Volume 3, Issue 4 ( Journal of Clinical and Basic Research (JCBR) 2019)                   jcbr 2019, 3(4): 31-36 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Yahyaei K, Yazdi K, Kolagari S, Rahmani H. Effect of Patient Transfer Training on Low Back Pain in Pre-hospital Emergency Medical Services Personnel. jcbr. 2019; 3 (4) :31-36
URL: http://jcbr.goums.ac.ir/article-1-235-en.html
1- School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
2- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
3- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
Abstract:   (507 Views)
Background and objectives: Pre-hospital emergency medical services (EMS) personnel are responsible for transferring patients. In case of improper patient handling, these individuals become vulnerable to various musculoskeletal problems including back pain. In this study, we aimed to evaluate the impact of an eight-hour training intervention about patient handling and transfer ergonomics on low back pain in pre-hospital EMS personnel working in the Golestan Province, Iran.
Methods: This was a quasi-experimental study with a pre-test/post-test design. The study population consisted of 200 pre-hospital EMS personnel working in the Golestan Province, Iran. Overall, 40 EMS personnel were eligible to participate in the study. Data were collected using a demographic questionnaire, the Oswestry low back pain disability questionnaire and the Quebec back pain disability scale. The eight-hour training session was held by a research nurse, a physiotherapist and a physician. The subjects recompleted the Oswestry low back pain disability questionnaire and the Quebec back pain disability scale at baseline, four weeks and 12 weeks post-intervention. The collected data were analyzed using SPSS 16 and descriptive statistics.
Results: The mean age, body mass index and work experience was 38.6 ± 7.6 years, 25.9 ± 3.5 kg/m2 and 8.27± 5.2 years, respectively. The mean score of functional disability reduced significantly from 35.9 ± 9 at baseline to 27.5 ± 2.5 and 19.6 ± 7 four weeks and 12 weeks after the intervention, respectively (P=0.0001). Furthermore, the mean pain score decreased from 38.7 ± 13.86 to 31.05 ± 10.75 one month post-intervention and to 22.4 ± 9.47 three months post-intervention (P=0.0001).
Conclusion: Our findings suggest that training intervention on ergonomic patient transfer and patient handling can reduce the rate of lower back pain in pre-hospital EMS personnel. 
Full-Text [PDF 208 kb]   (115 Downloads)    
Article Type: Research | Subject: Nursing
Received: 2020/01/9 | Accepted: 2020/01/9 | Published: 2020/01/9

1. Ando S, Ono Y, Shimaoka M, Hiruta S, Hattori Y, Hori F, et al. Associations of self estimated workloads with musculoskeletal symptoms among hospital nurses. Occupational and environmental medicine. 2000;57(3):211-6. [DOI] [Google Scholar]
2. Dunn KM, Croft PR. Epidemiology and natural history of low back pain. Europa medicophysica. 2004;40(1):9-13.
3. Okada N, Ishii N, Nakata M, Nakayama S. Occupational stress among Japanese emergency medical technicians: Hyogo Prefecture. Prehospital and disaster medicine. 2005;20(2):115-21. [DOI] [Google Scholar]
4. Adib-Hajbaghery M, Zohrehea J. Back Pain Among Paramedics: A Pilot Study. Nursing and Midwifery Studies. 2013;2(4):103-4. [DOI] [Google Scholar]
5. Edwards J, Hayden J, Asbridge M, Gregoire B, Magee K. Prevalence of low back pain in emergency settings: a systematic review and meta-analysis. BMC Musculoskeletal Disorders. 2017;18:143. [DOI] [Google Scholar]
6. Barkhordari A, Halvani G, Barkhordari M. The Prevalence of Low Back Pain among Nurses in Yazd, Southeast Iran. International Journal of Occupational Hygiene. 2015;5(1):19-21. [Google Scholar]
7. Asadi p, Monsef Kasmaei V, Zia Ziabari SM, Zohrevandi B. The prevalence of low back pain among nurses working in Poursina hospital in Rasht, Iran. Journal of Emergency Practice and Trauma. 2016;2(1):11-5. [DOI] [Google Scholar]
8. Abedini R, Choobineh AR, Hasanzadeh J. Musculoskeletal Disorders Related to Patient Transfer in Hospital Nursing Personnel. Health System Research Journal. 2012;8(3):385-96. [Google Scholar]
9. Faraz R, Kalroozi F, Pishgooie A, Taheriyan A, Lak M. Prevalence of spinal pain (upper and lower) and its related factors in nurses of AJA. Military Caring Sciences. 2014;1(1):36-42. [DOI] [Google Scholar]
10. Mohseni Bandpei M, Fakhri M, Ahmad Shirvani M, Bagheri Nesami M, Khalilian A. Epidemiological aspects of low back pain in nurses. Journal of Babol University Of Medical Sciences. 2005;7(2):35-40. [Google Scholar]
11. Rahimi A, Vazini H, Alhani F, Anoosheh M. Relationship Between Low Back Pain With Quality of Life, Depression, Anxiety and Stress Among Emergency Medical Technicians. Trauma Mon. 2015;20(2):e18686. [DOI] [Google Scholar]
12. Wiitavaara B, Lundman B, Barnekow-Bergkvist M, Brulin C. Striking a balance-health experiences of male ambulance personnel with musculoskeletal symptoms: A grounded theory. International journal of nursing studies. 2007;44(5):770-9. [DOI] [Google Scholar]
13. Thomas DR, Thomas YLN. Interventions to reduce injuries when transferring patients: A critical appraisal of reviews and a realist synthesis. International Journal of Nursing Studies. 2014;51(10):1381-94. [DOI] [Google Scholar]
14. Ali Arabian F, Motamedzade M, Golmohammadi R, Moghim Beigi A, Pir Hayati F. The Impact of Ergonomics Intervention on Musculoskeletal Disorders among Nahavand Alimoradian Hospital Staff. Journal of Ergonomics. 2013;1(1):23-32. [Google Scholar]
15. Bhimani R. Prevention of Work-related Musculoskeletal Injuries in Rehabilitation Nursing. Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses. 2016;41(6):326-35. [DOI] [Google Scholar]
16. Fairbank JC, Pynsent PB. The Oswestry disability index. Spine. 2000;25(22):2940-53. [DOI] [Google Scholar]
17. Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood-Dauphinee S, Lamping DL, et al. The Quebec Back Pain Disability Scale: Measurement Properties. Spine. 1995;20(3):341-52. [DOI] [Google Scholar]
18. Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale: translation and validation studies of the Iranian versions. Spine (Phila Pa 1976). 2006;31(14):E454-9. [DOI] [Google Scholar]
19. Fongsri U, Rawiworrakul T, Kaewboonchoo O, Kolladarungkri T. Effects of a selfefficacy promoting program for low back pain prevention in patient transfer workers, at a university hospital in Bangkok. Asia J Public Health. 2011;2(2):47-53. [Google Scholar]
20. Owen BD, Keene K, Olson S. An ergonomic approach to reducing back/shoulder stress in hospital nursing personnel: a five year follow up. International journal of nursing studies. 2002;39(3):295-302. [DOI] [Google Scholar]
21. Bing Yip Y. A study of work stress, patient handling activities and the risk of low back pain among nurses in Hong Kong. Journal of advanced nursing. 2001;36(6):794-804. [DOI] [Google Scholar]
22. Nelson A, Matz M, Chen F, Siddharthan K, Lloyd J, Fragala G. Development and evaluation of a multifaceted ergonomics program to prevent injuries associated with patient handling tasks. International Journal of Nursing Studies. 2006;43(6):717-33. [DOI] [Google Scholar]
23. Juibari L, Sanagu A, Farrokhi N. The relationship between knowledge of ergonomic science and the occupational health among nursing staff affiliated to Golestan University of Medical Sciences. Iranian Journal of Nursing and Midwifery Research. 2010;15(4):185-9. [Google Scholar]

Add your comments about this article : Your username or Email:

© 2020 All Rights Reserved | Journal of Clinical and Basic Research

Designed & Developed by : Yektaweb

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.