Can vitality and mental health influence upper extremity pain?a prospective cohort study of 1185 female hospital nurses

  1. Rodrigo Núñez-Cortés 1
  2. Ander Espin 2
  3. Joaquín Calatayud 1
  4. Sofía Pérez-Alenda 1
  5. Carlos Cruz-Montecinos 3
  6. Rubén López-Bueno 4
  7. Jonas Vinstrup
  8. Markus D. Jakobsen
  9. Lars Louis Andersen
  1. 1 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  2. 2 Universidad del País Vasco/Euskal Herriko Unibertsitatea
    info

    Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Lejona, España

    ROR https://ror.org/000xsnr85

  3. 3 Universidad de Chile
    info

    Universidad de Chile

    Santiago de Chile, Chile

    ROR https://ror.org/047gc3g35

  4. 4 Universidad de Zaragoza
    info

    Universidad de Zaragoza

    Zaragoza, España

    ROR https://ror.org/012a91z28

Revista:
EJIHPE: European Journal of Investigation in Health, Psychology and Education

ISSN: 2174-8144 2254-9625

Any de publicació: 2023

Volum: 13

Número: 10

Pàgines: 2192-2201

Tipus: Article

DOI: 10.3390/EJIHPE13100154 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Altres publicacions en: EJIHPE: European Journal of Investigation in Health, Psychology and Education

Objectius de Desenvolupament Sostenible

Resum

Musculoskeletal disorders of the upper extremity are among the most common occupational problems affecting nurses. The aim of this study was to analyze the prospective association between vitality and mental health and increased upper extremity pain intensity in female hospital nurses during a 1-year follow-up. A prospective cohort of 1185 female nurses from 19 hospitals in Denmark was conducted using baseline and 12-month follow-up questionnaires to identify potential associations between levels of vitality and mental health (SF-36 subscales) with pain intensity (0–10 scale) in the shoulder, elbow and hand/wrist regions. Associations were modeled using cumulative logistic regression. The fully adjusted model included the variables of age, baseline pain, body mass index, smoking status, years of occupation, leisure time physical activity level, number of daily patient transfers/handlings, as well as recognition and influence at work. The mean age was 48.3 (SD: 10.4) years. In the fully adjusted model, significant associations between low vitality levels and the odds of shoulder pain (OR = 1.96; 95%CI: 1.43–2.68) and hand/wrist pain (OR = 2.32; 95%CI: 1.58–3.42) were observed. Likewise, moderate levels of mental health was associated with increased odds of shoulder pain at follow-up (OR = 1.50; 95%CI: 1.16–1.93). These results provide an important incentive for nursing managers to assess vitality and mental health among hospital nurses and to consider this factor in prevention strategies to ensure good worker health and, by extension, high-quality care.

Informació de finançament

Finançadors

  • Danish Working Environment Research Fund
    • 26-2015-09
  • National Research and Development Agency of Chile
    • ANID/2020-72210026
  • European Union—Next Generation EU

Referències bibliogràfiques

  • 36-Item Short Form Survey (SF-36). Available online: https://www.rand.org/health-care/surveys_tools/mos/36-item-shortform.html (accessed on 21 September 2023).
  • Andersen, N.K.; Wimmelmann, C.L.; Mortensen, E.L.; Flensborg-Madsen, T. Longitudinal Associations of Self-Reported Satisfaction with Life and Vitality with Risk of Mortality. J. Psychosom. Res. 2021, 147, 110529.
  • Bahrami-Ahmadi, A.; Mortazavi, S.A.; Soleimani, R.; Nassiri-Kashani, M.H. The Effect of Work- Related Stress on Development of Neck and Shoulder Complaints among Nurses in One Tertiary Hospital in Iran. Med. J. Islam. Repub. Iran 2016, 30, 471.
  • Bakker, A.B.; Sanz-Vergel, A.I. Weekly Work Engagement and Flourishing: The Role of Hindrance and Challenge Job Demands. J. Vocat. Behav. 2013, 83, 397–409.
  • Barr, P. Relationships of Nursing Stress and Trait Emotional Intelligence with Mental Health in Neonatal Intensive Care Unit Nurses: A Cross-Sectional Correlational Study. Aust. Crit. Care, 2023; ahead-of-print.
  • Bartley, E.J.; Fillingim, R.B. Sex Differences in Pain: A Brief Review of Clinical and Experimental Findings. Br. J. Anaesth. 2013, 111, 52–58.
  • Bjorner, J.B.; Thunedborg, K.; Kristensen, T.S.; Modvig, J.; Bech, P. The Danish SF-36 Health Survey: Translation and Preliminary Validity Studies. J. Clin. Epidemiol. 1998, 51, 991–999.
  • BMJ Publishing Group Ltd.; RCN Publishing Company Ltd. A Short Term Education Intervention but Not Peer Discussion Improved Vitality and Pain in Women with Breast Cancer. Evid. Based Nurs. 2002, 5, 47.
  • Boonstra, A.M.; Stewart, R.E.; Köke, A.J.A.; Oosterwijk, R.F.A.; Swaan, J.L.; Schreurs, K.M.G.; Schiphorst Preuper, H.R. Cut-Off Points for Mild, Moderate, and Severe Pain on the Numeric Rating Scale for Pain in Patients with Chronic Musculoskeletal Pain: Variability and Influence of Sex and Catastrophizing. Front. Psychol. 2016, 7, 1466.
  • Bousfield, K.; Cheon, J.-Y.; Harley, S.; Lampiris-Tremba, A.; Loseby, J.; Bianchi, N.; Barnes, A.; Escorpizo, R. What Are the Predictors of Return to Work for People With Elbow, Wrist, and Hand Conditions? A Systematic Review. J. Occup. Rehabil. 2022, 32, 380–413.
  • Buonomo, I.; Santoro, P.E.; Benevene, P.; Borrelli, I.; Angelini, G.; Fiorilli, C.; Gualano, M.R.; Moscato, U. Buffering the Effects of Burnout on Healthcare Professionals’ Health-The Mediating Role of Compassionate Relationships at Work in the COVID Era. Int. J. Environ. Res. Public Health 2022, 19, 8966.
  • Carugno, M.; Pesatori, A.C.; Ferrario, M.M.; Ferrari, A.L.; da Silva, F.J.; Martins, A.C.; Felli, V.E.A.; Coggon, D.; Bonzini, M. Physical and Psychosocial Risk Factors for Musculoskeletal Disorders in Brazilian and Italian Nurses. Cad. Saude Publica 2012, 28, 1632–1642.
  • Choobineh, A.; Rajaeefard, A.; Neghab, M. Association between Perceived Demands and Musculoskeletal Disorders among Hospital Nurses of Shiraz University of Medical Sciences: A Questionnaire Survey. Int. J. Occup. Saf. Ergon. 2006, 12, 409–416.
  • Clari, M.; Godono, A.; Garzaro, G.; Voglino, G.; Gualano, M.R.; Migliaretti, G.; Gullino, A.; Ciocan, C.; Dimonte, V. Prevalence of Musculoskeletal Disorders among Perioperative Nurses: A Systematic Review and META-Analysis. BMC Musculoskelet. Disord. 2021, 22, 226.
  • D’Agostin, F.; Negro, C. Symptoms and Musculoskeletal Diseases in Hospital Nurses and in a Group of University Employees: A Cross-Sectional Study. Int. J. Occup. Saf. Ergon. 2017, 23, 274–284.
  • Dabbagh, A.; MacDermid, J.C.; Grewal, R.; Walton, D.M. The Role of Perceived Job Exertion and Age as Moderators of the Relationship Between Gender and Upper Extremity Musculoskeletal Disability and Pain in Injured Workers. J. Occup. Rehabil. 2022, 32, 128–137.
  • Du, J.; Zhang, L.; Xu, C.; Qiao, J. Relationship Between the Exposure to Occupation-Related Psychosocial and Physical Exertion and Upper Body Musculoskeletal Diseases in Hospital Nurses: A Systematic Review and Meta-Analysis. Asian Nurs. Res. 2021, 15, 163–173.
  • Fiorilli, C.; Pepe, A.; Buonomo, I.; Albanese, O. At-Risk Teachers: The Association between Burnout Levels and Emotional Appraisal Processes. Open Psychol. J. 2017, 10, 127–139.
  • Fochsen, G.; Josephson, M.; Hagberg, M.; Toomingas, A.; Lagerström, M. Predictors of Leaving Nursing Care: A Longitudinal Study among Swedish Nursing Personnel. Occup. Environ. Med. 2006, 63, 198–201.
  • Freimann, T.; Pääsuke, M.; Merisalu, E. Work-Related Psychosocial Factors and Mental Health Problems Associated with Musculoskeletal Pain in Nurses: A Cross-Sectional Study. Pain Res. Manag. 2016, 2016, 9361016.
  • Friggi Sebe Petrelluzzi, K.; Garcia, M.C.; Petta, C.A.; Ribeiro, D.A.; de Oliveira Monteiro, N.R.; Céspedes, I.C.; Spadari, R.C. Physical Therapy and Psychological Intervention Normalize Cortisol Levels and Improve Vitality in Women with Endometriosis. J. Psychosom. Obstet. Gynaecol. 2012, 33, 191–198.
  • Helgeson, V.S.; Cohen, S.; Schulz, R.; Yasko, J. Long-Term Effects of Educational and Peer Discussion Group Interventions on Adjustment to Breast Cancer. Health Psychol. 2001, 20, 387–392.
  • Hiestand, S.; Forthun, I.; Waage, S.; Pallesen, S.; Bjorvatn, B. Associations between Excessive Fatigue and Pain, Sleep, MentalHealth and Work Factors in Norwegian Nurses. PLoS ONE 2023, 18, e0282734.
  • Hvad Skal Jeg Anmelde? Available online: https://nationaltcenterforetik.dk/ansoegerguide/overblik/hvad-skal-jeg-anmelde (accessed on 20 September 2023).
  • Jradi, H.; Alanazi, H.; Mohammad, Y. Psychosocial and Occupational Factors Associated with Low Back Pain among Nurses in Saudi Arabia. J. Occup. Health 2020, 62, e12126.
  • Kim, H.; Dropkin, J.; Spaeth, K.; Smith, F.; Moline, J. Patient Handling and Musculoskeletal Disorders among Hospital Workers: Analysis of 7 Years of Institutional Workers’ Compensation Claims Data. Am. J. Ind. Med. 2012, 55, 683–690.
  • Lagerström, M.; Wenemark, M.; Hagberg, M.; Hjelm, E.W. Occupational and Individual Factors Related to Musculoskeletal Symptoms in Five Body Regions among Swedish Nursing Personnel. Int. Arch. Occup. Environ. Health 1995, 68, 27–35.
  • Li, S.; Chai, R.; Wang, Y.; Wang, J.; Dong, X.; Xu, H.; Wu, H.; Binnay, I.T.S.; Liu, Z. A Survey of Mental Health Status of Obstetric Nurses during the Novel Coronavirus Pneumonia Pandemic. Medicine 2021, 100, e28070.
  • Lin, S.C.; Lin, L.L.; Liu, C.J.; Fang, C.K.; Lin, M.H. Exploring the Factors Affecting Musculoskeletal Disorders Risk among Hospital Nurses. PLoS ONE 2020, 15, e0231319.
  • Lindeberg, S.I.; Ostergren, P.-O.; Lindbladh, E. Exhaustion Is Differentiable from Depression and Anxiety: Evidence Provided by the SF-36 Vitality Scale. Stress 2006, 9, 117–123.
  • López-Angulo, Y.; Mella-Norambuena, J.; Sáez-Delgado, F.; Portillo Peñuelas, S.A.; Reynoso González, O.U. Association between Teachers’ Resilience and Emotional Intelligence during the COVID-19 Outbreak. Rev. Latinoam. Psicol. 2022, 54, 51–59.
  • McFadden, P.; Ross, J.; Moriarty, J.; Mallett, J.; Schroder, H.; Ravalier, J.; Manthorpe, J.; Currie, D.; Harron, J.; Gillen, P. The Role of Coping in the Wellbeing and Work-Related Quality of Life of UK Health and Social Care Workers during COVID-19. Int. J. Environ. Res. Public Health 2021, 18, 815.
  • Miranda, H.; Viikari-Juntura, E.; Heistaro, S.; Heliövaara, M.; Riihimäki, H. A Population Study on Differences in the Determinants of a Specific Shoulder Disorder versus Nonspecific Shoulder Pain without Clinical Findings. Am. J. Epidemiol. 2005, 161, 847–855.
  • Ng, S.K.; Cicuttini, F.M.; Davis, S.R.; Bell, R.; Botlero, R.; Fitzgibbon, B.M.; Urquhart, D.M. Poor General Health and Lower Levels of Vitality Are Associated with Persistent, High-Intensity Low Back Pain and Disability in Community-Based Women: A Prospective Cohort Study. Maturitas 2018, 113, 7–12.
  • Núñez-Cortés, R.; Espin, A.; Pérez-Alenda, S.; López-Bueno, R.; Cruz-Montecinos, C.; Vincents-Seeberg, K.G.; Püschel, T.A.; Calatayud, J.; Andersen, L.L. Association Between Pain Coping and Symptoms of Anxiety and Depression, and Work Absenteeism in People With Upper Limb Musculoskeletal Disorders: A Systematic Review and Meta-Analysis. Arch. Phys. Med. Rehabil. 2023; ahead-of-print.
  • Occhionero, V.; Korpinen, L.; Gobba, F. Upper Limb Musculoskeletal Disorders in Healthcare Personnel. Ergonomics 2014, 57, 1166–1191.
  • Pejtersen, J.H.; Kristensen, T.S.; Borg, V.; Bjorner, J.B. The Second Version of the Copenhagen Psychosocial Questionnaire. Scand. J. Public Health 2010, 38, 8–24.
  • Picavet, H.S.J.; Hoeymans, N. Health Related Quality of Life in Multiple Musculoskeletal Diseases: SF-36 and EQ-5D in the DMC3 Study. Ann. Rheum. Dis. 2004, 63, 723–729.
  • Raithatha, A.S.; Mishra, D.G. Musculoskeletal Disorders and Perceived Work Demands among Female Nurses at a Tertiary Care Hospital in India. Int. J. Chron. Obstruct. Pulmon. Dis. 2016, 2016, 5038381.
  • Rusu, P.P.; Colomeischi, A.A. Positivity Ratio and Well-Being Among Teachers. The Mediating Role of Work Engagement. Front. Psychol. 2020, 11, 1608.
  • Sheikhzadeh, A.; Gore, C.; Zuckerman, J.D.; Nordin, M. Perioperating Nurses and Technicians’ Perceptions of Ergonomic Risk Factors in the Surgical Environment. Appl. Ergon. 2009, 40, 833–839.
  • Surawera, I.K.; Hoe, V.C.W.; Kelsall, H.L.; Urquhart, D.M.; Sim, M.R. Physical and Psychosocial Factors Associated with Wrist or Hand Pain among Australian Hospital-Based Nurses. Inj. Prev. 2013, 19, 13–18.
  • Tardy, A.-L.; Marguet, S.; Costantino, H.; Stewart, A.; Mackie, D.; Saba, G.; Amand, C. Profile and Quality of Life of the Adult Population in Good Health according to the Level of Vitality: European NHWS Cross Sectional Analysis. BMC Public Health 2023, 23, 1061.
  • Treaster, D.E.; Burr, D. Gender Differences in Prevalence of Upper Extremity Musculoskeletal Disorders. Ergonomics 2004, 47, 495–526.
  • Trinkoff, A.M.; Lipscomb, J.A.; Geiger-Brown, J.; Storr, C.L.; Brady, B.A. Perceived Physical Demands and Reported Musculoskeletal Problems in Registered Nurses. Am. J. Prev. Med. 2003, 24, 270–275.
  • Van Mol, M.; de Veer, M.; de Pagter, A.; Kouwenhoven-Pasmooij, T.A.; Hoogendijk, W.J.G.; van Busschbach, J.J.; Oude Hengel, K.; Kranenburg, L. Vitality, Resilience and the Need for Support among Hospital Employees during the COVID-19 Pandemic: Study Protocol of a Mixed-Methods Study. BMJ Open 2021, 11, e049090.
  • Van Scheppingen, A.R.; de Vroome, E.M.M.; ten Have, K.C.J.M.; Zwetsloot, G.I.J.; Wiezer, N.; van Mechelen, W. Vitality at Work and Its Associations with Lifestyle, Self-Determination, Organizational Culture, and with Employees’ Performance and Sustainable Employability. Work 2015, 52, 45–55.
  • Vinstrup, J.; Jakobsen, M.D.; Andersen, L.L. Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study. Front. Public Health 2020, 8, 297.
  • Von Elm, E.; Altman, D.G.; Egger, M.; Pocock, S.J.; Gøtzsche, P.C.; Vandenbroucke, J.P. STROBE Initiative The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies. Int. J. Surg. 2014, 12, 1495–1499.
  • Yang, S.; Lu, J.; Zeng, J.; Wang, L.; Li, Y. Prevalence and Risk Factors of Work-Related Musculoskeletal Disorders Among Intensive Care Unit Nurses in China. Workplace Health Saf. 2019, 67, 275–287.
  • Yoshimoto, T.; Oka, H.; Fujii, T.; Nagata, T.; Matsudaira, K. The Economic Burden of Lost Productivity due to Presenteeism Caused by Health Conditions Among Workers in Japan. J. Occup. Environ. Med. 2020, 62, 883–888.
  • Zacher, H.; Brailsford, H.A.; Parker, S.L. Micro-Breaks Matter: A Diary Study on the Effects of Energy Management Strategies on Occupational Well-Being. J. Vocat. Behav. 2014, 85, 287–297.
  • Zare, A.; Choobineh, A.; Hassanipour, S.; Malakoutikhah, M. Investigation of Psychosocial Factors on Upper Limb Musculoskeletal Disorders and the Prevalence of Its Musculoskeletal Disorders among Nurses: A Systematic Review and Meta-Analysis. Int. Arch. Occup. Environ. Health 2021, 94, 1113–1136.