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Occupational Exposure to Psychosocial Factors and Presence of Musculoskeletal disorders in Nursing Staff: A review of Studies and Meta-Analysis.

Abstract There is scientific evidence that psychosocial factors are significantly associated with discomfort and / or pain musculoskeletal complaints in nursing staff. The objective of the research was to analyze the association between occupational exposure to psychosocial factors at work and musculoskeletal damage in nursing staff.
PMID
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Authors

Mayor MeshTerms
Keywords

Back Pain

Ergonomics

Low Back Pain

Meta-Analysis

Musculoskeletal Diseases

Neck Pain

Nurses

Occupational health

Psychosocial aspects

Review, Systematic

Spain

Journal Title revista espanola de salud publica
Publication Year Start




PMID- 28382927
OWN - NLM
STAT- MEDLINE
DA  - 20170406
DCOM- 20170526
LR  - 20170526
IS  - 2173-9110 (Electronic)
IS  - 1135-5727 (Linking)
VI  - 91
DP  - 2017 Apr 07
TI  - [Occupational Exposure to Psychosocial Factors and Presence of Musculoskeletal
      disorders in Nursing Staff: A review of Studies and Meta-Analysis].
LID - e201704028 [pii]
AB  - BACKGROUND: There is scientific evidence that psychosocial factors are
      significantly associated with discomfort and / or pain musculoskeletal complaints
      in nursing staff. The objective of the research was to analyze the association
      between occupational exposure to psychosocial factors at work and musculoskeletal
      damage in nursing staff. METHODS: Systematic review and meta-analysis of studies 
      published up to 2015 in English, French, Italian, Portuguese or Spanish
      evaluating the association between musculoskeletal disorders and psychosocial
      factors in the work of nursing staff. A search was made using the same strategies
      in the bibliographic databases Web of Science, MEDLINE (Pubmed), NIOSHIC and
      CINAHL. We assessed the quality of eligible studies, heterogeneity, and
      sensitivity analyzes. RESULTS: 64 studies were reviewed and quality criteria were
      accepted, accepting those of medium and high quality (n = 47). In a second
      screening, those that did not meet inclusion criteria were eliminated, with 36
      studies being included in the meta-analysis. Statistically significant
      associations were found between high demands with discomfort and / or pain neck
      (OR 1.55, IC95%: 1.39-1.72). And between the effort-reward imbalance with
      discomfort and / or pain in any body region (OR 2.56, IC95%: 1.59-4.11).
      Heterogeneity was generally average and low for most subsets of the
      meta-analysis. CONCLUSIONS: Occupational exposure to psychosocial factors is
      associated with discomfort and / or pain in different body areas. Therefore, the 
      improvement of the psychosocial environment has an impact on the reduction and
      prevention of musculoskeletal disorders.
FAU - Ballester Arias, Antonio Ramon
AU  - Ballester Arias AR
AD  - Hospital Dr. Peset. Valencia. [email protected]
FAU - Garcia, Ana Maria
AU  - Garcia AM
AD  - Departamento de Medicina Preventiva y Salud Publica. Universitat de Valencia.
      Valencia. Espana.
LA  - spa
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
TT  - Asociacion entre la exposicion laboral a factores psicosociales y la existencia
      de trastornos musculoesqueleticos en personal de enfermeria: revision sistematica
      y meta-analisis.
DEP - 20170407
PL  - Spain
TA  - Rev Esp Salud Publica
JT  - Revista espanola de salud publica
JID - 9600212
SB  - IM
MH  - Humans
MH  - Musculoskeletal Diseases/etiology/*psychology
MH  - Nursing Staff/*psychology
MH  - Occupational Diseases/etiology/*psychology
MH  - Risk Factors
OAB - Publisher: OBJETIVO: Hay evidencias cientificas de que los factores psicosociales
      estan significativamente asociados con molestias y/o dolencias
      musculoesqueleticas en personal de enfermeria. El objetivo de la investigacion
      fue analizar la asociacion entre la exposicion laboral a factores psicosociales
      en el trabajo y la existencia de dano musculoesqueletico en personal de
      enfermeria. METODOS: Revision sistematica y metaanalisis de estudios publicados
      hasta 2015 en ingles, frances, italiano, portugues o espanol que evaluaron la
      asociacion entre dano musculoesqueletico y factores psicosociales en el trabajo
      del personal de enfermeria. Se realizo una busqueda utilizando las mismas
      estrategias en las bases bibliograficas Web of Science, MEDLINE (Pubmed),
      NIOSTHIC y CINAHL. Se evaluo la calidad de los estudios elegibles, su
      heterogeneidad y se realizaron analisis de sensibilidad. RESULTADOS: Se revisaron
      64 estudios a los que se les aplico criterios de calidad, aceptando los que
      tenian calidad media y alta (n=47). En una segunda criba se eliminaron los que no
      cumplian los criterios de inclusion, siendo 36 los estudios que fueron incluidos 
      en el metaanalisis. Se encontraron asociaciones estadisticamente significativas
      entre altas demandas con molestia y/o dolor en cuello (OR 1,55; IC95% 1,39-1,72) 
      y entre el desequilibrio esfuerzo-recompensa con molestia y/o dolor en cualquier 
      region corporal (OR 2,56; IC95% 1,59-4,11). CONCLUSIONES: La exposicion laboral a
      factores psicosociales se asocia con molestia y/o dolor en diferentes zonas
      corporales. Por tanto, la mejora del ambiente psicosocial tiene un impacto en la 
      reduccion y prevencion de los trastornos musculoesqueleticos.
OABL- eng
OTO - NOTNLM
OT  - *Back Pain
OT  - *Ergonomics
OT  - *Low Back Pain
OT  - *Meta-Analysis
OT  - *Musculoskeletal Diseases
OT  - *Neck Pain
OT  - *Nurses
OT  - *Occupational health
OT  - *Psychosocial aspects
OT  - *Review, Systematic
OT  - *Spain
EDAT- 2017/04/07 06:00
MHDA- 2017/05/27 06:00
CRDT- 2017/04/07 06:00
PHST- 2017/03/13 [received]
PHST- 2017/04/04 [accepted]
PST - epublish
SO  - Rev Esp Salud Publica. 2017 Apr 7;91. pii: e201704028.

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