The Back College for nurses - an evaluation of intermediate effects.
Low back pain
Lumbar spine
Nursing personnel
Occupational disease
Prevention
Journal
Journal of occupational medicine and toxicology (London, England)
ISSN: 1745-6673
Titre abrégé: J Occup Med Toxicol
Pays: England
ID NLM: 101245790
Informations de publication
Date de publication:
2019
2019
Historique:
received:
17
12
2018
accepted:
10
06
2019
entrez:
29
6
2019
pubmed:
30
6
2019
medline:
30
6
2019
Statut:
epublish
Résumé
Nursing staff and care workers run an increased risk of work related musculoskeletal disorders such as low back pain. The Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) offers its insured persons the opportunity to participate in a three-week Back College with the aim of preventing them having to abandon their profession due to back problems. The aim of the study was to record the effectiveness and sustainability of the Back College on an intermediate basis (6 months). As part of a single-group pre-post measurement on three survey dates - at the start (T0) and end (T1) of rehabilitation and 6 months later (T2) - in 2013 all participants in the Back College at three locations were surveyed using a standard questionnaire. Wilcoxon signed-rank tests were performed to evaluate statistically significant changes. For measurement dates T0 to T2 we had 570 complete datasets (response rate 70.81%). There was a significant decrease in reported back pain and the general state of health and quality of life index improved. Participants' emotional strain decreased and they showed an improved understanding of illness as well as of having acquired knowledge-based abilities and skills for dealing with the disease. After training, they recorded back-friendly behaviour in everyday life and opportunities to relieve strain on the spinal column were utilised at work more often. Participants' subjective assessment of their ability to work (Work Ability Index) improved. The present study proved the intermediate effectiveness of the Back College curriculum. Whether these effects remain stable in the long term will be tested on the subsequent measurement date (T3, after 24 months).
Sections du résumé
BACKGROUND
BACKGROUND
Nursing staff and care workers run an increased risk of work related musculoskeletal disorders such as low back pain. The Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) offers its insured persons the opportunity to participate in a three-week Back College with the aim of preventing them having to abandon their profession due to back problems. The aim of the study was to record the effectiveness and sustainability of the Back College on an intermediate basis (6 months).
METHODS
METHODS
As part of a single-group pre-post measurement on three survey dates - at the start (T0) and end (T1) of rehabilitation and 6 months later (T2) - in 2013 all participants in the Back College at three locations were surveyed using a standard questionnaire. Wilcoxon signed-rank tests were performed to evaluate statistically significant changes.
RESULTS
RESULTS
For measurement dates T0 to T2 we had 570 complete datasets (response rate 70.81%). There was a significant decrease in reported back pain and the general state of health and quality of life index improved. Participants' emotional strain decreased and they showed an improved understanding of illness as well as of having acquired knowledge-based abilities and skills for dealing with the disease. After training, they recorded back-friendly behaviour in everyday life and opportunities to relieve strain on the spinal column were utilised at work more often. Participants' subjective assessment of their ability to work (Work Ability Index) improved.
CONCLUSION
CONCLUSIONS
The present study proved the intermediate effectiveness of the Back College curriculum. Whether these effects remain stable in the long term will be tested on the subsequent measurement date (T3, after 24 months).
Identifiants
pubmed: 31249605
doi: 10.1186/s12995-019-0239-8
pii: 239
pmc: PMC6584993
doi:
Types de publication
Journal Article
Langues
eng
Pagination
19Déclaration de conflit d'intérêts
Competing interestsThe authors declare that they have no competing interests.
Références
BMJ. 2015 Feb 18;350:h444
pubmed: 25694111
J Occup Rehabil. 2014 Dec;24(4):747-54
pubmed: 24627206
Int J Environ Res Public Health. 2018 Mar 09;15(3):
pubmed: 29522440
J Back Musculoskelet Rehabil. 2016 Aug 10;29(3):541-7
pubmed: 26836838
Gesundheitswesen. 2009 Dec;71(12):864-72
pubmed: 19806535
BMJ. 2008 Feb 23;336(7641):429-31
pubmed: 18244957
Int Arch Occup Environ Health. 2016 May;89(4):547-59
pubmed: 26467839
Asian Spine J. 2017 Jun;11(3):419-426
pubmed: 28670410
Psychol Aging. 2011 Sep;26(3):559-75
pubmed: 21517184
Int J Nurs Stud. 2018 Jan;77:222-231
pubmed: 29121556
J Occup Rehabil. 1993 Mar;3(1):15-30
pubmed: 24243149
NPJ Digit Med. 2019 Jan 7;2:1
pubmed: 31304351
BMJ Open. 2012 Nov 12;2(6):
pubmed: 23148337
Work. 2017;56(4):551-561
pubmed: 28409765
Ann Work Expo Health. 2017 Jan 1;61(1):22-32
pubmed: 28395308
Work. 2015;50(4):669-75
pubmed: 24448012
Br J Nurs. 2010 May 13-26;19(9):576-82
pubmed: 20505581
Eur Spine J. 2010 Sep;19(9):1527-33
pubmed: 20490874
Taiwan J Obstet Gynecol. 2016 Aug;55(4):525-9
pubmed: 27590376
Occup Med (Lond). 2014 Dec;64(8):601-7
pubmed: 25149117
Qual Life Res. 2013 Aug;22(6):1391-403
pubmed: 22987145
BMC Health Serv Res. 2018 Oct 19;18(1):785
pubmed: 30340485
PLoS One. 2012;7(7):e41287
pubmed: 22911772
Can J Appl Sport Sci. 1985 Sep;10(3):141-6
pubmed: 4053261
Patient Educ Couns. 2007 May;66(2):192-201
pubmed: 17320338
J Athl Train. 2018 Jun;53(6):553-559
pubmed: 29912568
Heliyon. 2017 Jun 07;3(6):e00314
pubmed: 28626806
Clin J Pain. 2011 Mar-Apr;27(3):248-57
pubmed: 21178600
Braz J Phys Ther. 2018 Sep - Oct;22(5):424-430
pubmed: 30217693
Ann Occup Hyg. 2013 May;57(4):528-44
pubmed: 23253360
Eur Spine J. 2018 Nov;27(11):2875-2881
pubmed: 30155730
Workplace Health Saf. 2013 Feb;61(2):73-8
pubmed: 23380640
Health Psychol. 2009 Mar;28(2):183-93
pubmed: 19290710
Occup Environ Med. 2013 Jul;70(7):491-7
pubmed: 23525643
Work. 2015;53(2):439-48
pubmed: 26835850
Ann Fam Med. 2013 Nov-Dec;11(6):527-34
pubmed: 24218376
Spine J. 2014 Nov 1;14(11):2658-78
pubmed: 24614254
BMJ Open. 2014 May 23;4(5):e004725
pubmed: 24859999
Appl Ergon. 2004 Nov;35(6):603-14
pubmed: 15374768
Appl Ergon. 2018 May;69:93-103
pubmed: 29477334
Occup Environ Med. 2017 May;74(5):336-343
pubmed: 27919058
J Clin Nurs. 2018 Mar;27(5-6):e895-e902
pubmed: 28771864
BMJ Open Sport Exerc Med. 2015 Nov 9;1(1):e000050
pubmed: 27900136
Pain. 2015 Sep;156(9):1786-1794
pubmed: 25993549
J Rehabil Med. 2013 Mar;45(3):268-76
pubmed: 23450424
J Occup Rehabil. 2015 Sep;25(3):527-36
pubmed: 25875331
J Occup Med Toxicol. 2014 Sep 20;9:32
pubmed: 25512761
Ergonomics. 2006 Jun 10;49(7):706-23
pubmed: 16720530
Spine (Phila Pa 1976). 2006 Jul 15;31(16):1761-9
pubmed: 16845347
J Clin Nurs. 2012 Jun;21(11-12):1776-84
pubmed: 22594388
Iowa Orthop J. 2014;34:158-65
pubmed: 25328476
Health Policy. 1990 Dec;16(3):199-208
pubmed: 10109801