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Back School programme for nurses has reduced low back pain levels: A randomised controlled trial

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  • Melinda Járomi
  • Aniko Kukla
  • Brigitta Szilágyi
  • Ágnes Simon‐Ugron
  • Viktória Kovácsné Bobály
  • Alexandra Makai
  • Pawel Linek
  • Pongrác Ács
  • Eleonóra Leidecker

Abstract

Aims and Objectives (i) To examine patient lifting techniques used by nurses, and (ii) to evaluate an effectiveness of the Spine Care for Nurses programme in chronic nonspecific low back pain syndrome reduction and the execution of proper patient lifting techniques. Background Millions of nurses around the world suffer from occupational‐related chronic nonspecific low back pain (chronic nonspecific low back pain syndrome). Generally, low back pain in nurses is a result of increased pressure on the spine and can be associated with improperly conducted patient lifting techniques. Methods A randomised controlled trial was conducted among 137 nurses with chronic nonspecific low back pain syndrome. Participants were randomised into an experimental and control group (experimental group n = 67, control group n = 70). Nurses in the experimental group attended the Spine Care for Nurses programme for 3 months. The programme consisted of didactic education, spine‐strengthening exercises and education on safe patient handling techniques. The control group only received a brief written lifestyle guidance. The Zebris WinSpine Triple Lumbar examination was used to analyse nurses’ patient lifting techniques (horizontal and vertical lifting). The lumbar pain intensity was measured with a 0–100 visual analogue scale. Results The pre‐intervention average chronic nonspecific low back pain syndrome intensity score on visual analogue scale decreased from 49.3 to the postintervention score of 7.5. The correct execution of vertical lifting techniques in the experimental group increased from 8.91%–97.01% (control group: 8.57% pre‐intervention test and postintervention test 11.42%). The horizontal patient lifting technique pre‐intervention increased from 10.44%–100% correct execution in the experimental group (control group: pre‐intervention test 10.00% and postintervention test 11.42%). Conclusion The Spine Care for Nurses programme significantly reduced chronic nonspecific low back pain syndrome and increased the number of properly executed horizontal and vertical patient lifting techniques in nurses. Relevance to clinical practice We recommend that healthcare organisations should consider the implementation of regular Spine Care for Nurses programmes as successful low back injury prevention programmes.

Suggested Citation

  • Melinda Járomi & Aniko Kukla & Brigitta Szilágyi & Ágnes Simon‐Ugron & Viktória Kovácsné Bobály & Alexandra Makai & Pawel Linek & Pongrác Ács & Eleonóra Leidecker, 2018. "Back School programme for nurses has reduced low back pain levels: A randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 895-902, March.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:5-6:p:e895-e902
    DOI: 10.1111/jocn.13981
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    References listed on IDEAS

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    1. Melinda Jaromi & Andrea Nemeth & Janos Kranicz & Tamas Laczko & Jozsef Betlehem, 2012. "Treatment and ergonomics training of work‐related lower back pain and body posture problems for nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(11‐12), pages 1776-1784, June.
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