The Relationship Between Absenteeism, Musculoskeletal Disorders, and Noise Annoyance Among Hospital Employees

Document Type : Original Article

Authors

1 Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran

2 Department of Occupational Health and Safety Engineering, School of Health, Social Determinants of Health Research Centre, Birjand University of Medical Sciences, Birjand, Iran

3 Department of Epidemiology and Biostatistics, School of Health, Social Determinants of Health Research Centre, Birjand University of Medical Sciences, Birjand, Iran

10.34172/jhad.1176

Abstract

Background: Musculoskeletal disorders are highly prevalent among working populations and constitute one of the leading causes of occupational absenteeism, resulting in substantial economic burdens worldwide. Moreover, noise annoyance caused by exposure to various persistent noise sources in healthcare environments represents a significant occupational factor contributing to employee absenteeism. This study aimed to investigate the relationship between absenteeism, musculoskeletal disorders, and noise annoyance among hospital staff.
Materials and Methods: This descriptive-analytical cross-sectional study was conducted on 260 hospital employees with at least one year of work experience. Data collection instruments were the Nordic Musculoskeletal Questionnaire, which comprises both general and specific sections on MSDs, the Absenteeism Questionnaire, and the 10-point ISO 15666 Noise Annoyance Scale.
Results: The mean number of sick leave days was 12.03 ± 9.52, entitlement leave days 29.7 ± 9.5, and unpaid leave days 0.69 ± 0.05. Mild pain was reported in the neck (52%), shoulders (39%), wrists (37%), and lower back (39%). Severe and very severe lower back pain was reported by 22% and 12% of the participants, respectively. Moreover, a statistically significant association was observed between absenteeism and job type (P = 0.011), noise annoyance (P = 0.044), and musculoskeletal disorders among physicians and technicians (P < 0.001), as well as among nurses (P = 0.009).
Conclusion: Considering the influence of musculoskeletal disorders and noise annoyance on occupational absenteeism, implementing targeted educational programs, making ergonomic improvements at workstations, optimizing physical activity, and redesigning equipment can effectively reduce the incidence of these disorders and thereby minimize absenteeism in healthcare settings.

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  1. Miri A, Ziaei S. Determining the amount of occupational injuries in terms of ergonomic principles in librarians of Astan Quds Razavi Library. Journal of Organization of Libraries, Museums and Documentation Center of Astan Quds Razavi. 2004;6(22-23):1-12. [Persian].
  2. Gharibian N, Moaven Saeidi M, Khajavian N, Saheban Maleki M. The relationship between job satisfaction and the prevalence of musculoskeletal symptoms in staff of Allameh Bohlool Gonabadi hospital in 2021. Occup Med. 2023;15(3):1-8. doi: 18502/tkj.v15i3.13775. [Persian].
  3. Raeisi S, Hosseini M, Attarchi MS, Golabadi M, Rezaei MS, Namvar M. The association between job type and ward of service of nursing personnel and prevalence of musculoskeletal disorders. Razi J Med Sci. 2013;20(108):1-9. [Persian].
  4. Hashemi Habybabady R, Dehbashi A, Paridokht F, Sepehr P, Maleki Roveshti M. Investigating occupational and personal factors effective in causing musculoskeletal disorders in the personnel of one of the hospitals in Zahedan city. Tolooebehdasht. 2024;23(2):50-65. doi: 18502/tbj.v23i2.16097. [Persian].
  5. Nadri H, Nadri A, Rohani B, Fasih Ramandi F, Amin Sobhani M, Naseh I. Assessment of musculoskeletal disorders prevalence and body discomfort among dentists by visual analog discomfort scale. J Mashhad Dent Sch. 2015;39(4):363-72. doi: 22038/jmds.2015.5809. [Persian].
  6. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003;81(9):646-56.
  7. Jafari-Nodoushan R, Taherzadeh S, Anoosheh VS, Jambarsang S, Nemati M, Karimi E, et al. Investigating the prevalence of musculoskeletal disorders and degree of body discomfort in administrative the office staff of the school of public health, Shahid Sadoughi University of Medical Sciences, Yazd. Occup Hyg Health Promot. 2021;5(3):272-84. doi: 18502/ohhp.v5i3.7789. [Persian].
  8. Borhanzehi KH, Ebrahimi Rigi E, Yazdan-Parast E, Dadpisheh S, Ebrahimi Rigi H. Investigation of the prevalence of musculoskeletal disorders and its relationship with mental health in nurses: a descriptive-analytical study. Occup Med. 2021;13(1):42-52. [Persian].
  9. Heydari P, Varmazyar S, Hakimi C. Investigation of occupation risk factors on the absence from work and medical appointment due to musculoskeletal disorders among rescue groups employees. J Qazvin Univ Med Sci. 2017;21(4):83-8. [Persian].
  10. Azari GR, Davoudian Talab AH, Mazlomi Mahmudabad E, Mofidi AA, Davoudian Talab A. Complaint of pain in the upper limbs and its relationship with job stress in office workers. Tolooebehdasht. 2013;12(3):149-60. [Persian].
  11. Ghorbaninia M, Samaei SE, Etemadinezhad S, Kalteh O, Hosseinnataj A, Ghaleshi M. Investigating the prevalence of musculoskeletal disorders and determining effective factors among midwives in Sari. J Mazandaran Univ Med Sci. 2024;34(233):254-60. [Persian].
  12. Salehi Sahlabad A, Bidel H, Moosavi Kordmiri SH, Abbasi Balochkhaneh F. Relationship between the prevalence of musculoskeletal disorders and postural status and ergonomic risk factors in the workplace. Koomesh. 2021;23(4):e154071. [Persian].
  13. Zareei S, Norouzi E, Nekoei Esfahani A, Kanani B. Prevalence of work-related musculoskeletal disorders amongst obstetrics and gynaecology professionals. Med J Mashhad Univ Med Sci. 2020;62(6):1866-73. doi: 22038/mjms.2020.15471. [Persian].
  14. Chiasson MÈ, Imbeau D, Aubry K, Delisle A. Comparing the results of eight methods used to evaluate risk factors associated with musculoskeletal disorders. Int J Ind Ergon. 2012;42(5):478-88. doi: 1016/j.ergon.2012.07.003.
  15. Safaeian A, Babak A, Afriche H, Aslani H. Sick leave and its causes among the health care workers in Alzahra hospital, Isfahan, Iran, during the Year 2018. J Isfahan Med Sch. 2020;38(588):609-14. doi: 22122/jims.v38i588.12803. [Persian].
  16. Sadeghi A, Purfarzad Z, Homaie Safir T, Tapak L. The relationship of organizational justice with professional commitment and resilience of nurses working in medical-educational centers of Hamedan University of Medical Sciences in 2020-2021. Nurs Midwifery J. 2023;21(4):277-88. doi: 61186/unmf.21.4.277. [Persian].
  17. Nasr Esfahani M, Sharifi S, Gheitani A, Nasr Esfahani M. Designing a model for absenteeism management using mix methods approach. Organizational Culture Management. 2021;19(3):577-608. doi: 22059/jomc.2021.318081.1008221. [Persian].
  18. Shikdar AA, Sawaqed NM. Worker productivity, and occupational health and safety issues in selected industries. Comput Ind Eng. 2003;45(4):563-72. doi: 1016/s0360-8352(03)00074-3.
  19. Wang XX, Wei B, Liu XL, Zhao YM. [Investigation of noise annoyance among the exposed anesthesiologists in a hospital]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021;39(10):775-8. doi: 3760/cma.j.cn121094-20200528-00296. [Chinese].
  20. Leblebici D. Impact of workplace quality on employee’s productivity: case study of a bank in Turkey. Journal of Business Economics and Finance. 2012;1(1):38-49.
  21. Golmohammadi R, Aliabadi M. Noise pollution and its irritating effects in hospitals of Hamadan, Iran. J Health Syst Res. 2012;7(6):958-64. [Persian].
  22. Partonen T, Lönnqvist J. Bright light improves vitality and alleviates distress in healthy people. J Affect Disord. 2000;57(1-3):55-61. doi: 1016/s0165-0327(99)00063-4.
  23. Abolhasannejad V, Sadeghi Khorashad M, Sadavipour F, Allahyari E. Investigation of absenteeism rate and associated factors in medical educational centers. J Occup Hyg Eng. 2024;11(2):95-104. doi: 32592/joohe.11.2.95. [Persian].
  24. Mokhtarinia H, Shafiee A, Pashmdarfard M. Translation and localization of the Extended Nordic Musculoskeletal Questionnaire and the evaluation of the face validity and test-retest reliability of its Persian version. Iran J Ergon. 2015;3(3):21-9. [Persian].
  25. Hamidizadeh S, Mohammadi E, Fereydoni Moghadam M. Factors related to absenteeism of nurses at hospitals affiliated with Tehran Medical University. Adv Nurs Midwifery. 2010;19(68):6-10. doi: 22037/anm.v19i68.1729.
  26. International Organization for Standardization (ISO). ISO/TS 15666:2003 - Acoustics–Assessment of Noise Annoyance by Means of Social and Socio-Acoustic Surveys. Geneva: ISO; 2003.
  27. Arab M, Hayati Y, Movahed Kor E, Hosseini M. Effective factor analysis on health-related absence among nurses of clinical wards in general hospitals affiliated to Tehran University of Medical Sciences. Journal of Hospital. 2016;15(1):21-30. [Persian].
  28. Zareei S, Norouzi E, Nekoei Esfahani A, Kanani B. Prevalence of work-related musculoskeletal disorders amongst obstetrics and gynaecology professional. Med J Mashhad Univ Med Sci. 2020;62(6):1866-73. doi: 22038/mjms.2020.15471. [Persian].
  29. Heydari P, Varmazyar S, Hakimi C. Investigation of individual and occupational risk factors on the prevalence and consequence of musculoskeletal disorders among the rescue department employees in Qazvin in year 2016. Journal of Health. 2019;10(1):73-82. [Persian].
  30. Coggon D, Ntani G, Vargas-Prada S, Martinez JM, Serra C, Benavides FG, et al. International variation in absence from work attributed to musculoskeletal illness: findings from the CUPID study. Occup Environ Med. 2013;70(8):575-84. doi: 10.1136/oemed-2012-101316.
  31. Kumalo BT. The Relationship Between Work-Related Musculoskeletal Disorders, Absenteeism and Visits to the Staff Clinic by Nurses in an eThekwini District Hospital [dissertation]. Durban University of Technology; 2015.
  32. Tavares R, Silva LF, Muniz Júnior J. Presenteeism and noise perception at work: a cross-sectional study using association analysis. Sao Paulo Med J. 2023;141(1):36-44. doi: 1590/1516-3180.2021.0792.R2.07042022.