel employed in the Stockholm County hospitals during a 32-month period. The 240...

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Bibliographic Details
Published in:Epidemiology (Cambridge, Mass.) Mass.), 2000-09, Vol.11 (5), p.519-522
Main Authors: Engkvist, Inga-Lill, Hjelm, Ewa Wigaeus, Hagberg, Mats, Menckel, Ewa, Ekenvall, Lena
Format: Article
Language:English
Subjects:
Accidents
Accidents, Occupational - statistics & numerical data
Adult
Back injuries
Back Injuries - etiology
Back pain
Biological and medical sciences
Ergonomics
Ergonomics. Workplace layout
Ergonomics. Workplace layout. Occupational psychology
Exertion
Female
Humans
Lifting - adverse effects
Logistic Models
Medical sciences
Medicin och hälsovetenskap
Middle Aged
Nurses
Nursing homes
Occupational medicine
Patient Transfer
Physical trauma
Public health. Hygiene-occupational medicine
Referents
Risk Factors
Sprains and strains
Sweden
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Summary:We conducted a case-referent study to identify and quantify work-related and non-work-related risk indicators for reported over-exertion back injuries among nursing personnel. The source population was all nursing personnel employed in the Stockholm County hospitals during a 32-month period. The 240 cases and 614 referents completed questionnaires about occupation, type of clinic, working hours, shift work, patient transfers, perceived exertion, back pain, prior back injury, job strain, body mass index (BMI), smoking, immigrant status, physical training, and self-rated fitness. The highest relative risks (RR) were observed for work-related factors: working at an orthopedic clinic (RR = 5.2; 95% CI = 2.7-10.2), ≥1 patient transfer/shift (RR = 2.7; 95% CI = 1.6-4.5), and working full-time (RR = 2.4; 95% CI = 1.6-3.6). Training in the use of transfer devices, and regular use of transfer devices, reduced the relative risk from patient transfer. Among the non-work-related factors, only body mass index$\geq 25\ {\rm kg}/{\rm m}^{2}$and immigrant status was associated with a slight increase in relative risk.
ISSN:1044-3983
1531-5487
DOI:10.1097/00001648-200009000-00006