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 OJN  Vol.9 No.11 , November 2019
Quality of Life among Nurses with Low Back Pain: A Review
Abstract: Background and Aim: Nurses experience the highest incidence of work-related back injuries, a serious and costly problem that affects their profession. The main aim of this review was to highlight the quality of life of nurses who suffer from low back pain. Methods: A review of previous literature review about the impact of LBP on the nurses has been reviewed. The database which was be used for this review included the Cumulative Index of Nursing and Allied Health Literature (CINAHL®), Ovid MEDLINE, PuMed, Ovid OLDMEDLINE, Embase Classic + EMBASE (Ovid), The Web of Science (Thomson Reuters). Conclusion: Several studies revealed a significant decrease in the quality of life among nurses who have work-related LBP among nurses. This effect would have its significant magnitude on the nurses’ work and on the quality of healthcare as well. Recommendations: This review promoted the need to adopt an effective educational program with clinical training into basic nursing education and health care practices to maximize the quality of life among nurses in order to reduce the incidence of work-related LBP among nurses.

1. Introduction

Low back pain (LBP) disability is a serious and costly problem that affects the nursing profession [1]. LBP is reportedly an escalating health issue among individuals worldwide, with a lifetime prevalence that ranges from 60% to 90% [2] [3]. LBP predominantly affects the working population in developed and developing nations, leaving a number of individuals disabled [4] [5] [6].

The impact of LBP includes: loss of physical function; deterioration of general health and reconditioning (loss of muscle tone and weight gain); constant or episodic pain or increase in the level of pain; loss of social functioning manifested as decreased participation in social and leisure activities; deterioration of the quality of life (QoL); family stress or loss of group and community relatedness (often associated with decreased income and/or job loss); and disruption of psychological functioning manifested through insomnia, irritability, anxiety, depression, and somatic complaints [7].

Moreover, members of the nursing staff belong to the group of high-risk professionals because of the occurrence of musculoskeletal injuries, especially lumbar spine injuries, which can significantly interfere with the quality of life and general function of nurses [8]. Musculoskeletal injuries and disorders are detrimental to the nurse and to the patients and the organization [8].

2. Quality of Life in Healthcare

In the field of healthcare, QoL for healthcare providers and patients with acute and chronic health conditions has become an important factor, this QoL has multiple domains including physical, social, spiritual, psychological [9]. The lives of people with chronic ailments have been extended by medical advances in the 20th century [10]. However, researchers are pressured to measure the opinions of patients regarding their care, the burden of that care, and living with their conditions because of the escalating costs, limited resources, and demands of evidence-based practice [11].

Empirical data can no longer be the sole determinant of quality care. Simply measuring objective outcomes has become insufficient; practitioners should also consider the subjective experience of living with a chronic ailment [12]. Hence, healthcare interventions should increase their focus in improving QoL [13].

3. Quality of Life and Low Back Pain

The WHO first defined QoL in 1948, and the term was often used after World War II and became a popular expression in the 1960s. The WHO defined QoL as perception of individuals regarding their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns. QoL is a broad concept that is influenced by the physical health and psychological state of a person, as well as their level of independence, social relationships, personal beliefs, and relationship to the salient features of their environment [14].

This concept is crucial to the new definition of health according to the WHO, that health is “a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity” [15]. Currently, this statement is “glibly used in a wide range of contexts” [16] and fields as diverse as advertising and politics. The term is used, defined, and approached by different disciplines in a unique manner [17].

3.1. QoL and Physical Changes in the Nurses with LBP

A relationship between pain and physical capabilities was observed among individuals with LBP [18]. Disuse syndrome is among the other physical problems related to chronic pain. Patients often limit their activities and responsibilities to prevent additional pain, which results in muscle weakness and activity intolerance, thus leading to more pain and fear of pain. This condition is known as “fear-avoidance behavior” [19]. Waddell’s Fear-Avoidance Beliefs Questionnaire can be used to assess this construct because of the specialized and compartmentalized nature of western medicine. Fear-avoidance behavior is a cycle that eventually leads to disability [20]. One of the strongest predictors of disability is the duration of pain [19].

3.2. QoL and Psychosocial Effects of LBP

Considering that it is regarded as an overwhelmingly negative experience LBP can have a heavy psychosocial effect on patients. Compared with normal individuals, patients with LBP have twice the risk of depression [21]. Patients with lower QoL have higher psychological distress than the normal individuals and patients with other chronic diseases [22]. WHOQOL-BREF as control of QoL was used to assess job demands, sports activity, and back pain. Their results indicated that trained workers have an increase in QoL and concluded that a training program reduced back pain and has a positive effect on QoL [23]. In addition, LBP leads to psychological distress, withdrawal, anxiety, loneliness, anger, and affecting the social status of patients [12] [19]. The psychosocial burden of this increase in pain signals modifies the pain experience. Meanwhile, LBP disrupts the lives of patients in the form of sleep disturbances and deterioration in the ability to function normally, exacerbating the psychosocial burden of pain [24], impact of LBP can be elaborated in terms of its intensity and duration as well as its effect on the nurses’ performance, such impact can be measured through specific tools and methodological approaches [23].

4. Conclusion

Several studies revealed a significant decrease in the quality of life among nurses who have work-related LBP among nurses. This effect would have its significant magnitude on the nurses’ work and on the quality of healthcare as well. This review and findings can be used as a significant guide for healthcare managers to include specific educational program to decrease LBP among nurses, and also it can be used to formulate a clear methodological approach for maximizing the issue of QoL among nurses.

Cite this paper: Al-Mutairi, M. (2019) Quality of Life among Nurses with Low Back Pain: A Review. Open Journal of Nursing, 9, 1138-1142. doi: 10.4236/ojn.2019.911083.
References

[1]   McAdams, M.T., Kerwin, J.J., Olivo, V. and Goksel, H.A. (2011) National Assessment of the Occupational Safety and Health Workforce. National Institute for Occupational Safety and Health. Research Boulevard Rockville, Maryland.

[2]   Brennan, G., Shafat, A., Donncha, C. and Vekins, C. (2007) Lower Back Pain in Physically Demanding College Academic Programs: A Questionnaire-Based Study. BMC Musculoskeletal Disorders, 8, 67-75.
https://doi.org/10.1186/1471-2474-8-67

[3]   Burdorf, A. and Jansen, J.P. (2006) Predicting the Long-Term Course of Low Back Pain and Its Consequences for Sickness Absence and Associated Work Disability. Occupational and Environmental Medicine, 63, 522-529.
https://doi.org/10.1136/oem.2005.019745

[4]   Roffey, D.M., Wai, E.K., Bishop, P., Kwon, B.K. and Dagenais, S. (2010) Causal Assessment of Occupational Sitting and Low Back Pain: Results of a Systematic Review. The Spine Journal, 10, 252-261.
https://doi.org/10.1016/j.spinee.2009.12.005

[5]   Sanya, A. and Ogwumike, O. (2005) Low Back Pain Prevalence amongst Industrial Workers in the Private Sector in Oyo State, Nigeria. African Journal of Medicine and Medical Sciences, 34, 245-249.

[6]   Naude, B., Mudzi, W., Mamabolo, M.V. and Becker, P.J. (2009) Low Back Pain among Hospital Employees in Gauteng, South Africa: Point Prevalence and Associated Factors. Occupational Health Southern Africa, 15, 24-30.

[7]   Silveri, C. and Spinasanta, S. (2009) Spine Health Benefits from Physical Activity.

[8]   Hinmikaiye, C. and Bamishaiye, E. (2012) The Incidence of Low Back Pain among Theatre Nurses: A Case Study of University of Ilorin and Obafemi Awolowo University Teaching Hospital. International Journal of Nursing Science, 2, 23-28.
https://doi.org/10.5923/j.nursing.20120203.02

[9]   Gilworth, G., Chamberlain, M.A., Bahkta, B., Haskard, D., Silman, A. and Tennant, A. (2004) Development of the Behcet’s Disease—Quality of Life: A Quality of Life Measure Specific to Behcet’s Disease. Journal of Rheumatology, 31, 931-937.

[10]   Duggan, C.H. and Dijkers, M. (2001) Quality of Life after Spinal Cord Injury: A Qualitative Study. Rehabilitation Psychology, 46, 3-27.
https://doi.org/10.1037/0090-5550.46.1.3

[11]   Morewitz, S. (2006) Chronic Diseases and Health Care: New Trends in Diabetes, Arthritis, Osteoporosis, Fibromyalgia, Low Back Pain, Cardiovascular Disease, and Cancer. Springer, Berlin.

[12]   Lee, G.K., Chronister, J. and Bishop, M. (2009) The Effects of Psychosocial Factors on Quality of Life among Individuals with Chronic Pain. Rehabilitation Counseling Bulletin, 51, 177-189.
https://doi.org/10.1177/0034355207311318

[13]   Willener, R. and Hantikainen, V. (2005) Individual Quality of Life Following Radical Prostatectomy in Men with Prostate Cancer. Urologic Nursing, 25, 88-100.

[14]   World Health Organization (1997) WHO Quality of Life: Measuring Quality of Life. Division of Mental Health and Prevention of Substance Abuse. World Health Organization, Geneva.

[15]   World Health Organization (1998) Health Promotion Glossary. Geneva.

[16]   Meeberg, G.A. (1993) Quality of Life: A Concept Analysis. Journal of Advanced Nursing, 18, 32-38.
https://doi.org/10.1046/j.1365-2648.1993.18010032.x

[17]   Murphy, K., Cooney, A., Shea, E.O. and Casey, D. (2009) Determinants of Quality of Life for Older People Living with a Disability in the Community. Journal of Advanced Nursing, 65, 606-615.
https://doi.org/10.1111/j.1365-2648.2008.04929.x

[18]   Valet, M., Gundel, H., Sprenger, T., Sorg, C., Muhlau, M., Zimmer, C., et al. (2009) Patients with Pain Disorder Show Gray-Matter Loss in Pain-Processing Structures: A Voxel-Based Morphometric Study. Psychosomatic Medicine, 71, 49-56.
https://doi.org/10.1097/PSY.0b013e31818d1e02

[19]   Closs, S.J., Staples, V., Reid, I., Bennett, M.I. and Briggs, M. (2009) The Impact of Neuropathic Pain on Relationships. Journal of Advanced Nursing, 65, 402-411.
https://doi.org/10.1111/j.1365-2648.2008.04892.x

[20]   Banbury, P., Feenan, K. and Allcock, N. (2008) Experience of Analgesic Use in Patients with Low Back Pain. British Journal of Nursing, 17, 1215-1218.
https://doi.org/10.12968/bjon.2008.17.19.31460

[21]   Cassidy, J.D., Cote, P., Carroll, L.J. and Kristman, V. (2005) Incidence and Course of Low Back Pain Episodes in the General Population. Spine, 24, 2817-2823.
https://doi.org/10.1097/01.brs.0000190448.69091.53

[22]   Burckhardt, C., Fritzell, P. and Nordwall, A. (2003) Quality of Life in Chronic Low Back Pain: A Comparison with Fibromyalgia and the General Population. Journal of Musculoskeletal Pain, 11, 31-38.
https://doi.org/10.1300/J094v11n01_06

[23]   Muller, K., Schwesig, R., Leuchte, S. and Riedem, D. (2001) Coordinative Treatment and Quality of Life: A Randomized Trial of Nurses with Back Pain. Gesundheitswesen, 63, 609-618.
https://doi.org/10.1055/s-2001-17872

[24]   McCarberg, B.H., Nicholson, B.D., Knox, H.T., Palmer, T. and Penles, L. (2008) The Impact of Pain on Quality of Life and the Unmet Needs of Pain Management: Results from Pain Sufferers and Physicians Participating in an Internet Survey. American Journal of Therapeutics, 15, 312-320.
https://doi.org/10.1097/MJT.0b013e31818164f2

 
 
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