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Journal : Universa Medicina

Manual handling as risk factor of low back pain among workers Harrianto, Ridwan; Samara, Diana; Tjhin, Purnamawati; Wartono, Magdalena
Universa Medicina Vol 28, No 3 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.170-178

Abstract

Disorders of the musculoskeletal system constitute a considerable health problem in industrialized societies. Low back pain (LBP) remains a common and costly problem among the workers. Workplace injuries, primarily musculoskeletal disorders, are a persistent problem for nursing. A cross-sectional study was conducted to investigate prevalence of LBP as well as the potential risk factors associated with LBP. These potential risk factors include individual characteristics, job duration, type of work, and manual handling knowledge and practice. Seventy-six subjects consisting of 30 nurses and 46 administrative workers were recruited into the study. Symptoms of LBP cases were assessed by means of a simple questionnaire, and the diagnosis of LBP was confirmed by clinical examination. The study showed that the overall point prevalence rate of LBP was 42.1%, while the overall 12-month prevalence rate was 69.7%. Occupational group and manual handling practice were independent predictors for point prevalence of LBP. Nursing occupation significantly increased the risk of point prevalence rate of LBP by 2.703 (95% C.I. OR 1.046 – 6.984) compared to administrative workers. Nurses with frequent manual handling practice had a 2.917-fold higher risk of developing a point prevalence of LBP, although this risk was statistically not significant (OR=2.917;95% C.I. 0.094-3.003). The study indicates that an association exists between manual handling practice and LBP prevalence.
Musculoskeletal pain and posture decrease step length in young adults Rachmawati, Maria Regina; Samara, Diana; Tjhin, Purnamawati; Wartono, Magdalena; Bastian, Yefta
Universa Medicina Vol 28, No 2 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.92-99

Abstract

Pain of the musculoskeletal system, especially low back pain, is one of the most frequent problems with a high risk of disability. The aim of this research study was to determine the existence of an association between low back pain on one hand,  posture and step length on the other. This cross-sectional study was conducted on 77 healthy young adult subjects. Step length was measured with the Biodex Gait Trainer 2 (230 VAC). The study results indicate that 62.3% of the young adult subjects had suffered from low back pain. There was no significant association between gender and pain. In male subjects no significant association was found between pain on one hand and mean difference in step length and posture on the other. However, in female subjects with abnormal posture, there was a highly significant difference in left step length between subjects with back pain and those without (p=0.007).  The results of a multiple regression analysis indicate that posture has the greatest influence on left step length (B=4.135; 95% Confidence Interval 0.292-7.977). It is recommended that in the examination of low back pain an assessment be made of posture, step length and difference in step lengths.
Self-esteem as a risk factor of anxiety in senior high school students Pratama, Yoga Rizky; Tjhin, Purnamawati
Universa Medicina Vol. 43 No. 1 (2024)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2024.v43.69-75

Abstract

BackgroundAdolescence is a dynamic period of significant physical, emotional, and cognitive development, where individuals shape their identities and influence their mental health. Being vulnerable to various risk factors, including anxiety, adolescents often face mental disorders that can affect their overall well-being. With anxiety being a major concern in the global context as well as in Indonesia, this study aimed to determine self-esteem as a risk factor of developing anxiety among senior high school students. MethodsA cross-sectional study was conducted involving 162 senior high school students, using proportionate stratified cluster simple random sampling. Data were collected through the Rosenberg Self Esteem Scale and the Hamilton Anxiety Rating Scale questionnaires to measure self-esteem and anxiety levels, respectively. The full score for self-esteem was 10–40 points. The higher the score, the greater the self-esteem. Data was analyzed using multiple logistic regression. ResultsThe research findings indicate that adolescents experiencing anxiety amount to 51.9% and most of them indicated high self-esteem (61.1%). Multiple logistic regression test showed that low self-esteem (OR=2.21; 95% CI: 1.15-4.24) was the most influential risk factor of anxiety. However, there were no significant associations between anxiety and demographic factors such as gender, grade level, major of study, and parental income. ConclusionMost senior high school students experience anxiety, and lower self-esteem was the most influential risk factor of anxiety. The findings highlight the need for targeted interventions to boost self-esteem as a preventive measure against anxiety among senior high school students.