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Nöbet tutan sağlık çalışanlarında fibromiyaljinin değerlendirilmesi

Year 2024, Volume: 9 Issue: 2, 40 - 46, 31.07.2024

Fatih Ozcan , Zeliha Ünlü , Şerife Aslantekin , Özlem Erol Durgun

https://doi.org/10.22391/fppc.1363910

Abstract

Giriş: Fibromiyalji (FM), yaygın kas-iskelet sistemi ağrısı, uyku bozukluğu, yorgunluk ve çok sayıda hassas noktanın varlığı ile karakterize, etiyolojisi bilinmeyen, eklem dışı, kronik bir romatizmal hastalıktır. Vardiyalı çalışma ve gece vardiyası sistemi ile çalışmak vücudun normal biyolojik ritmine aykırıdır ve kişiyi birçok yönden olumsuz etkiler. FM'li hastalarda uyku bozukluğu şikayeti oldukça yaygındır; Bazı çalışmalarda %100'e yakın yaygınlık rapor edilmiştir. Bu çalışmada hastanemiz personelinin fibromiyalji ile vardiyalı çalışma düzeni arasındaki ilişkinin araştırılması amaçlandı.
Yöntem: Kesitsel tipte olan bu çalışma üniversite hastanemizde gerçekleştirildi. Araştırmaya dahil edilme kriterlerini karşılayan 120 kişiden 80 kişi kabul edildi. Kontrol grubu olarak 95 kişiye ulaşıldı ve bunların 80'i çalışmaya katılmayı kabul etti Fibromiyaljili olgularda Fibromiyalji Etki Ölçeği (FES) sorgulandı. Çalışmaya katılan tüm olgulara SF-36 yaşam kalitesi anketi uygulandı. Tanı için 1990 ACR Fibromiyalji Tanı Kriterleri kullanıldı. FM'li olgularda Fibromiyalji Etki Ölçeği (FES) sorgulandı.
Bulgular: Tüm SF-36 yaşam kalitesi anketi alt alan gruplarının ortalama puanı, çalışma grubunda kontrol grubunda görev yapan gruba göre anlamlı derecede yüksekti (p<0,05). Çalışma grubu ile kontrol grubu arasında "fiziksel fonksiyon" açısından fark vardı (p<0,001). Kontrol grubunda "fiziksel fonksiyon" puanı daha yüksekti. FM'li olgularda (N:39) SF-36 alt gruplarında FM olmayan olgulara (n:141) göre anlamlı fark bulundu (p<0,05). FM'li olgularda genel sağlık durumunun daha olumsuz etkilendiği saptandı. FES1.2 (çamaşır yıkama) ile “sosyal işlev” (r=0,349, p=0,054) arasında zayıf derecede pozitif doğrusal bir ilişki bulundu (sınırda anlamlı). FES1.3 (yemek hazırlama) ile “genel sağlık” arasında orta derecede negatif doğrusal ilişki saptandı (r=- 0,420, p=0,019).
Sonuç: Gece vardiyasında çalışan ve ayda en az dört nöbet tutan sağlık çalışanlarında fibromiyalji daha sık görülmektedir. Bu durum sağlık çalışanlarının yaşam kalitesini ve genel sağlığını olumsuz yönde etkilemektedir. Özellikle vardiyalı çalışma düzeninin insanın biyolojik saatini olumsuz etkilediği iş kollarında, gece vardiyalarının işçiler üzerindeki olası olumsuz etkisini azaltmak için kişi başına düşen gece nöbeti sayısı ve yoğunluğu mümkün olduğunca en aza indirilmelidir.

Keywords

fibromiyalji vardiyalı çalışma programı kas-iskelet ağrısı yaşam kalitesi biyolojik saatler

Ethical Statement

For this research, the Ethics Committee approval was obtained from the Health Sciences Ethics Committee of our University School of Medicine (12/10/2016 dated 20.478.486.341 numbered), and then the research permit approval was obtained from the hospital's chief medical officer. An "informed consent" form was given to the volunteers who participated in the study, and their personal consent was obtained.

Supporting Institution

The Scientific Research Projects Coordination Unit of the Manisa Celal Bayar University supported this research. The project number is 2017-037.

Project Number

The project number is 2017-037.

Thanks

We thank Assistant Prof. Dr. Funda Özalp Ateş for interpreting the study's statistical analysis and supporting The Scientific Research Projects Coordination Unit of the Manisa Celal Bayar University.

References

  • 1. Linares MCU, Perez IR, Perez MJB, Lima AOL, Torres EH, Castano JP. Analyses of the impact of fibromyalgia on quality of life: associated factors. Clin Rheumatol 2008 27(5):613-9. http://doi.org/10.1007/s10067-007-0756-1
  • 2. Guven AZ, Kul Panza E, Gunduz OH. Depression and psychosocial factors in Turkish women with fibromyalgia syndrome. Eura Medicophys 2005;41(4):309-13. Available at: https://pubmed.ncbi.nlm.nih.gov/16474286/ (Access Date: April 7, 2023)
  • 3. Sowder T, Foster JM, Nicol AL. Fibromyalgia. In: Rick D. Kellerman and David P. Rakel editors. Conn's Current Therapy Elsevier 1st edition 2021, 954-57.
  • 4. Sarzi-Puttini P, Rizzi M, Andreoli A, Panni B, Pecis M, Colombo S, et al. Hypersomnolence in fibromyalgia syndrome. Clin Exp Rheumatol 2002;20(1):69-72. Available at: https://pubmed.ncbi.nlm.nih.gov/11892714/ (Access Date: January 10, 2023)
  • 5. Fietta P, Fietta P, Manganelli P. Fibromyalgia and psychiatric disorders. Acta Biomed 2007;78(2):88-95. Available at: https://pubmed.ncbi.nlm.nih.gov/17933276/ (Access Date: February 15, 2023)
  • 6. Buskila D, Sarzi-Puttini P. Biology and therapy of fibromyalgia, genetic aspects of fibromyalgia syndrome. Arthritis Res Ther 2006;8(5):218-21. http://doi.org/10.1186/ar2005
  • 7. Eich W, Häuser W, Arnold B, Jackel W, Offenbacher M, Petzke F et al. Fibromiyalgia syndrome: definition, classification, clinical diagnosis and prognosis. Published by Springer-Verlag-2012. Avaible at: https://www.yumpu.com/en/document/read/5268565/multicomponent-therapy-of-fibromyalgia-syndrome-awmf. (Access date: December 26, 2023) http://doi.org/10.1007/s00482-012-1169-x.
  • 8. Knutsson A. Health disorders of shift workers. Occupational Medicine 2003;53(2):103-8. https//doi.org/10.1093/occmed/kqg048
  • 9. Jennum P, Drewes AM, Andreasen A, Nielsen KD. Sleep and other symptoms in primary fibromyalgia and in healthy controls. J Rheumatol 1993;20:1756-9. Avaible at: https://pubmed.ncbi.nlm.nih.gov/8295190/ (Access Date: April 7, 2023)
  • 10. Rizzi M, Sarzi-Puttini P, Atzeni F, Capsoni F, Andreoli A, Pecis M, et al. Cyclic Alternating Pattern: A new marker of sleep alteration in patients with fibromyalgia? J Rheumatol 2004;31(6):1193-9. Avaible at: https://pubmed.ncbi.nlm.nih.gov/15170935/ (Access Date: April 1, 2023)
  • 11. Kocyigit H, Aydemir O, Fisek G. [Reliability and Validity of the Turkish version of Short Form-36 (SF-36)] (in Turkish). İlaç ve Tedavi dergisi, 1999;12(2): 102-106.
  • 12. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum. 1990; 33(2):160-72. https://doi.org/10.1002/art.1780330203.
  • 13. Burckhardt CS, Clark SdR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol. 1991;18(5):728-33. Avaible at: https://pubmed.ncbi.nlm.nih.gov/1865419/ (Access Date: March 6, 2023)
  • 14. Yunus MB, Inanici F. Fibromyalgia syndrome: Clinical features, diagnosis and biopathophysiologic mechanisms. In: Rachlin ES, Rachlin TS, editors. Myofascial pain and fibromyalgia. 2nd ed. Mosby: St. Louis; 2002. p. 3-31.
  • 15. Ardekani ZZ, Kakooei H, Ayattollahi SM, Choobineh A, Seraji GN. Prevalence of mental disorders among shift work hospital nurses in Shiraz, Iran. Pak J Biol Sci 2008;11(12):1605-09. https://doi.org/10.3923/pjbs.2008.1605.1609
  • 16. Samaha E, Lal S, Samaha N, Wyndham J. Psychological, lifestyle and coping contributors to chronic fatigue in shift-worker nurses. J Adv Nurs 2007;59(3):221-32. https://doi.org/10.1111/j.1365-2648.2007.04338
  • 17. Erguney S, Tan M, Sivrikaya S, Erdem N. [Occupational risks that nurses face] (in Turkish). Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2001;4(1):63-73.
  • 18. Zverev YP, Misiri HE. Perceived effects of rotating shiftwork on nurses' sleep quality and duration. Malawi Med J 2009;21(1):19-21. https://doi.org/10.4314/mmj.v21i1.10984
  • 19. Sarzi-Puttini P, Buskila D, Carrabba M, Doria A, Atzeni F. Treatment strategy in fibromyalgia syndrome: where are we now. Semin Arthritis Rheum 2008;37:353-65. https://doi.org/10.1016/j.semarthrit.2007.08.008
  • 20. Carville SF, Arendt-Nielsen S, Bliddal H, Blotman F, Branco JC, Buskila D, et al. EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis 2008;67:536-41. https://doi.org/10.1136/ard.2007.071522
  • 21. Mannerkorpi K, Henriksson C. Nonpharmacological treatment of chronic widespread musculoskeletal pain. Best Pract Res Clin Rheumatol 2007;21:513-34. https://doi.org/10.1016/j.berh.2007.04.001
  • 22. Häuser W, Thieme K, Turk DC. Guidelines on the management of fibromyalgia syndrome - a systematic review. Eur J Pain 2010;14(1):5-10. https://doi.org/10.1016/j.ejpain.2009.01.006
  • 23. Hassett AL, Gevirtz RN. Nonpharmacologic treatment for fibromyalgia: patient education, cognitive-behavioral therapy, relaxation techniques, and complementary and alternative medicine. Rheum Dis Clin North Am 2009;35(2):393-407. https://doi.org/10.1016%2Fj.rdc.2009.05.003
  • 24. Van Koulil S, Effting M, Kraaimaat FW, Van Lankveld W, Van Helmond T, Cats H, et al. Cognitive-behavioral therapies and exercise programmes for patients with fibromyalgia: state of the art and future directions. Ann Rheum Dis 2007;66(5):571-81. https://doi.org/10.1136%2Fard.2006.054692
  • 25. Offenbächer M, Stucki G. Physical therapy in the treatment of fibromyalgia. Scand J Rheumatol Suppl. 2000;113:78-85. https://doi: 10.1080/030097400446706

Evaluation of fibromyalgia in on-call healthcare workers

Year 2024, Volume: 9 Issue: 2, 40 - 46, 31.07.2024

Fatih Ozcan , Zeliha Ünlü , Şerife Aslantekin , Özlem Erol Durgun

https://doi.org/10.22391/fppc.1363910

Abstract

Introduction: Fibromyalgia (FM) is a non-articular, chronic rheumatic disease with unknown etiology, characterized by widespread musculoskeletal pain, sleep disorder, fatigue, and the presence of numerous tender points. Working with the shift work and night shift system contradicts the normal biological rhythm of the body and negatively affects the person in many ways. The complaint of sleep disorder is widespread in patients with FM; close to 100% prevalence has been reported in some studies. This study aimed to investigate the relationship between fibromyalgia and shift working order in our hospital staff.
Methods: This cross-sectional study was conducted in our university hospital. 120 people who met the inclusion criteria were included in the study, and 80 were accepted. As a control group, 95 people were reached, 80 of whom agreed to participate in the study. The Fibromyalgia Impact Scale (FES) was questioned in cases with fibromyalgia. The SF-36 quality of life questionnaire was applied to all the cases in which the study was conducted. 1990 ACR Fibromyalgia Diagnostic Criteria were used for diagnosis. The Fibromyalgia Impact Scale (FES) was questioned in cases with FM.
Results: The average score of all SF-36 quality of life questionnaire sub-field groups was significantly higher in the control group than in the group who stand duty (p <0.05). There is a difference between the study group and the control group in terms of "physical function" (p<0.001). The "physical function" score is higher in the control group. A significant difference was found in SF-36 subgroups in cases with FM (N:39) compared to cases with non-FM (N:141) (p<0.05). General health status was more negatively affected in the cases with FM. There is a weakly positive linear relationship (borderline significant) between FES1.2 (laundry) and "social function" (r=0.349, p=0.054). There is a moderately negative linear relationship between FES1.3 (preparing meals) and “general health” (r=- 0.420, p=0.019)
Conclusion: As a result, fibromyalgia is more common in health workers who are working night shifts and have at least four night shifts a month. This situation negatively affects health workers' quality of life and general health. the number and intensity of night shifts per person should be minimized as much as possible to reduce the potential negative impact of night shifts on workers, especially in the lines of work where a shift work order negatively affects the human biological clock.

Keywords

fibromyalgia shift work schedule musculoskeletal pain quality of life biological clocks

Ethical Statement

For this research, the Ethics Committee approval was obtained from the Health Sciences Ethics Committee of our University School of Medicine (12/10/2016 dated 20.478.486.341 numbered), and then the research permit approval was obtained from the hospital's chief medical officer. An "informed consent" form was given to the volunteers who participated in the study, and their personal consent was obtained.

Supporting Institution

The Scientific Research Projects Coordination Unit of the Manisa Celal Bayar University supported this research. The project number is 2017-037.

Project Number

The project number is 2017-037.

Thanks

We thank Assistant Prof. Dr. Funda Özalp Ateş for interpreting the study's statistical analysis and supporting The Scientific Research Projects Coordination Unit of the Manisa Celal Bayar University.

References

  • 1. Linares MCU, Perez IR, Perez MJB, Lima AOL, Torres EH, Castano JP. Analyses of the impact of fibromyalgia on quality of life: associated factors. Clin Rheumatol 2008 27(5):613-9. http://doi.org/10.1007/s10067-007-0756-1
  • 2. Guven AZ, Kul Panza E, Gunduz OH. Depression and psychosocial factors in Turkish women with fibromyalgia syndrome. Eura Medicophys 2005;41(4):309-13. Available at: https://pubmed.ncbi.nlm.nih.gov/16474286/ (Access Date: April 7, 2023)
  • 3. Sowder T, Foster JM, Nicol AL. Fibromyalgia. In: Rick D. Kellerman and David P. Rakel editors. Conn's Current Therapy Elsevier 1st edition 2021, 954-57.
  • 4. Sarzi-Puttini P, Rizzi M, Andreoli A, Panni B, Pecis M, Colombo S, et al. Hypersomnolence in fibromyalgia syndrome. Clin Exp Rheumatol 2002;20(1):69-72. Available at: https://pubmed.ncbi.nlm.nih.gov/11892714/ (Access Date: January 10, 2023)
  • 5. Fietta P, Fietta P, Manganelli P. Fibromyalgia and psychiatric disorders. Acta Biomed 2007;78(2):88-95. Available at: https://pubmed.ncbi.nlm.nih.gov/17933276/ (Access Date: February 15, 2023)
  • 6. Buskila D, Sarzi-Puttini P. Biology and therapy of fibromyalgia, genetic aspects of fibromyalgia syndrome. Arthritis Res Ther 2006;8(5):218-21. http://doi.org/10.1186/ar2005
  • 7. Eich W, Häuser W, Arnold B, Jackel W, Offenbacher M, Petzke F et al. Fibromiyalgia syndrome: definition, classification, clinical diagnosis and prognosis. Published by Springer-Verlag-2012. Avaible at: https://www.yumpu.com/en/document/read/5268565/multicomponent-therapy-of-fibromyalgia-syndrome-awmf. (Access date: December 26, 2023) http://doi.org/10.1007/s00482-012-1169-x.
  • 8. Knutsson A. Health disorders of shift workers. Occupational Medicine 2003;53(2):103-8. https//doi.org/10.1093/occmed/kqg048
  • 9. Jennum P, Drewes AM, Andreasen A, Nielsen KD. Sleep and other symptoms in primary fibromyalgia and in healthy controls. J Rheumatol 1993;20:1756-9. Avaible at: https://pubmed.ncbi.nlm.nih.gov/8295190/ (Access Date: April 7, 2023)
  • 10. Rizzi M, Sarzi-Puttini P, Atzeni F, Capsoni F, Andreoli A, Pecis M, et al. Cyclic Alternating Pattern: A new marker of sleep alteration in patients with fibromyalgia? J Rheumatol 2004;31(6):1193-9. Avaible at: https://pubmed.ncbi.nlm.nih.gov/15170935/ (Access Date: April 1, 2023)
  • 11. Kocyigit H, Aydemir O, Fisek G. [Reliability and Validity of the Turkish version of Short Form-36 (SF-36)] (in Turkish). İlaç ve Tedavi dergisi, 1999;12(2): 102-106.
  • 12. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum. 1990; 33(2):160-72. https://doi.org/10.1002/art.1780330203.
  • 13. Burckhardt CS, Clark SdR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol. 1991;18(5):728-33. Avaible at: https://pubmed.ncbi.nlm.nih.gov/1865419/ (Access Date: March 6, 2023)
  • 14. Yunus MB, Inanici F. Fibromyalgia syndrome: Clinical features, diagnosis and biopathophysiologic mechanisms. In: Rachlin ES, Rachlin TS, editors. Myofascial pain and fibromyalgia. 2nd ed. Mosby: St. Louis; 2002. p. 3-31.
  • 15. Ardekani ZZ, Kakooei H, Ayattollahi SM, Choobineh A, Seraji GN. Prevalence of mental disorders among shift work hospital nurses in Shiraz, Iran. Pak J Biol Sci 2008;11(12):1605-09. https://doi.org/10.3923/pjbs.2008.1605.1609
  • 16. Samaha E, Lal S, Samaha N, Wyndham J. Psychological, lifestyle and coping contributors to chronic fatigue in shift-worker nurses. J Adv Nurs 2007;59(3):221-32. https://doi.org/10.1111/j.1365-2648.2007.04338
  • 17. Erguney S, Tan M, Sivrikaya S, Erdem N. [Occupational risks that nurses face] (in Turkish). Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2001;4(1):63-73.
  • 18. Zverev YP, Misiri HE. Perceived effects of rotating shiftwork on nurses' sleep quality and duration. Malawi Med J 2009;21(1):19-21. https://doi.org/10.4314/mmj.v21i1.10984
  • 19. Sarzi-Puttini P, Buskila D, Carrabba M, Doria A, Atzeni F. Treatment strategy in fibromyalgia syndrome: where are we now. Semin Arthritis Rheum 2008;37:353-65. https://doi.org/10.1016/j.semarthrit.2007.08.008
  • 20. Carville SF, Arendt-Nielsen S, Bliddal H, Blotman F, Branco JC, Buskila D, et al. EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis 2008;67:536-41. https://doi.org/10.1136/ard.2007.071522
  • 21. Mannerkorpi K, Henriksson C. Nonpharmacological treatment of chronic widespread musculoskeletal pain. Best Pract Res Clin Rheumatol 2007;21:513-34. https://doi.org/10.1016/j.berh.2007.04.001
  • 22. Häuser W, Thieme K, Turk DC. Guidelines on the management of fibromyalgia syndrome - a systematic review. Eur J Pain 2010;14(1):5-10. https://doi.org/10.1016/j.ejpain.2009.01.006
  • 23. Hassett AL, Gevirtz RN. Nonpharmacologic treatment for fibromyalgia: patient education, cognitive-behavioral therapy, relaxation techniques, and complementary and alternative medicine. Rheum Dis Clin North Am 2009;35(2):393-407. https://doi.org/10.1016%2Fj.rdc.2009.05.003
  • 24. Van Koulil S, Effting M, Kraaimaat FW, Van Lankveld W, Van Helmond T, Cats H, et al. Cognitive-behavioral therapies and exercise programmes for patients with fibromyalgia: state of the art and future directions. Ann Rheum Dis 2007;66(5):571-81. https://doi.org/10.1136%2Fard.2006.054692
  • 25. Offenbächer M, Stucki G. Physical therapy in the treatment of fibromyalgia. Scand J Rheumatol Suppl. 2000;113:78-85. https://doi: 10.1080/030097400446706
There are 25 citations in total.

Details

Primary Language English
Subjects Family Medicine
Journal Section Original Research
Authors

Fatih Ozcan 0000-0001-9380-5227

Zeliha Ünlü 0000-0003-2270-0414

Şerife Aslantekin 0000-0002-1190-8247

Özlem Erol Durgun 0000-0002-3076-5616

Project Number The project number is 2017-037.
Publication Date July 31, 2024
Submission Date September 21, 2023
Acceptance Date June 25, 2024
Published in Issue Year 2024Volume: 9 Issue: 2

Cite

APA Ozcan, F., Ünlü, Z., Aslantekin, Ş., Durgun, Ö. E. (2024). Evaluation of fibromyalgia in on-call healthcare workers. Family Practice and Palliative Care, 9(2), 40-46. https://doi.org/10.22391/fppc.1363910
AMA Ozcan F, Ünlü Z, Aslantekin Ş, Durgun ÖE. Evaluation of fibromyalgia in on-call healthcare workers. Fam Pract Palliat Care. July 2024;9(2):40-46. doi:10.22391/fppc.1363910
Chicago Ozcan, Fatih, Zeliha Ünlü, Şerife Aslantekin, and Özlem Erol Durgun. “Evaluation of Fibromyalgia in on-Call Healthcare Workers”. Family Practice and Palliative Care 9, no. 2 (July 2024): 40-46. https://doi.org/10.22391/fppc.1363910.
EndNote Ozcan F, Ünlü Z, Aslantekin Ş, Durgun ÖE (July 1, 2024) Evaluation of fibromyalgia in on-call healthcare workers. Family Practice and Palliative Care 9 2 40–46.
IEEE F. Ozcan, Z. Ünlü, Ş. Aslantekin, and Ö. E. Durgun, “Evaluation of fibromyalgia in on-call healthcare workers”, Fam Pract Palliat Care, vol. 9, no. 2, pp. 40–46, 2024, doi: 10.22391/fppc.1363910.
ISNAD Ozcan, Fatih et al. “Evaluation of Fibromyalgia in on-Call Healthcare Workers”. Family Practice and Palliative Care 9/2 (July 2024), 40-46. https://doi.org/10.22391/fppc.1363910.
JAMA Ozcan F, Ünlü Z, Aslantekin Ş, Durgun ÖE. Evaluation of fibromyalgia in on-call healthcare workers. Fam Pract Palliat Care. 2024;9:40–46.
MLA Ozcan, Fatih et al. “Evaluation of Fibromyalgia in on-Call Healthcare Workers”. Family Practice and Palliative Care, vol. 9, no. 2, 2024, pp. 40-46, doi:10.22391/fppc.1363910.
Vancouver Ozcan F, Ünlü Z, Aslantekin Ş, Durgun ÖE. Evaluation of fibromyalgia in on-call healthcare workers. Fam Pract Palliat Care. 2024;9(2):40-6.
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Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505