Ni Luh Dwi Indrayani , Chi-Yin Kao , I Gede Putu Darma Suyasa , Konara Mudiyanselage Sriyani Padmalatha , Jer-Hao Chang , Chi-Jane Wang
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Two reviewers independently appraised, extracted, and synthesized all available studies. The study protocol was registered in PROSPERO (CRD42022359511). <em>Results</em>: A total of 296 articles with 1,355 nursing staff from nine countries were obtained. Nine randomized controlled trials with a moderate to low risk of bias quality were included. Exercise programs had a small but significant effect on low back pain of nursing staff (SMD = -0.48; 95% CI = -0.76 to −0.19; p = 0.03, I<sup>2</sup> = 62%, p = 0.001). A subgroup analysis of nurses and nursing assistants showed moderate and small effects, respectively (I<sup>2</sup> = 0% p < 0.0001, SMD −0.73 CI 95% [-0.97 to –0.48], p = 0.76, and I<sup>2</sup> = 0% p = 0.002, SMD −0.23 CI 95% [-0.38 to −0.08], p < 0.88). Exercise for back and trunk exhibited a moderate effect on low back pain (SMD −0.56 CI 95% [-0.86 to −0.25], p = 0.01, I<sup>2</sup> = 66%, p < 0.0004). A subgroup analysis comparing age, under 40 years old revealed a moderate effect size (SMD = -0.59; 95% CI = -0.83to −0.35; p = 0.06; I<sup>2</sup> = 64%, p < 0.0001). <em>Conclusions</em>: Exercise programs are an effective treatment to reduce low back pain in nurses and nursing assistants, especially among younger staff. <em>Practical application</em>: Back and trunk exercise programs should be recommended for nursing staff with low back pain.</p></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"89 ","pages":"Pages 312-321"},"PeriodicalIF":3.9000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of exercise programs to reduce low back pain among nurses and nursing assistants: A systematic review and meta-analysis\",\"authors\":\"Ni Luh Dwi Indrayani , Chi-Yin Kao , I Gede Putu Darma Suyasa , Konara Mudiyanselage Sriyani Padmalatha , Jer-Hao Chang , Chi-Jane Wang\",\"doi\":\"10.1016/j.jsr.2024.01.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><em>Introduction</em>: Nurses have a high prevalence of low back pain due to ergonomic hazards in healthcare workplaces. While exercise programs have been suggested as an intervention strategy, the effectiveness of low back pain programs has been inconsistent in the research literature. The purpose of study is to determine the effect of exercise programs to reduce low back pain among nursing staff. <em>Methods</em>: A systematic review and meta-analysis was conducted with five databases and systematically searched. Following the PRISMA guidelines, included studies evaluated low back pain relief among nurses or nursing assistants and described the exercise program. Two reviewers independently appraised, extracted, and synthesized all available studies. The study protocol was registered in PROSPERO (CRD42022359511). <em>Results</em>: A total of 296 articles with 1,355 nursing staff from nine countries were obtained. Nine randomized controlled trials with a moderate to low risk of bias quality were included. Exercise programs had a small but significant effect on low back pain of nursing staff (SMD = -0.48; 95% CI = -0.76 to −0.19; p = 0.03, I<sup>2</sup> = 62%, p = 0.001). A subgroup analysis of nurses and nursing assistants showed moderate and small effects, respectively (I<sup>2</sup> = 0% p < 0.0001, SMD −0.73 CI 95% [-0.97 to –0.48], p = 0.76, and I<sup>2</sup> = 0% p = 0.002, SMD −0.23 CI 95% [-0.38 to −0.08], p < 0.88). Exercise for back and trunk exhibited a moderate effect on low back pain (SMD −0.56 CI 95% [-0.86 to −0.25], p = 0.01, I<sup>2</sup> = 66%, p < 0.0004). 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引用次数: 0
摘要
导言：由于医疗保健工作场所的人体工程学危害，护士的腰背痛发病率很高。虽然有人建议将锻炼计划作为一种干预策略，但在研究文献中，腰背痛计划的有效性并不一致。本研究旨在确定运动项目对减轻护理人员腰背痛的效果。研究方法对五个数据库进行了系统性检索和荟萃分析。按照 PRISMA 指南，纳入的研究对护士或护理助理的腰背痛缓解情况进行了评估，并对锻炼计划进行了描述。两名审稿人对所有可用研究进行了独立评估、提取和综合。研究方案已在 PROSPERO 中注册（CRD42022359511）。研究结果共收到来自 9 个国家的 296 篇文章，涉及 1,355 名护理人员。九项随机对照试验的偏倚风险为中度至低度。运动项目对护理人员的腰背痛有微小但显著的影响（SMD = -0.48; 95% CI = -0.76 to -0.19; p = 0.03, I2 = 62%, p = 0.001）。对护士和护理助理进行的亚组分析分别显示出中度和轻度影响（I2 = 0% p < 0.0001，SMD -0.73 CI 95% [-0.97 to -0.48]，p = 0.76；I2 = 0% p = 0.002，SMD -0.23 CI 95% [-0.38 to -0.08]，p < 0.88）。背部和躯干运动对腰背痛的影响适中（SMD -0.56 CI 95% [-0.86 to -0.25]，p = 0.01，I2 = 66%，p <0.0004）。对年龄（40 岁以下）进行的亚组分析显示出中等程度的效果（SMD = -0.59; 95% CI = -0.83 to -0.35；p = 0.06；I2 = 64%，p <0.0001）。结论：运动项目是一种有效的治疗方法：锻炼计划是减轻护士和护理助理腰背痛的有效治疗方法，尤其是对年轻员工而言。实际应用：应向患有腰背痛的护理人员推荐背部和躯干锻炼计划。
Effectiveness of exercise programs to reduce low back pain among nurses and nursing assistants: A systematic review and meta-analysis
Introduction: Nurses have a high prevalence of low back pain due to ergonomic hazards in healthcare workplaces. While exercise programs have been suggested as an intervention strategy, the effectiveness of low back pain programs has been inconsistent in the research literature. The purpose of study is to determine the effect of exercise programs to reduce low back pain among nursing staff. Methods: A systematic review and meta-analysis was conducted with five databases and systematically searched. Following the PRISMA guidelines, included studies evaluated low back pain relief among nurses or nursing assistants and described the exercise program. Two reviewers independently appraised, extracted, and synthesized all available studies. The study protocol was registered in PROSPERO (CRD42022359511). Results: A total of 296 articles with 1,355 nursing staff from nine countries were obtained. Nine randomized controlled trials with a moderate to low risk of bias quality were included. Exercise programs had a small but significant effect on low back pain of nursing staff (SMD = -0.48; 95% CI = -0.76 to −0.19; p = 0.03, I2 = 62%, p = 0.001). A subgroup analysis of nurses and nursing assistants showed moderate and small effects, respectively (I2 = 0% p < 0.0001, SMD −0.73 CI 95% [-0.97 to –0.48], p = 0.76, and I2 = 0% p = 0.002, SMD −0.23 CI 95% [-0.38 to −0.08], p < 0.88). Exercise for back and trunk exhibited a moderate effect on low back pain (SMD −0.56 CI 95% [-0.86 to −0.25], p = 0.01, I2 = 66%, p < 0.0004). A subgroup analysis comparing age, under 40 years old revealed a moderate effect size (SMD = -0.59; 95% CI = -0.83to −0.35; p = 0.06; I2 = 64%, p < 0.0001). Conclusions: Exercise programs are an effective treatment to reduce low back pain in nurses and nursing assistants, especially among younger staff. Practical application: Back and trunk exercise programs should be recommended for nursing staff with low back pain.
期刊介绍：
Journal of Safety Research is an interdisciplinary publication that provides for the exchange of ideas and scientific evidence capturing studies through research in all areas of safety and health, including traffic, workplace, home, and community. This forum invites research using rigorous methodologies, encourages translational research, and engages the global scientific community through various partnerships (e.g., this outreach includes highlighting some of the latest findings from the U.S. Centers for Disease Control and Prevention).
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