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王 立, 宁 宁, 陈 佳, 李 佩, 谢 静, 杨 辉, 朱 红, 侯 爱. [Nomographic Model for Predicting Severe Foot Pain in Nurses from Tertiary Hospitals in China]. SICHUAN DA XUE XUE BAO. YI XUE BAN = JOURNAL OF SICHUAN UNIVERSITY. MEDICAL SCIENCE EDITION 2023; 54:596-601. [PMID: 37248590 PMCID: PMC10475404 DOI: 10.12182/20230560204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Indexed: 05/31/2023]
Abstract
Objective To investigate the prevalence and common sites of severe foot pain among nurses, to define the risk factors of severe foot pain in nurses in tertiary hospital in China, and to construct a nomograph model for predicting individuals' risks for severe foot pain. Methods Between August 2019 and December 2019, a stratified global sampling method was used to select 10691 nurses from 351 tertiary hospitals in China to investigate the incidence of severe foot pain among them. The variables that may affect the occurrence of severe foot pain were analyzed by single factor analysis to identify the influencing factors of severe foot pain in nurses. Furthermore, the independent risk factors of severe foot pain were analyzed by stepwise logistic regression analysis. The statistically significant factors identified in the multivariate regression analysis were incorporated into the nomograph prediction model. The predictive performance of the nomograph was measured by the consistency index (C-index) and calibrated with 1000 Bootstrap samples. Results A total of 3419 nurses out of the 10691 had foot pain, resulting in an incidence of 31.98%. The incidence of severe pain (VAS score 7-10) was 2.27% (243 of 10691). The locations of severe pain were more commonly found in the soles and heels of both feet. Six factors, including age, education, the material of the work shoes, comfortableness of the work shoes, number of complications, and foot injure history, were incorporated in the nomograph predicting model. The C-index value was 0.706 and the standard curve fitted well with the calibrated prediction curve. Conclusion The risk prediction model constructed in this study showed sound performance in predicting the risk of severe foot pain in nurses, and all the indicators involved are simple and the relevant data are easily obtained. The model can provide reference for preventing severe foot pain in nurses.
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Affiliation(s)
- 立群 王
- 四川大学华西医院 骨科/四川大学华西医院 骨科研究所/四川大学华西护理学院 (成都 610041)Department of Orthopaedics/Orthopaedic Research Institute, West China Hospital, Sichuan University/West China School of Nursing, Chengdu 610041, China
| | - 宁 宁
- 四川大学华西医院 骨科/四川大学华西医院 骨科研究所/四川大学华西护理学院 (成都 610041)Department of Orthopaedics/Orthopaedic Research Institute, West China Hospital, Sichuan University/West China School of Nursing, Chengdu 610041, China
| | - 佳丽 陈
- 四川大学华西医院 骨科/四川大学华西医院 骨科研究所/四川大学华西护理学院 (成都 610041)Department of Orthopaedics/Orthopaedic Research Institute, West China Hospital, Sichuan University/West China School of Nursing, Chengdu 610041, China
| | - 佩芳 李
- 四川大学华西医院 骨科/四川大学华西医院 骨科研究所/四川大学华西护理学院 (成都 610041)Department of Orthopaedics/Orthopaedic Research Institute, West China Hospital, Sichuan University/West China School of Nursing, Chengdu 610041, China
| | - 静颖 谢
- 四川大学华西医院 骨科/四川大学华西医院 骨科研究所/四川大学华西护理学院 (成都 610041)Department of Orthopaedics/Orthopaedic Research Institute, West China Hospital, Sichuan University/West China School of Nursing, Chengdu 610041, China
| | - 辉亮 杨
- 四川大学华西医院 骨科/四川大学华西医院 骨科研究所/四川大学华西护理学院 (成都 610041)Department of Orthopaedics/Orthopaedic Research Institute, West China Hospital, Sichuan University/West China School of Nursing, Chengdu 610041, China
| | - 红彦 朱
- 四川大学华西医院 骨科/四川大学华西医院 骨科研究所/四川大学华西护理学院 (成都 610041)Department of Orthopaedics/Orthopaedic Research Institute, West China Hospital, Sichuan University/West China School of Nursing, Chengdu 610041, China
| | - 爱琳 侯
- 四川大学华西医院 骨科/四川大学华西医院 骨科研究所/四川大学华西护理学院 (成都 610041)Department of Orthopaedics/Orthopaedic Research Institute, West China Hospital, Sichuan University/West China School of Nursing, Chengdu 610041, China
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Bernardes RA, Caldeira S, Parreira P, Sousa LB, Apóstolo J, Almeida IF, Santos-Costa P, Stolt M, Guardado Cruz A. Foot and Ankle Disorders in Nurses Exposed to Prolonged Standing Environments: A Scoping Review. Workplace Health Saf 2023; 71:101-116. [PMID: 36637114 PMCID: PMC9989230 DOI: 10.1177/21650799221137646] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
BACKGROUND Prolonged standing environments constitute an occupational risk factor for nurses, particularly for developing foot and ankle disorders. The definitions and potential relationship to hours spent walking or standing are poorly understood. This scoping review aimed to synthesize the main disorders found on nurses' ankles and feet, their prevalence, the influence of hours spent walking or standing, and gender differences. METHODS This review followed a previously published protocol. Primary and secondary studies were retrieved from relevant databases from December 2020 to March 2021. Potential articles were collated to Mendeley, and two independent reviewers assessed the title and abstracts. Studies meeting inclusion criteria were included. Two researchers retrieved and reviewed the full text of these studies independently. A predetermined extraction tool was used to retrieve relevant data, summarized in a tabular and narrative format. FINDINGS The most common disorder was pain, followed by numbness, burning feet, bunions, structural deformities, and calluses. Prevalence differed among studies, depending on settings and specific local policies. Discussion: Various foot and ankle disorders and related variables have been found, with clear gaps that may be addressed in the future. CONCLUSION/APPLICATIONS TO PRACTICE: Few studies have focused on nurses' foot and ankle disorders. Mapping signs and symptoms may contribute to the future development of preventive interventions for nurses' workplaces.
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Affiliation(s)
- Rafael A. Bernardes
- Nursing School of Coimbra (ESEnfC), Coimbra
- Rafael A. Bernardes, MSc, RN, PhD, Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Rua Dr. José Alberto Reis, 3000-232 Coimbra, Portugal;
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Mbue ND, Wang W. Nurses’ experience with chronic foot pain and their job-the national science foundation foot health survey. Heliyon 2023; 9:e14485. [PMID: 36967960 PMCID: PMC10036639 DOI: 10.1016/j.heliyon.2023.e14485] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 02/09/2023] [Accepted: 03/08/2023] [Indexed: 03/13/2023] Open
Abstract
Background Chronic foot pain (CFP) impacts nurses' ability to provide care at the bedside. Treatment options for CFP were insufficient to address foot pain for nurses who stand or walk for prolonged periods while providing care to patients. Aims This study aimed to explore nurses' experience with CFP, current treatment options for foot pain, and the impact of foot pain on nurses' job performance. Methods This is secondary data from Individual interviews (n = 122) involving open-ended questions. Data were collected between April 2019-September 2020 while attending the National Science Foundation (NSF) I-Corps program comprising faculty and students among others in the United States. Multiple linear regression and multinomial/binary logistic regressions were conducted to assess what factors were associated with the pain and pain relief solutions. Results Nurses who worked at the bedside predominantly switched jobs and reported higher levels of foot pain than those who did not switch jobs (β = 0.19, p = .044). Longer working hours (β = 0.35, p < .001) were associated with higher levels of pain. Nurses who worked longer time were more likely to purchase new work shoes and socks (OR = 1.177, p = .025) to alleviate foot pain than changing shoes only. Conclusions Most nurses expressed interest in new products to relieve their CFP. Innovations are urgently needed to address CFP. Future longitudinal studies are required to further elucidate appropriate preventative strategies to prevent and treat CFP in nurses.
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Affiliation(s)
- Ngozi D. Mbue
- Nelda C. Stark College of Nursing, Texas Woman’s University, Texas, USA
- Center for Research Design and Analysis, Texas Woman’s University, Texas, USA
- Corresponding author. Nelda C. Stark College of Nursing, Texas Woman’s University, Texas, USA.
| | - Wanyi Wang
- Nelda C. Stark College of Nursing, Texas Woman’s University, Texas, USA
- Center for Research Design and Analysis, Texas Woman’s University, Texas, USA
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Kliniec K, Mendowski M, Zuziak P, Sobieski M, Grata-Borkowska U. The Correlation of Frequency of Work-Related Disorders with Type of Work among Polish Employees. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1624. [PMID: 36674377 PMCID: PMC9861492 DOI: 10.3390/ijerph20021624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 01/10/2023] [Indexed: 06/17/2023]
Abstract
Musculoskeletal disorders have a significant negative impact on the quality of life of the population. These conditions, as well as other work-related disorders, generate costs associated with treatment and work absence, which makes it a growing problem in industrialized countries. Available data from studies on individual populations of workers indicate a higher incidence of certain symptoms in these groups. Due to the lack of studies on the general population, we aimed to perform the preliminary study evaluating the occurrence of pain and work-related conditions depending on the type of occupational work among Polish employees to identify further possible areas for research. Data was collected using an electronic self-administered questionnaire, which was distributed in groups bringing together various professionals. The data obtained from 379 participants have been analyzed and divided according to performed work into sedentary, forced posture, standing, physical and requiring physical activity. Our study reveals a correlation between the frequency of work-related disorders and type of work performed in the Polish population. A significant correlation between the type of occupational work and prevalence of ankle, knee and shoulder pain, as well as heavy legs or upper limb paresthesia was found. According to our findings, female employees may be more vulnerable to lower limb symptoms. A place of residence also seems to affect the prevalence of upper back pain and heavy legs. The analysis also showed a correlation between the occurrence of hip, knee and ankle pain and the level of education of the participants. Surprisingly, lower extremity paresthesia was significantly more common among participants undertaking additional physical activity, compared to non-physically active respondents.
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Affiliation(s)
- Katarzyna Kliniec
- Department of Family Medicine, Wroclaw Medical University, 51-141 Wroclaw, Poland
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Muacevic A, Adler JR, Khoshhal MS, Alsaedi OF, Dwmlou BA, Alandijani HA, Aynusah HR, Aloufi MS, Omar HK, Tobaiqi MA. Prevalence of Plantar Heel Pain Among School Teachers in Medina Region, Saudi Arabia: A Cross-Sectional Study. Cureus 2022; 14:e31821. [PMID: 36579271 PMCID: PMC9784590 DOI: 10.7759/cureus.31821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/23/2022] [Indexed: 11/24/2022] Open
Abstract
Background Plantar heel pain (PHP) can be a common medical complaint among people with both sedentary and active lifestyles due to varied causes. It can affect the quality of life and result in significant disability. Despite many studies on PHP, few have focused on a specific population, such as school teachers. School teachers represent a significant proportion of the population of Medina, and addressing such a complaint and its possible relevant factors, which are most likely to be common among them due to their comparable job duties, will aid us in determining the relationships between personal characteristics, work-related factors, and PHP, as well as in formulating management plans. This study aims to identify the prevalence of PHP and its determinants among school teachers in the Medina region of Saudi Arabia. Methodology This cross-sectional study aims to identify the prevalence of PHP in school teachers. It was conducted in the Medina region of Saudi Arabia. A self-administered, online, validated questionnaire was created and used for data collection. Consent was taken from all participants before answering the questionnaire. Participation was voluntary, and all participants could withdraw from the study at any time. Data were kept confidential and only accessible by the primary investigator, co-investigators, and the statistician; hence, secondary and tertiary blinding was not done. Results Among those who reported PHP, the highest prevalence was among those who did not exercise regularly (94.7%), followed by middle-aged women (64.3%) and those with a high body mass index (44.5%), previous foot problems (43.2%), and chronic medical diseases (41.9%). PHP was less prevalent in male teachers, those with normal body mass index, and those who spent less time standing, had no previous foot problems, and exercised regularly. Most (88.1%) participants with PHP had other musculoskeletal pain, particularly in the lower back (62.6%) and knee (40.1%). Conclusions Teachers can be apprised about the importance of consuming a well-balanced diet and exercising regularly to maintain a healthy weight. We advocate educational programs as they can assist people to understand the need to obtain medical help when they are experiencing pain.
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Orr R, Maupin D, Palmer R, Canetti EFD, Simas V, Schram B. The Impact of Footwear on Occupational Task Performance and Musculoskeletal Injury Risk: A Scoping Review to Inform Tactical Footwear. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191710703. [PMID: 36078419 PMCID: PMC9518076 DOI: 10.3390/ijerph191710703] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 08/21/2022] [Accepted: 08/24/2022] [Indexed: 05/19/2023]
Abstract
The aim of this scoping review was to investigate the impact of footwear on worker physical task performance and injury risk. The review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews protocol and registered in the Open Science Framework. Key search terms were entered into five academic databases. Following a dedicated screening process and critical appraisal, data from the final articles informing this review were extracted, tabulated, and synthesised. Of 19,614 identified articles, 50 articles informed this review. Representing 16 countries, the most common populations investigated were military and firefighter populations, but a wide range of general occupations (e.g., shipping, mining, hairdressing, and healthcare workers) were represented. Footwear types included work safety boots/shoes (e.g., industrial, gumboots, steel capped, etc.), military and firefighter boots, sports shoes (trainers, tennis, basketball, etc.) and various other types (e.g., sandals, etc.). Occupational footwear was found to impact gait and angular velocities, joint ranges of motion, posture and balance, physiological measures (like aerobic capacity, heart rates, temperatures, etc.), muscle activity, and selected occupational tasks. Occupational footwear associated with injuries included boots, conventional running shoes, shoes with inserts, harder/stiffer outsoles or thin soles, and shoes with low comfort scores-although the findings were mixed. Occupational footwear was also linked to potentially causing injuries directly (e.g., musculoskeletal injuries) as well as leading to mechanisms associated with causing injuries (like tripping and slipping).
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Cotchett M, Frescos N, Whittaker GA, Bonanno DR. Psychological factors associated with foot and ankle pain: a mixed methods systematic review. J Foot Ankle Res 2022; 15:10. [PMID: 35115024 PMCID: PMC8812226 DOI: 10.1186/s13047-021-00506-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 12/01/2021] [Indexed: 11/19/2022] Open
Abstract
Background Foot and ankle pain is common, and generally viewed through a biomedical lens rather than applying a biopsychosocial model. The objectives of this review were to evaluate: (1) the psychosocial characteristics of participants with foot/ankle pain compared to participants without foot/ankle pain; (2) the association between psychosocial factors with pain and function in people with foot/ankle pain; and (3) understand the psychosocial factors associated with the lived experience of foot/ankle pain. Methods A mixed methods systematic review was conducted according to the PRISMA guidelines and guided by the Joanna Briggs Institute methodology for mixed methods systematic reviews. The databases MEDLINE, Embase, CINAHL, SPORTDiscus, PsychInfo, and Scopus were searched. The Mixed Methods Assessment Tool was used to evaluate study quality. A convergent segregated approach was used to synthesise and integrate quantitative and qualitative data. Results Eighteen studies were included, consisting of 13 quantitative, 4 qualitative and 1 mixed methods study. The overall quality of the studies was considered high. Integration of the quantitative and qualitative data were not possible due to the disparate nature of the included studies. A narrative synthesis of the quantitative data revealed that negative emotional and cognitive factors were more common in people with foot/ankle pain compared to those without foot/ankle pain. A significant association was also found between emotional distress with foot pain and foot function in some people with plantar heel pain. In addition, kinesiophobia and pain catastrophising were significantly associated with impaired foot function, and pain catastrophising was significantly associated with first step pain in people with plantar heel pain. The qualitative data revealed emotional impacts, physical challenges, and a loss of self which was individual and unpredictable. Conclusions This review provides evidence that negative psychological constructs are greater in participants with foot/ankle pain compared to those without foot/ankle pain, although the cross-sectional nature of the study designs included in this review reduces the certainty of the evidence. These findings indicate that psychological constructs are associated with foot/ankle pain. Further research should evaluate the predictive ability of multidimensional screening tools to identify patients at risk of developing persistent foot/ankle pain. Supplementary Information The online version contains supplementary material available at 10.1186/s13047-021-00506-3.
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Affiliation(s)
- Matthew Cotchett
- Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, 3086, Australia. .,La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, 3086, Australia.
| | - Nicoletta Frescos
- Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, 3086, Australia
| | - Glen A Whittaker
- Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, 3086, Australia.,La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, 3086, Australia
| | - Daniel R Bonanno
- Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, 3086, Australia.,La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, 3086, Australia
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Bernardes RA, Parreira P, Sousa LB, Stolt M, Apóstolo J, Cruz A. Foot Disorders in Nursing Standing Environments: A Scoping Review Protocol. NURSING REPORTS 2021; 11:584-589. [PMID: 34968333 PMCID: PMC8608076 DOI: 10.3390/nursrep11030055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 07/15/2021] [Accepted: 07/19/2021] [Indexed: 11/16/2022] Open
Abstract
Musculoskeletal disorders can be significantly disabling, particularly those related to work, when the underlying mechanisms and clinical variables are not well known and understood. Nurses usually remain in standing positions or walk for long periods, thus increasing the risk for the development of musculoskeletal disorders, particularly on the foot, such as plantar fasciitis or edema. This type of disorders is a major cause of sickness, absence from work, and also dropout ratios among nursing students, which contributes to the shortage of nursing professionals. This review will address foot disorders that arise from prolonged standing in nursing professionals and describe the main clinical parameters characterizing them, with exclusions for other health professions or disorders with other identified causes. English, French, Portuguese, and Spanish published studies from 1970 to the current year will be considered. The review will follow the JBI methodology, mainly though the PCC mnemonic, and the reporting guidelines for Scoping Reviews. The search will include main databases and relevant scientific repositories. Two independent reviewers will analyze the titles, abstracts, and full texts. A tool developed by the research team will aid in the data collection.
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Affiliation(s)
- Rafael A. Bernardes
- The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (L.B.S.); (J.A.); (A.C.)
- Correspondence:
| | - Pedro Parreira
- The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (L.B.S.); (J.A.); (A.C.)
| | - Liliana B. Sousa
- The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (L.B.S.); (J.A.); (A.C.)
| | - Minna Stolt
- Department of Nursing Science, University of Turku, FI-20014 Turku, Finland;
| | - João Apóstolo
- The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (L.B.S.); (J.A.); (A.C.)
| | - Arménio Cruz
- The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (P.P.); (L.B.S.); (J.A.); (A.C.)
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Alshehri MA, Alzaidi J, Alasmari S, Alfaqeh A, Arif M, Alotaiby SF, Alzahrani H. The Prevalence and Factors Associated with Musculoskeletal Pain Among Pilgrims During the Hajj. J Pain Res 2021; 14:369-380. [PMID: 33603452 PMCID: PMC7881773 DOI: 10.2147/jpr.s293338] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 01/16/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Musculoskeletal pain is a primary burden on individuals as well as social and health care systems. Annually, 2-3 million pilgrims perform the Hajj in Mecca, Saudi Arabia. The Hajj is highly physically demanding because pilgrims generally move by foot for long distances among a series of religious sites, an effort that may exceed their typical levels of physical activity. To understand the impact of musculoskeletal pain on the completion of the Hajj, it is first necessary to evaluate the extent of the problem. Accordingly, this study aimed to estimate the prevalence of musculoskeletal pain and associated factors among pilgrims during the Hajj. METHODS A cross-sectional survey was conducted during the period of the Hajj. The participants were adult pilgrims ≥ 18 years of age. Data regarding demographics, the prevalence of falls and the point prevalence of musculoskeletal pain by anatomical site were recorded. Participants were allowed to report more than one site of pain. Prevalence, crude and adjusted risk ratios were calculated. RESULTS A total of 1715 pilgrims were included in the analysis. The prevalence of falls was 13.76%. The prevalence of overall musculoskeletal pain (pain at any site) was 80.46%. Musculoskeletal pain was most commonly reported in the ankle/foot (38.34%), leg (29.89%), lower back (28.47%) and knee (21.84%). In general, musculoskeletal pain at multiple sites was more common in females and in older and obese individuals. However, there were variations in the importance of sex, age and body mass index as associated factors across different pain sites. CONCLUSION Musculoskeletal pain is common among pilgrims. Unlike most populations examined in other studies, ankle/foot pain was the most common in pilgrims. These data provide guidance for potential preventative programs and the allocation of resources to optimize pilgrims' experiences and ability to complete the Hajj.
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Affiliation(s)
- Mansour Abdullah Alshehri
- Physiotherapy Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca, Saudi Arabia
- NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australia
| | - Jamal Alzaidi
- Medical Rehabilitation Department, Makkah Health Affairs General Directorate, Mecca, Saudi Arabia
| | - Sultan Alasmari
- Medical Rehabilitation Department, Makkah Health Affairs General Directorate, Mecca, Saudi Arabia
| | - Ali Alfaqeh
- Medical Rehabilitation Department, Makkah Health Affairs General Directorate, Mecca, Saudi Arabia
| | - Mohammad Arif
- Medical Rehabilitation Department, Makkah Health Affairs General Directorate, Mecca, Saudi Arabia
| | | | - Hosam Alzahrani
- Physiotherapy Department, College of Applied Medical Science, Taif University, Taif, Saudi Arabia
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Getie K, Kahsay G, Kassaw A, Gomera G, Alamer A, Hailu T. Ankle and Foot Pain and Associated Factors Among Nurses at Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia: Cross-Sectional Study. J Pain Res 2021; 14:83-92. [PMID: 33500657 PMCID: PMC7826044 DOI: 10.2147/jpr.s283580] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 12/23/2020] [Indexed: 12/02/2022] Open
Abstract
Background Ankle–foot pain is a significant public health problem in nurse professionals and has great burdens to the individuals, healthcare systems, and community at large. However, there is limited evidence on the prevalence of ankle–foot pain and its associated factors among nurses in Ethiopia. Thus, the finding of this study will help to address health problems resulting from ankle–foot pain among nurses. Purpose The aim of this study was to determine the prevalence and associated factors of ankle–s–foot pain among nurse working in Ayder Comprehensive Specialized Hospital, Tigray, Ethiopia. Patients and Methods An institutional-based cross-sectional study was conducted on a total of 366 nurses, and a simple random sampling technique was used to recruit study participants. Data were collected by using a self-administered adapted standardized Nordic questionnaire. Descriptive statistics and a bivariate logistic regression model were done to identify factors associated with ankle–foot pain. Those variables with a P-value less than 0.05 with 95% CI in multivariate model were taken as statistically significant. Finally, AOR with 95% confidence interval at a P-value of <0.05 was reported. Results The prevalence of self-reported ankle–foot pain among nurses was 43.7% (95% CI=38.5–49.1). Older age (AOR=7.669, 95% CI=2.316−25.390), low shoe comfort (AOR=4.215, 95% CI=2.031–8.745), multiple foot conditions (AOR=6.102 95% CI=1.959–19.008), working night shifts (AOR=2.047, 95% CI=1.098−3.816), high physical demand (AOR=3.487, 95% CI=1.988–6.116), and nurses working in the intensive care unit (AOR=2.402, 95% CI=1.219–4.732) showed a statistically significant association with ankle–foot pain. Conclusion This study indicated that the prevalence of ankle–foot pain is commonly reported among nurses working in Ayder Comprehensive Specialized Hospital. Therefore, awareness and prevention of ankle and foot pain in nurses should be prioritized to reducing risk factors. Nurses should give attention to comfortable footwear, and further longitudinal research is recommended.
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Affiliation(s)
- Kefale Getie
- Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Gebreslassie Kahsay
- Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Alemu Kassaw
- Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Gidey Gomera
- Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Abayneh Alamer
- Department of Physiotherapy, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Tesfay Hailu
- School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
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Chang W, Peng Y. Differences between fixed day shift nurses and rotating and irregular shift nurses in work-related musculoskeletal disorders: A literature review and meta-analysis. J Occup Health 2021; 63:e12208. [PMID: 33682989 PMCID: PMC7938703 DOI: 10.1002/1348-9585.12208] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 01/12/2021] [Accepted: 02/04/2021] [Indexed: 02/03/2023] Open
Abstract
OBJECTIVES Work-related musculoskeletal disorders (WMSDs) are common occupational injuries for nurses. Furthermore, rotating and irregular shift work may exacerbate muscle tension and pain in nurses. The objective of this study was to examine the differences between fixed day shift (FDS) nurses and rotating and irregular shift (RS + IS) nurses in WMSDs using a systematic literature review and meta-analysis. METHODS Databases including PubMed, CINAHL, Cochrane Library, EBSCOhost, and Google Scholar were searched for relevant studies published between 2010 and 2020 using the target keywords. RESULTS This study obtained data on a total of 18 199 nurses, among which 12 786 comprised the RS + IS group and 5413 constituted the FDS group. The result of the heterogeneity test was Q = 79.27 (P < .001) and I squared = 57.11%, indicating that heterogeneity existed among the studies. Subgroup analyses were also conducted with four groups: neck pain (n = 1818), shoulder and upper limb pain (n = 2525), back pain (n = 11 962), and hip and lower limb pain (n = 1894). Significant differences were found between the RS + IS group and the FDS group with regard to back pain, with the forest plot presenting an odds ratio equaling 1.40 (95% CI: 1.19-1.64, P < .001). CONCLUSIONS This meta-analysis indicated that RS + IS nurses are more likely to experience back pain associated with WMSD than are FDS nurses. The results can serve as a reference to the clinical management for work improvement and thereby reduce or prevent the adverse effects of rotating and irregular shift work on back pain experienced by nurses.
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Affiliation(s)
- Wen‐Pei Chang
- School of NursingCollege of NursingTaipei Medical UniversityTaipeiTaiwan
- Department of Nursing, Shuang Ho HospitalTaipei Medical UniversityNew Taipei CityTaiwan
| | - Yu‐Xuan Peng
- Department of NursingCollege of NursingTzu Chi UniversityHualienTaiwan
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Stability of Three Different Sanitary Shoes on Healthcare Workers: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16122126. [PMID: 31208123 PMCID: PMC6616452 DOI: 10.3390/ijerph16122126] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 06/05/2019] [Accepted: 06/11/2019] [Indexed: 12/02/2022]
Abstract
Background: The main purpose of this research was to determine the stability of three different sanitary shoes on nurses with eyes open and closed with respect to barefoot condition. In addition, the secondary aim was to determine the reliability of stability measurements under these different conditions. Methods: A crossover quasi-experimental study (NCT03764332) was performed. Twenty-six nurses who wore different sanitary shoes (Eva Plus Ultralight®, Gym Step® and Milan-SCL Liso®) were evaluated with respect to barefoot condition for stability measures on the Podoprint® podobarometric and stabilometry tool and with eyes open and closed. Furthermore, the reliability of stability measurements was determined by the intraclass correlation coefficient (ICC) under these different conditions. Results: Between-groups comparisons of the static and stabilometry podobarometric data with eyes open showed statistically significant differences (p < 0.05). Milan-SCL Liso® sanitary shoes improved podobarometric data of forefoot force and distribution with respect to barefoot condition. Eva Plus Ultralight® and Gym Step® sanitary shoes increased the stroke length mean, stroke surface mean, and anterior speed mean as well as reduced y axis displacement mean with respect to barefoot condition. Similar findings were determined for measurements with eyes closed. ICCs ranged from poor to excellent reliability (ICC = 0.010–0.995). Conclusions: Sanitary shoes improved podobarometric and stabilometry stability with respect to barefoot condition.
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Moes J. Proper fitting shoes: Reducing pain, increasing activity, and improving foot health among adults experiencing homelessness. Public Health Nurs 2019; 36:321-329. [PMID: 30883866 DOI: 10.1111/phn.12604] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 02/13/2019] [Accepted: 02/21/2019] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Foot and lower limb pain reported by many adults experiencing homelessness may be due to improper shoes and may contribute to decreased activity and physical functioning. OBJECTIVE The purpose of this study was to characterize the effects of proper fitting shoes on pain, activity, and foot health in adults experiencing homelessness. DESIGN A pretest-posttest quasi-experimental pilot study design was used. SAMPLE Twenty-three out of 30 enrolled participants completed the study and were mostly female, non-Hispanic, black individuals with high school education or higher. MEASUREMENTS Eligible participants completed surveys related to pain, foot health, and foot conditions, and a 10-meter walking test prior to (BASELINE) and after (FINAL) the intervention. INTERVENTION Participants wore properly fitted shoes for 6 weeks and were encouraged to maintain activity levels consistent with activity levels prior to receiving new shoes. RESULTS Pain scores were lower at FINAL versus BASELINE. Participants reported reductions in knee, back and ankle/feet pain. Participants had significant improvements on almost all areas of foot health and had faster gait speed at FINAL versus BASELINE. Minimal changes in foot conditions were observed. CONCLUSION Proper fitting shoes improve pain, walking speed, and foot health in adults experiencing homelessness with moderate to severe pain.
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