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Dimensions of Health and Illness

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Related Experiment Videos

Multidimensional intervention and sickness absence in assistant nursing students.

Annemarie Lyng Svensson1, Jesper Strøyer, Niels Erik Ebbehøj

  • 1Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark. ah46@bbh.regionh.dk

Occupational Medicine (Oxford, England)
|October 7, 2009
PubMed
Summary

A multidimensional prevention program for nursing assistant students significantly reduced sickness absence. However, the program did not prevent low back pain (LBP) prevalence.

Related Experiment Videos

Area of Science:

  • Occupational health
  • Nursing education
  • Musculoskeletal health

Background:

  • Nursing assistant (NA) students face high risks for low back pain (LBP) due to patient handling tasks involving spinal loading.
  • Low back pain is a significant contributor to sickness absence in healthcare students.
  • Existing prevention strategies may not adequately address the multifactorial nature of LBP in this population.

Purpose of the Study:

  • To evaluate the effectiveness of a multidimensional prevention program on sickness absence and LBP in NA students.
  • The program integrated physical training, safe patient transfer techniques, and stress management strategies.
  • To determine if this comprehensive approach could mitigate work-related health issues.

Main Methods:

  • A 14-month cluster randomized controlled trial involving NA students from two Danish schools.
  • Participants (N=766) completed baseline and follow-up questionnaires on sickness absence, LBP, and psychosocial factors.
  • Intervention group received the multidimensional program; control group did not.

Main Results:

  • Sickness absence increased in both groups, but significantly less in the intervention group (12 vs. 18 days).
  • The intervention group maintained general health perception, energy levels, and psychological well-being, unlike the control group which declined.
  • No significant difference in the prevalence of low back pain was observed between the groups at follow-up.

Conclusions:

  • The multidimensional prevention program effectively reduced sickness absence among NA students.
  • The intervention did not demonstrate a preventive effect on the prevalence of low back pain.
  • Further research may be needed to optimize interventions for LBP prevention in this cohort.