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IRCT20231030059907N1 IRCT 2023-11-20 Ahvaz University of Medical Sciences The Effect of Multidimensional Interventions on the Improvement of Musculoskeletal Disorders of Nurses Working in Intensive Care Units The Effect of Multidimensional Interventions on the Improvement of Musculoskeletal Disorders of Nurses Working in Intensive Care Units 2023-12-06 anticipated 72 Complete https://irct.ir/trial/73511 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Factorial, Purpose: Supportive, Randomization description: In this research, based on the results of previous studies and according to the opinion of the respected consultant of statistics and methodology, the number of samples will be 72 people. In a simple random way, one of Golestan and Imam Khomeini hospitals in Ahvaz will be assigned to the intervention group and the other to the control group. From each hospital, 2 ICU departments are randomly determined and the samples are selected based on the entry criteria. According to the calculations and the possible drop of 20%, the sample size in each group will be 36 people. N/A Musculoskeletal Disorders. Intervention group: The intervention group is trained as follows:In general, the interventions will be carried out during 6 weeks, the first, second and third weeks are dedicated to weekly feedback sessions.1- The first session: a 30-minute feedback lecture in the first week in the field of work-related musculoskeletal disorders, symptoms, epidemiology, risk factors and consequences, which will be conducted by the researcher.2- The second session: a 30-minute feedback lecture in the second week in the field of health behavior education regarding the concept of ergonomics, the effect of ergonomic principles in preventing and reducing musculoskeletal disorders caused by nursing work, training in the field of correct sitting position, Adjusting the height of the chair, physical exercises, walking, turning, how to move patients and lift equipment will be done by an ergonomic specialist.3- The third session: In the field of safe work environment, a 30-minute feedback lecture will be given in the third week about the safety of the work environment, safety barriers, teamwork and communication by an ergonomic expert and a researcher.From the 4th to the 6th week, the following steps will be taken:1- Distributing brochures and sending messages through mobile phones regarding work-related musculoskeletal disorders, factors affecting these disorders, protective exercises and ergonomic principles to prevent these disorders from occurring or worsening on a weekly basis.2- Holding weekly meetings in the form of practical exercises to strengthen the health behaviors taught, including correct sitting position, walking, turning, moving patients correctly, adjusting the height of the chair and fixing problems.3- Improving the ICU environment by making changes such as replacing height-adjustable chairs instead of fixed-height chairs, 2 front legs and 2 back legs for chairs (cushions), using stools to access the equipment in are high and the correct placement of devices in the environment, taking into account the access limit and how to use them, as well as the purpose of using these devices, will be explained to the nurses in the form of a lecture.All the trainings will be done under the supervision of an ergonomics expert, and in order to comply with ethical issues, after studying the training material, it will be given to the control group in the form of pamphlets and brochures.. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Dr. Simin Jahani
Faculty of Nursing and Midwifery, Jundishapur University of Medical Sciences, Golestan, Ahvaz
Ahvaz Iran (Islamic Republic of) 613571579 +98 61 3373 8333 Jahanisimin50@yahoo.com Ahvaz University of Medical Sciences scientific Dr. Simin Jahani
Faculty of Nursing and Midwifery, Jundishapur University of Medical Sciences, Golestan, Ahvaz
Ahvaz Iran (Islamic Republic of) 61357-15794 +98 61 3373 8333 Jahanisimin50@yahoo.com Ahvaz University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) At least one year of Experience in Intensive Care Unit Having at least a Bachelor's Degree in Nursing Absence of Congenital Skeletal Disorders No History of Surgery on the Spine Absence of Pregnancy Confirmation of Musculoskeletal Disorder Based on the Nordic questionnaire no limit no limit Both Nurses with less than a Bachelor's Degree Nurses who are not Directly Involved in Patient Care Nurses who Use Painkillers Unwillingness to Participate in the Study M95.8 Other specified acquired deformities of musculoskeletal system Rehabilitation Intervention group: The intervention group is trained as follows:In general, the interventions will be carried out during 6 weeks, the first, second and third weeks are dedicated to weekly feedback sessions.1- The first session: a 30-minute feedback lecture in the first week in the field of work-related musculoskeletal disorders, symptoms, epidemiology, risk factors and consequences, which will be conducted by the researcher.2- The second session: a 30-minute feedback lecture in the second week in the field of health behavior education regarding the concept of ergonomics, the effect of ergonomic principles in preventing and reducing musculoskeletal disorders caused by nursing work, training in the field of correct sitting position, Adjusting the height of the chair, physical exercises, walking, turning, how to move patients and lift equipment will be done by an ergonomic specialist.3- The third session: In the field of safe work environment, a 30-minute feedback lecture will be given in the third week about the safety of the work environment, safety barriers, teamwork and communication by an ergonomic expert and a researcher.From the 4th to the 6th week, the following steps will be taken:1- Distributing brochures and sending messages through mobile phones regarding work-related musculoskeletal disorders, factors affecting these disorders, protective exercises and ergonomic principles to prevent these disorders from occurring or worsening on a weekly basis.2- Holding weekly meetings in the form of practical exercises to strengthen the health behaviors taught, including correct sitting position, walking, turning, moving patients correctly, adjusting the height of the chair and fixing problems.3- Improving the ICU environment by making changes such as replacing height-adjustable chairs instead of fixed-height chairs, 2 front legs and 2 back legs for chairs (cushions), using stools to access the equipment in are high and the correct placement of devices in the environment, taking into account the access limit and how to use them, as well as the purpose of using these devices, will be explained to the nurses in the form of a lecture.All the trainings will be done under the supervision of an ergonomics expert, and in order to comply with ethical issues, after studying the training material, it will be given to the control group in the form of pamphlets and brochures. Work-related musculoskeletal disorders. Timepoint: At the beginning of the study and at the end of the sixth and twelfth weeks after the intervention. Method of measurement: Nordic Musculoskeletal Questionnaire. Perception of Risk. Timepoint: At the beginning of the study and at the end of the sixth and twelfth weeks after the intervention. Method of measurement: Risk perception of musculoskeletal injury. Physical Behavior. Timepoint: At the beginning of the study and at the end of the sixth and twelfth weeks after the intervention. Method of measurement: Questionnaire for assessing the status of nursing physical behaviors. Workplace safety. Timepoint: At the beginning of the study and at the end of the sixth and twelfth weeks after the intervention. Method of measurement: Nurses' safety Climate Questionnaire. Ahvaz University of Medical Sciences Approved 2023-10-23 Ethics Committee of Jundishapur Ahvaz University of Medical Sciences Jundishapur Ahvaz University of Medical Sciences, Esfand St, University City, Golestan Boulevard, Ahvaz Ahvaz Khouzestan Iran (Islamic Republic of)