Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Examination of Neck and Back Pain-Related Awareness of Health Professionals Working at Family Health Care Centers: Cross-Sectional Study
Aile Sağlığı Merkezlerinde Çalışan Sağlık Çalışanlarının Boyun ve Sırt Ağrısı Konusundaki Farkındalıklarının İncelenmesi: Kesitsel Araştırma
Gökçen AKYÜREKa , Leyla KAYA ÖZTÜRKb
aDepartment of Occupational Therapy, Hacettepe University Faculty of Health Sciences, Ankara, Türkiye
bClinic of Occupational Therapy, Ankara Etlik City Hospital, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(4):616-22
doi: 10.5336/healthsci.2023-97792
Article Language: EN
Full Text
ABSTRACT
Objective: Family health center employees are aware and knowledgeable about musculoskeletal problems, and it is crucial to show the patient with the problem that they are knowledgeable and to use patient-centered approaches when planning the treatment. The present study aimed to examine the awareness of health professionals working in family healthcare centers about neck and back health. Material and Methods: This study was performed with 60 healthcare professionals working in six different primary health centers affiliated with the General Directorate of Public Health of the Ministry of Health of the Republic of Türkiye. The sociodemographic information form and Pain Attitudes and Beliefs Scale (PABS-TR) were used in the study. Results: 70% (n=42) of the health professionals participating in the study were women. The mean value of the working time of the individuals was 16.33±10.13 years (1-37), and it was 6.44±5.16 (1-24) years in their current institution. 36.6% (n=22) of the participants were family physicians, and 63.4% (n=38) were other health professionals. The average score of PABS-TR was 52.88±9.42. Conclusion: This study revealed that primary healthcare professionals had high rates of awareness of neck and back health. In future studies, we think it is critical to control the reflection of this awareness of applicants with neck and back pain with a satisfaction scale.

Keywords: Pain; neck; back; awareness; health personnel
ÖZET
Amaç: Aile sağlığı merkezi çalışanlarının kas-iskelet sistemi sorunları konusunda bilinçli ve bilgili olmaları bu konuda sorunu olan hastaya bilgili olduklarını göstermeleri ve tedaviyi planlarken hasta merkezli yaklaşımları kullanmaları önemlidir. Bu çalışmada, aile sağlığı merkezlerinde görev yapan sağlık çalışanlarının boyun ve sırt sağlığı konusundaki farkındalıklarının incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışma, Türkiye Cumhuriyeti Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğüne bağlı altı farklı birinci basamak sağlık merkezinde görev yapan 60 sağlık çalışanı ile yapılmıştır. Çalışmada, sosyodemografik bilgi formu ve Ağrı Tutum ve İnançları Ölçeği (ATİÖ) kullanıldı. Bulgular: Çalışmaya katılan sağlık çalışanlarının %70'i (n=42) kadındı. Bireylerin ortalama çalışma süresi değeri 16,33±10,13 yıl (1-37), şu an çalıştıkları kurumda 6,44±5,16 (1-24) yıl idi. Katılımcıların %36,6'sı (n=22) aile hekimi, %63,4'ü (n=38) ise diğer sağlık çalışanlarıydı. ATİÖ'nün ortalama puanı 52,88±9,42 idi. Sonuç: Bu çalışmada, birinci basamak sağlık çalışanlarının boyun ve sırt sağlığı farkındalığının yüksek olduğu ortaya çıktı. Bundan sonraki çalışmalarda boyun ve sırt ağrısı şikâyeti ile başvuran adaylarda bu farkındalığın yansımalarının bir memnuniyet ölçeği ile kontrol edilmesinin kritik olduğunu düşünüyoruz.

Anahtar Kelimeler: Ağrı; boyun; sırt; farkındalık; sağlık personeli
REFERENCES:
  1. Ozdemir F, Karaoğlu L, Özfirat Ö. Malatya il merkezinde yaşayan bireylerde boyun, sırt ve bel ağrısı prevalansları ve etkileyen faktörler [The lifetime and point prevalence of neck, upper back and low back pain of the people living in central Malatya with influencing factors]. Agri. 2013;25(1):27-35. Turkish. [Crossref]  [PubMed] 
  2. GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1545-602. Erratum in: Lancet. 2017;389(10064):e1. [PubMed]  [PMC] 
  3. Esen ES, Toprak D. Bel ağrısı sıklığı ve ilişkili faktörlerin değerlendirilmesi [Evaluation of the prevalence and associated factors of low back pain]. Ank Med J. 2018;18(4):460-9. [Link] 
  4. Lee H, Hübscher M, Moseley GL, Kamper SJ, Traeger AC, Mansell G, et al. How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. Pain. 2015;156(6):988-97. [Crossref]  [PubMed] 
  5. Kang JH, Chen HS, Chen SC, Jaw FS. Disability in patients with chronic neck pain: heart rate variability analysis and cluster analysis. Clin J Pain. 2012;28(9):797-803. [Crossref]  [PubMed] 
  6. Chan LLY, Wong AYL, Wang MH, Cheung K, Samartzis D. The prevalence of neck pain and associated risk factors among undergraduate students: a large-scale cross-sectional study. Int J Ind Ergon. 2020;76(102934). [Crossref] 
  7. Kinge JM, Knudsen AK, Skirbekk V, Vollset SE. Musculoskeletal disorders in Norway: prevalence of chronicity and use of primary and specialist health care services. BMC Musculoskelet Disord. 2015;16:75. [Crossref]  [PubMed]  [PMC] 
  8. Koes BW, van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J. 2010;19(12):2075-94. [Crossref]  [PubMed]  [PMC] 
  9. Sindel D. Osteoartritte disiplinlerarası ilişki ve hastaya yaklaşım nasıl olmalı [What should be the interdisciplinary interaction and approach to patients with osteoarthritis]? Turk Geriatri Derg. 2011;1(4):89-94. [Link] 
  10. Parsons S, Harding G, Breen A, Foster N, Pincus T, Vogel S, et al. The influence of patients' and primary care practitioners' beliefs and expectations about chronic musculoskeletal pain on the process of care: a systematic review of qualitative studies. Clin J Pain. 2007;23(1):91-8. [Crossref]  [PubMed] 
  11. Chou L, Ranger TA, Peiris W, Cicuttini FM, Urquhart DM, Sullivan K, et al. Patients' perceived needs of health care providers for low back pain management: a systematic scoping review. Spine J. 2018;18(4):691-711. [Crossref]  [PubMed] 
  12. Kayhan M, Dilekçi E, Gücük S. Fizik tedavi ve rehabilitasyon hastanesi polikliniklerine başvuran 65 yaş ve üstü hastaların aile hekimliği bakış açısıyla değerlendirilmesi [Evaluation of patients aged 65 years and over who apply to physiotherapy and rehabilitation polyclinics from a family medicine perspective]. Konuralp Tıp Derg. 2018;10(1):120-5. [Crossref] 
  13. Ahern M, Dean CM, Dear BF, Willcock SM, Hush JM. The experiences and needs of people seeking primary care for low-back pain in Australia. Pain Rep. 2019;4(4):e756. [Crossref]  [PubMed]  [PMC] 
  14. Gardner T, Refshauge K, Smith L, McAuley J, Hübscher M, Goodall S. Physiotherapists' beliefs and attitudes influence clinical practice in chronic low back pain: a systematic review of quantitative and qualitative studies. J Physiother. 2017;63(3):132-43. [Crossref]  [PubMed] 
  15. Vaucher P, Macdonald RJD, Carnes D. The role of osteopathy in the Swiss primary health care system: a practice review. BMJ Open. 2018;8(8):e023770. [Crossref]  [PubMed]  [PMC] 
  16. Kesgin MT, Bay B. Birinci basamak sağlık hizmetlerinde çalışan sağlıkçıların sağlıklarına ve çalıştıkları ortamdaki risk etmenlerine ilişkin değerlendirilmesi [Determination of the health of health professionals working in the primary health and the risk factors in work environment]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2019;(4):676-82. [Link] 
  17. Subaşı F. Koruyucu rehabilitasyon ve fizyoterapist. İnal HS, editör. Engellilerde Koruyucu Rehabilitasyon ve Rekreasyon. 1. Baskı. Ankara: Türkiye Klinikleri; 2018. p.14-8.
  18. Miyamoto GC, Lin CC, Cabral CMN, van Dongen JM, van Tulder MW. Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: a systematic review with meta-analysis. Br J Sports Med. 2019;53(3):172-81. [Crossref]  [PubMed] 
  19. Hendrick P, Te Wake AM, Tikkisetty AS, Wulff L, Yap C, Milosavljevic S. The effectiveness of walking as an intervention for low back pain: a systematic review. Eur Spine J. 2010;19(10):1613-20. [Crossref]  [PubMed]  [PMC] 
  20. Shnayderman I, Katz-Leurer M. An aerobic walking programme versus muscle strengthening programme for chronic low back pain: a randomized controlled trial. Clin Rehabil. 2013;27(3):207-14. [Crossref]  [PubMed] 
  21. Vanti C, Andreatta S, Borghi S, Guccione AA, Pillastrini P, Bertozzi L. The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials. Disabil Rehabil. 2019;41(6):622-32. [Crossref]  [PubMed] 
  22. Bumin G, Akyürek G. Koruyucu Ergoterapi ve Çevresel Düzenlemeler. 1. Baskı. Ankara: Hipokrat Kitabevi; 2021.
  23. Akyürek G. Yardımcı günlük yaşam aktiviteleri eğitimi. Bumin G, editör. Günlük Yaşam Aktiviteleri. 1. Baskı. Ankara: Hipokrat Yayınevi. 2021. p.52-71.
  24. Ostelo RW, Stomp-van den Berg SG, Vlaeyen JW, Wolters PM, de Vet HC. Health care provider's attitudes and beliefs towards chronic low back pain: the development of a questionnaire. Man Ther. 2003;8(4):214-22. [Crossref]  [PubMed] 
  25. Dalkılınç M, Çırak Y, Parla Demir Y, Yılmaz GD. Pain attidutes and beliefs in physiotherapists (pabs-pt): validity and reliability of Turkish version. Turk J Physiother Rehabil. 2013;24(2):37-8. [Link] 
  26. Hestbaek L, Munck A, Hartvigsen L, Jarbøl DE, Søndergaard J, Kongsted A. Low back pain in primary care: a description of 1250 patients with low back pain in danish general and chiropractic practice. Int J Family Med. 2014;2014:106102. [Crossref]  [PubMed]  [PMC] 
  27. Li X, Lu J, Hu S, Cheng KK, De Maeseneer J, Meng Q, et al. The primary health-care system in China. Lancet. 2017;390(10112):2584-94. [Crossref]  [PubMed] 
  28. Yaraşır E, Pirinçci E, Deveci SE. Bel ağrısında tamamlayıcı ve alternatif tedavi [Complementary and alternative treatment in low back pain]. Arşiv Kaynak Tarama Derg. 2018; 27(1):93-108. [Crossref] 
  29. Simmonds MJ, Derghazarian T, Vlaeyen JW. Physiotherapists' knowledge, attitudes, and intolerance of uncertainty influence decision making in low back pain. Clin J Pain. 2012;28(6):467-74. [Crossref]  [PubMed] 
  30. Pool JJ, Ostelo RW, Knol DL, Vlaeyen JW, Bouter LM, de Vet HC. Is a behavioral graded activity program more effective than manual therapy in patients with subacute neck pain? Results of a randomized clinical trial. Spine (Phila Pa 1976). 2010;35(10):1017-24. [Crossref]  [PubMed] 
  31. Gross A, Forget M, St George K, Fraser MM, Graham N, Perry L, et al. Patient education for neck pain. Cochrane Database Syst Rev. 2012;(3):CD005106. [Crossref]  [PubMed] 
  32. Daykin AR, Richardson B. Physiotherapists' pain beliefs and their influence on the management of patients with chronic low back pain. Spine (Phila Pa 1976). 2004;29(7):783-95. [Crossref]  [PubMed] 

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