Kronik mekanik bel ağrısı olan çalışanların ergonomi, iş sağlığı ve güvenliği açısından alan araştırması
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Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hitit Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmada, kronik mekanik bel ağrısı olan, ağrı nedeniyle fizik tedavi hastanesinde takip edilen aktif çalışanların cinsiyete göre ergonomik ve fiziksel risk faktörlerini belirlemek ve bu risk faktörlerine yönelik alınması gereken tedbirler konusunda işveren ve çalışanlara önerilerde bulunarak katkı sağlamayı amaçladık. Çalışma, Niğde ilinde Bor Fizik Tedavi Hastanesi'ne başvuran kronik bel ağrısı olan aktif çalışanlar içerisinden seçildi. Katılımcılar, Oswestry Bel Ağrısı Engellilik Anketi 2.0, Rapid Office Strain Assessment ve Ofislerde Risk Değerlendirmesi Rehberi ile değerlendirildi. Elde edilen veriler Excel formatında hazırlandı ve bu verilerin analizi IBM SPSS Statistics (V.25.0) istatistik programı kullanılarak gerçekleştirildi. Hastaların boy, kilo, bel çevresi ölçümleri alındı. Cinsiyete bağlı farklılıkların analizi için normal dağılım gösterenlerde student t testi, göstermeyenlerde Mann-Whitney U testi kullanıldı. Kadın ve erkek bireylerin kendilerine yöneltilen sorulardaki kategorik verilerin analizi Chi Square (ki kare) veya Fisher Exact testleri kullanılarak yapıldı. İstatistiksel olarak p<0.05' i değerini sağlayanlar anlamlı kabul edildi. Kadınlarda (% 63,6) ve erkeklerde (%66,7) fıtık seviyesi en sık L4-L5 seviyesinde olduğu hesaplandı. Fizik tedavi öncesi VAS skoru kadınlarda (%57,6) ve erkeklerde (%47,2) en fazla 10 puan verildiği, fizik tedavi sonrası da en fazla kadınlarda (%24,2) 6 puan, erkeklerde (%30,6) 5 puan verildiği hesaplandı. Hastaların almış oldukları tedavi sonrası; çalışma yılı, fıtık seviyesi, çalışma saatleri, ağrı bölgesi, kullanılan materyal ergonomisi, fizik tedavi öncesi ve sonrası VAS skorlarında ve tedavi sonrası istirahat sorularına verilen cevaplarda cinsiyete göre istatistiksel açıdan farklılık bulunmadı (p>0,05). Boy, kilo, bel çevresi antropometrik ölçümleri, mesleğe uygun ayakkabı kullanımı sorularında istatistiksel açıdan farklılık bulundu (p<0,05). Cinsiyete göre antropometrik farklılıklar göz ardı edilmeden çalışanların kullandığı her türlü alet ve ekipmanın antropometrik ölçülere göre ayarlanabilir olması ve ayar aralığının istenilen güvenlik seviyesine uygun olması için çaba gösterilmelidir. Bu sayede çalışanların kronik mekanik bel ağrısı şikâyetleri en aza indirilerek kişinin çalışma performansı ve kalitesi arttırılabileceği kanaatindeyiz.
In this study, we aimed to contribute to determining the ergonomic and physical risk factors of active employees, who have chronic mechanical low back pain and who are followed up in a physical therapy hospital due to pain, by gender, and to make recommendations to employers and employees about the measures to be taken against these risk factors. The study was selected among active workers with chronic low back pain who applied to Bor Physical Therapy Hospital in Niğde. Participants were assessed with the Oswestry Low Back Pain Disability Questionnaire 2.0, Rapid Office Strain Assessment and Guide to Risk Assessment in Offices. The data obtained was prepared in Excel format and the analysis of these data was carried out using the IBM SPSS Statistics (V.25.0) statistical program. Height, weight and waist circumference measurements of the patients were taken. For the analysis of gender-related differences, student t test was used for those with normal distribution, and Mann-Whitney U test was used for those without. Analysis of categorical data in the questions asked to male and female individuals was done using Chi Square (chi square) or Fisher Exact tests. Those with a p<0.05 value were considered statistically significant. It was calculated that the most common hernia was at the L4-L5 level in women (63.6%) and men (66.7%). Before physical therapy, the VAS score was maximum 10 points in women (57.6%) and men (47.2%), and after physical therapy, it was maximum 6 points in women (24.2%) and 5 points in men (30.6%). points were calculated. After the treatment the patients received; There was no statistical difference according to gender in working year, hernia level, working hours, pain area, ergonomics of the materials used, VAS scores before and after physical therapy, and answers to post-treatment rest questions (p>0.05). A statistical difference was found in the questions of height, weight, waist circumference anthropometric measurements, and use of shoes suitable for the profession (p <0.05). Without ignoring anthropometric differences according to gender, efforts should be made to ensure that all tools and equipment used by employees are adjustable according to anthropometric measurements and that the adjustment range is suitable for the desired safety level. In this way, we believe that employees' complaints of chronic mechanical back pain can be minimized and their work performance and quality can be increased.
In this study, we aimed to contribute to determining the ergonomic and physical risk factors of active employees, who have chronic mechanical low back pain and who are followed up in a physical therapy hospital due to pain, by gender, and to make recommendations to employers and employees about the measures to be taken against these risk factors. The study was selected among active workers with chronic low back pain who applied to Bor Physical Therapy Hospital in Niğde. Participants were assessed with the Oswestry Low Back Pain Disability Questionnaire 2.0, Rapid Office Strain Assessment and Guide to Risk Assessment in Offices. The data obtained was prepared in Excel format and the analysis of these data was carried out using the IBM SPSS Statistics (V.25.0) statistical program. Height, weight and waist circumference measurements of the patients were taken. For the analysis of gender-related differences, student t test was used for those with normal distribution, and Mann-Whitney U test was used for those without. Analysis of categorical data in the questions asked to male and female individuals was done using Chi Square (chi square) or Fisher Exact tests. Those with a p<0.05 value were considered statistically significant. It was calculated that the most common hernia was at the L4-L5 level in women (63.6%) and men (66.7%). Before physical therapy, the VAS score was maximum 10 points in women (57.6%) and men (47.2%), and after physical therapy, it was maximum 6 points in women (24.2%) and 5 points in men (30.6%). points were calculated. After the treatment the patients received; There was no statistical difference according to gender in working year, hernia level, working hours, pain area, ergonomics of the materials used, VAS scores before and after physical therapy, and answers to post-treatment rest questions (p>0.05). A statistical difference was found in the questions of height, weight, waist circumference anthropometric measurements, and use of shoes suitable for the profession (p <0.05). Without ignoring anthropometric differences according to gender, efforts should be made to ensure that all tools and equipment used by employees are adjustable according to anthropometric measurements and that the adjustment range is suitable for the desired safety level. In this way, we believe that employees' complaints of chronic mechanical back pain can be minimized and their work performance and quality can be increased.
Açıklama
Hitit Üniversitesi, Lisansüstü Eğitim Enstitüsü
