An investigation of foot and ankle problems experienced by nurses

摘要: Relatively little information has been reported about foot and ankle problems experienced by nurses, despite anecdotal evidence which suggests they are common ailments. The purpose of this study was to improve knowledge the prevalence musculoskeletal disorders (MSDs) explore relationships between these MSDs proposed risk factors. A review literature relating work-related MSDs, in nursing, lower-limb screening for discomfort, footwear community undertaken. Based on review, theoretical factors were that pertained individual characteristics their work activity or environment. Three studies then cross-sectional survey 304 working a large tertiary paediatric hospital, established MSDs. collected self-reported interest. second involved clinical examination subgroup 40 examine changes body discomfort postural sway over course single shift. Objective measurements additional factors, such as posture (arch index) hardness shoe midsoles, performed. final used confirm test-retest reliability important aspects key measurements. Foot most nurses preceding seven days (42.7% nurses). They cause disability last 12 months (17.4% nurses), third (54% Substantial (Visual Analogue Scale (VAS) score 50mm more) 48.5% at sometime months. Individual obesity number conditions (e.g., callouses, curled toes, flat feet) strongly associated with likelihood experiencing during months. These showed consistent associations disabling substantial discomfort. Some dependent upon location within hospital average hours worked per week. Working intensive care unit higher odds days, impaired Changes day, variability. Fifteen forty moderate/substantial end shift (VAS 25+mm). Analysis association revealed less likely who older, had greater BMI lower arches, indicated arch index scores. nurses’ decreased shift, suggesting improved balance day. findings unexpected. Further examining several shifts needed results, particularly due small sample size measurement occasion. There more than 280,000 registered practice Australia. nursing workforce is ageing will increase. If estimates from extrapolated profession generally, 70,000 have 25-30,000 limited months. Nurses underlying report having work. Strategies prevent manage exist should be disseminated nurses. Obesity significant factor may need particular assistance problems. groups e.g. obese vary depending hospital. research study. Similar conducted other occupational require workers stand prolonged periods.