Effectiveness of Ergonomics Education Program combined with Muscle Stretching on Behavior to Prevent Muscle Pain, Muscle Pain and Physical Fitness of Registered Nurses with Work Related Muscle Pain in Hospital

Authors

  • Apuntree Prayunvong Senior Professional Registered Nurse, Chaophya Abhaibhubejhr Hospital, Prachinburi Province
  • Watcharawee Wachiraphantham Professional Registered Nurse, Chaophya Abhaibhubejhr Hospital, Prachinburi Province
  • Pranee Phonmana Professional Registered Nurse, Chaophya Abhaibhubejhr Hospital, Prachinburi Province

Keywords:

Ergonomics Education, Muscle Stretching, Muscle Pain, Registered Nurses

Abstract

     This quasi-experimental research aimed to examine the effectiveness of an ergonomics education program combined with muscle stretching exercises on preventive behaviors for muscle pain, muscle pain symptoms, and physical fitness among registered nurses experiencing work-related muscle pain in hospitals. The sample consisted of 82 registered nurses with work-related muscle pain, selected through simple random sampling. The research intervention included an ergonomics education program combined with muscle stretching exercises, guidelines for managing work-related muscle pain based on protocol WI-OCC–002, a handbook on ergonomics and stretching exercises, and a nursing supervision plan on managing muscle pain. Data was collected using a questionnaire on ergonomics knowledge, a scale assessing preventive behaviors for muscle pain, a muscle pain symptom record, and a physical fitness test record. The validity of the instrument was assessed by five experts. The reliability coefficients for the ergonomics knowledge questionnaire and preventive behavior questionnaire were 0.79 and 0.96, respectively. Descriptive statistics were used for general data analysis, and a paired t-test was employed to compare differences between pre- and post-intervention.

     The results showed that after the intervention, the participants had significantly higher mean scores for ergonomics knowledge, preventive behaviors for muscle pain, mean flexibility, and mean muscle strength compared to before the intervention (t = 22.30, p-value < 0.001; t = 17.89, p-value < 0.001; t = 10.01, p-value < 0.001; t = 10.40, p-value < 0.001). Additionally, the mean score for muscle pain symptoms significantly decreased after the intervention (t = -17.21, p-value < 0.001). These findings indicate that the ergonomics education program combined with muscle stretching exercises effectively improved ergonomics knowledge, preventive behaviors, reduced muscle pain symptoms, and enhanced flexibility and muscle strength. This program can be adapted for use by healthcare workers or other professions with similar work conditions.

References

Amornrattanapaijit, R., & Krungkraiwong, S. (2001). Ergonomic in workplace. Bangkok: Riangsam graphic design. [In Thai]

Buatum, P., Nawamawat, J., & Prompradit, T. (2022). Factors associated with work-related musculoskeletal disorders among registered nurses and nurse’s aides at Uthaithani hospital. Journal of Nursing and Health Care, 40(4), 1/11-12/11. [In Thai]

Bureau of Occupational and Environmental Diseases, Department of Disease Control, Ministry of Public Health. (2011). Manual for Risk Assessment of Work Performance of Personnel in Hospitals (Revised Edition 2011). (3rd ed.). Nonthaburi: Printing House of Agricultural Cooperatives of Thailand Co., Ltd. [In Thai]

Butmee, T. (2015). Ergonomics risk factors affecting to work-related musculoskeletal disorders in nurses and prevention. KKU Journal for Public Health Research, 8(4), 1-5. [In Thai]

Chamnan, S., Pichainarong, N., & Butsaenkom, R. (2016). The results of ergonomics health promotion program for behavioral modification of work-related muscuroskeletal disorders risk reduction among Srisomdet hospital personnel, Srisomdet district, Roi Et province. Journal The Office of DPC 7 Khon Kaen, 23(3), 56-66. [In Thai]

Chancharoen, K. (2009). Identifying population and sample. In Jirojanakul, P. (Ed.), Nursing research: concept, principle and practice (pp. 85-114). Nonthaburi: Praboromarajchanok Institute for Health Workforce Development, Ministry of Public Health. [In Thai]

Department of Labor Protection and Welfare. (n.d.). Learning package on safety and occupational health in ergonomics. Retrieved from https://osh.labour.go.th/index.php?option=com_k2&view=item&id=201

Health Promotion Foundation (ThaiHealth). (2018). Prevent muscle pain. Retrieved from https://www.thaihealth.or.th/?p=229029

Intajak, T. (2021). Herbal used behavior of people in Mueang district, Mae Hong Son province. (Research Report). Chiang Mai: Chiang Mai Rajabhat University. [In Thai]

Jaijum, P., & Tantipanyaporn, T. (2018). Effectiveness of muscle stretching with ergonomics training program to relieve back pain and increase back muscle stretching in hand weaving workers, Mae Rang sub-district, Pa Sang district, Lamphun province. Journal of Science and Technology Ubon Ratchathani University, 20(3), 29-39. [In Thai]

Khunhankaew, T. (2015). Effects of flexibility training on agility in professional Thai boxers of Quest Thailand Camp. Master’s Thesis, Sports Science, Chiang Mai University. [In Thai]

Likert, R.A. (1993). A technique for the measurement of attitude. Chicago: Rand McNally. Meepradit, P. (2016). Ergonomics risk assessment. Bangkok: O.S. Printing House. [In Thai]

Occupational medicine department, Chao Phraya Abhaibhubejhr Hospital. (2023). Summary of the results of the health risk assessment in Chao Phraya Abhaibhubejhr Hospital for the year 2023. Prachinburi: Chaophya Abhaibhubejhr Hospital. [In Thai]

Ontam, N. (2019). PDCA (Deming Cycle) Management techniques. Journal of Association of Professional Development of Educational Administration of Thailand (JAPDEAT), 1(3), 39-46. [In Thai]

Pattamaranggoul, W., & Singlumpong, Y. (2018). A comparative study of different techniques in recovery peroid of physical fitness of athletics. Academic Journal Institute of Physical Education, 10(1), 89-102. [In Thai]

Pimarn, R., & Wongmatikul, V. (2017). Prevalence and risk factors of low back pain among nurses at King Chulalongkorn Memorial Hospital. Chulalongkorn Medical Journal, 61(1), 87-102. [In Thai]

Potchana, K. (2022). The effect of stretching exercises and ergonomics on pain and quality of life in nurses with myofascial pain syndrome (MPS). Udonthani Hospital Medical Journal, 30(1), 45-57. [In Thai]

Prasan, S. (2021). Prevalence and ergonomic factors associated with work-related musculoskeletal disorders among non-medical hospital personnel. Thai Journal of Public Health, 51(2), 149-158. [In Thai]

Prayunvong, A., Wachiraphantham, W., Srisanit, R., Kanmali., Y. & Phonmana, P. (2023). Model development of nursing service to solve health problems caused by ergonomic health hazards in hospital personnel, Chaophya Abhaibhubejhr hospital, Prachinburi Province. Journal of Public Health Nursing, 37(3), 48-71. [In Thai]

Sports Science Institute, Department of Physical Education, Ministry of Tourism and Sports. (2019). Manual for testing and physical fitness standards of children, youth and Thai people. Bangkok: World Expert. [In Thai]

Sripanya, B., & Sittibannakul, B. (2020). Effects of educational ergonomics with rubber chain exercise program on low back pain, functional ability and back muscle strength among indigo-dyed weaving workers. Journal of Liberal Arts and Management Science Kasetsart University, 37(7), 27-40. [In Thai]

Srirach, C., & Yiammit, C. (2019). Flexibility Development with a muscle stretching program for improving physical wuality of the life of elderly in Chanthaburi province. NRRU Community Research Journal, 15(3), 104-115. [In Thai]

Thailand Institute of Occupational Safety and Health (Public Organization). (2019). Ergonomics manual for lifting and handling operations improvement. Bangkok: Chayakorn Printing. [In Thai]

Vorapongsathorn, T., & Vorapongsathorn, S. (2018). Sample size calculation for research using G*Power program. Thailand Journal of Health Promotion and Environmental Health, 41(2), 11-21. [In Thai]

Wiratchai, N. (2012). Sample sizing in research hypothesis testing. Retrieved from http://lllskill.com/web/files/GPower.pdf

Wongsri, P., & Chintapanyakun, T. (2018). Utilization of Orem’s theory with caring and advice forpatients with heart failure. Journal of The Police Nurses, 10(1), 209–219. [In Thai]

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Published

2024-12-30

How to Cite

Prayunvong, A., Wachiraphantham, W., & Phonmana, P. (2024). Effectiveness of Ergonomics Education Program combined with Muscle Stretching on Behavior to Prevent Muscle Pain, Muscle Pain and Physical Fitness of Registered Nurses with Work Related Muscle Pain in Hospital. The Journal of Faculty of Nursing Burapha University, 32(4), 52–68. retrieved from https://he02.tci-thaijo.org/index.php/Nubuu/article/view/271013