Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Örtü Altı Tarımı Çalışanlarında Kas-İskelet Sistemi Rahatsızlıklarının Sağlık Algısı ve Tamamlayıcı ve Alternatif Yöntem Kullanımı ile İlişkisi: Kesitsel Araştırma
The Relationship of Musculoskeletal Disorders with Health Perception and Use of Complementary and Alternative Methods Among Greenhouse Workers: A Cross-Sectional Study
Derya ADIBELLİa, Adem SÜMENb
aAntalya Bilim Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Antalya, Türkiye
bAkdeniz Üniversitesi Kumluca Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Halk Sağlığı Hemşireliği ABD, Antalya, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(1):85-94
doi: 10.5336/healthsci.2022-92124
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, örtü altı tarımı çalışanlarında kas-iskelet sistemi rahatsızlıklarının sağlık algısı ve tamamlayıcı ve alternatif yöntem kullanımı ile ilişkisini değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntemler: Kesitsel türde olan bu araştırma Eylül-Aralık 2021 tarihleri arasında bir ilçe merkezinde 182 kişi ile yürütülmüştür. Verilerin toplanmasında araştırmacılar tarafından hazırlanan tanıtıcı bilgi formu, Genişletilmiş Nordic Kas İskelet Sistemi Anketi, Nottingham Sağlık Profili Anketi ve Tamamlayıcı ve Alternatif Tıp Yaklaşımları Ölçeği kullanılmıştır. Verilerin değerlendirilmesinde SPSS 25.0 programı kullanılmış, analizinde tanımlayıcı istatistikler, Mann-Whitney U testi ve doğrusal regresyon analizi uygulanmıştır. Bulgular: Katılımcılar serada ortalama 13,87±13,23 yıldır çalıştıklarını ve günlük çalışma saatlerini ortalama 8,18±1,15 olarak belirtmişlerdir. Katılımcıların %48,4'ünün oranıyla en çok bel bölgesinde, ikinci olarak en çok ayak/bilek bölgesinde (%33) ağrı yaşadıkları görülmüştür. Regresyon analizi sonucunda kas-iskelet sistemi rahatsızlıklarının sağlık algısını %6-14 yordadığı saptanmıştır (p<0,001). Kas-iskelet sistemi rahatsızlıkları ile tamamlayıcı ve alternatif tıp yöntemleri kullanımı ilişkisine bakıldığında sadece sırt ağrısının yordayıcı bir faktör olduğu bulunmuştur (p<0,05). Sonuç: Ağır bir iş kolu olan örtü altı tarımında kasiskelet sistemi rahatsızlıklarının yaşandığı tespit edilmiştir. Çalışma koşullarının iyileştirilmesinin ve vücut ağırlığının kontrolü, kilo yönetimi ve tamamlayıcı ve alternatif tıp yöntemleri kullanımı konularında birinci basamak sağlık çalışanları tarafından danışmanlığın yararlı olacağı düşünülmektedir.

Anahtar Kelimeler: Tarım; ağrı; kas-iskelet sistemi; sağlık algısı; tamamlayıcı ve alternatif tıp
ABSTRACT
 Objective: This study was carried out to evaluate the relationship between musculoskeletal disorders and health perception and the use of complementary and alternative methods among greenhouse workers. Material and Methods: This cross-sectional study was conducted with 182 workers in a district center between September and December 2021. Descriptive information form prepared by the researchers, Extended Nordic Musculoskeletal Questionnaire, Nottingham Health Profile Questionnaire and Complementary and Alternative Medicine Approaches Scale were used to collect data. SPSS 25.0 program was used in the evaluation of the data, and descriptive statistics, Mann-Whitney U test, and linear regression analysis were applied in the analysis. Results: The participants had been working in the greenhouse for an average of 13.87±13.23 years and the mean of daily working time was 8.18±1.15 hours. 48.4% of the participants experienced pain mostly in the lumbar region, and secondly in the foot/ankle region (33%). As a result of the linear regression analysis, musculoskeletal disorders explained the perception of health by 6-14% among workers (p<0.001). Considering the relationship between musculoskeletal disorders and the use of complementary and alternative medicine methods, only back pain was found to be a predictive factor (p<0.05). Conclusion: Musculoskeletal disorders are experienced in greenhouse agriculture, which is a heavy line of work. Improving working conditions and counseling by primary health care workers in body weight control, weight management and complementary and alternative medicine methods will be beneficial.

Keywords: Agriculture; pain; musculoskeletal system; health perception; complementary and alternative medicine
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