Association Between Personal and Environmental Factors, Body Position on Low Back Pain at Dr. Moewardi Hospital, in Surakarta
Background: Low Back Pain or LBP often encountered in daily practice, especially in industrialized countries. The study showed that 90.9% of LBP patients experienced a relapse more than once in a year, the relapse was triggered by personal factor, work environment and lack of health information. The purpose of this study was to analyze factors associated with recurrence prevention in patients with Low Back Pain at Medical Rehabilitation Instalation Dr. Moewardi Surakarta Hospital
Subjects and Method: The study was an observational analytic study with cross sectional design. A total of 60 patients with LBP. That data was collected with a questionairre and analyzed by using multiple logistic regression.
Results: There was a positive correlation between personal factors and recurrence prevention in Low Back Pain: there was a correlation between age and recurrence prevention in Low Back Pain but it was not statistically significant (O =2.09; 95% CI= 0.36 to 12.09 ; p=0.412), there was a correlation between sex and recurrence prevention in Low Back Pain but it was not statistically significant (OR=1.52; 95% CI=0.08 to 28.78; p=0.781), there was a correlation between education level and recurrence prevention in Low Back Pain but it was not statistically significant (OR=2.38; 95% CI=0.41 to 14.05; p=0.337), there was a correlation between employment and recurrence prevention in Low Back Pain and it was statistically significant ( OR=9.16; 95% CI=1.35 to 62.39; p = 0.024), there was a correlation between perceptions of Low Back Pain and recurrence prevention in Low Back Pain and it was statistically significant (OR=27.81; CI=95% 2.14 to 361.33; p=0.011). There was a positive correlation between environmental factors and recurrence prevention in Low Back Pain: there was a correlation between accessibility to health service and recurrence prevention in Low Back Pain but it was not statistically significant (OR=0.49; 95% CI=0.02 to 14.81; p=0.684), there was a correlation between environment accessibility and recurrence prevention in Low Back Pain but it was not statistically significant (OR=0.73; 95% CI=0.04 to 14.22; p=0.834), there was correlation between family support and recurrence prevention in Low Back Pain and it was not statistically significant (OR=0.30; 95% CI=0.02 to 5.50; p=0.303) .There was a positive correlation between education on Proper Body Mechanics with recurrence prevention in Low Back Pain and it was statistically significant (OR=35.33; 95% CI=1.65 to 757.32; p=0.023). The most dominant variable in LBP recurrence prevention was patients perceptions of Low Back Pain (p= 0.011).
Conclusion: Employment, perceptions of Low Back Pain, and education on proper body mechanic were variables was statistically significant for LBP relaps prevention in this study.
Keywords: personal factors, environmental factors, education on proper body mechanics, relapse prevention, LBP
Correspondence: Rina Kurnia. Health Polytechnic, Poltekkes Kemenkes Surakarta University, Surakarta.
Journal of Health Promotion and Behavior (2016), 1 (1): 19-25
Azizah M, Fahrurazi, Qoriaty NI (2014). Tingkat Pengetahuan dan Pendidikan Ibu Balita dengan kejadian Penyakit Pneumonia pada Balita di kelurahan Keraton Kecamatan Martapura Kabupaten Banjar. An-Nadaa 1 (1).
Bessler P, Ncube B, Bey A, Knight J, Jolly PE (2015). Factors Associated with the of Cervical Cancer Screening Among Women in Portland, Jamaica. NCBI 7
Collin MM, Bradley CP, O’Sulivan T, Perry IJ (2009). Self care coping strategies in people with diabetes: a qualitative exploratory study. NCBI 9 (6).
Departemen Kesehatan RI, Direktorat Bina Kesehatan Kerja (2007). Seri Pedoman Tatalaksana Penyakit Akibat Kerja Bagi Petugas Kesehatan. Penyakit Otot Rangka Akibat Kerja. Jakarta: Depkes RI.
Devo R, Weinstein JN (2001). Low Back Pain. England Journal Med 334: 363-370.
Handayani SD, Kosasih CE, Priambodo AP (2012). Hubungan Dukungan Keluarga dengan Kekambuhan Pasien Gastritis di Puskesmas Jatinagor. Bandung: Fakultas Ilmu Keperawatan Universitas Padjadjaran.
Meliala L, Pinzo R (2004). Patofisiologi dan Penatalaksanaan Nyeri Pinggang Bawah. Yogyakarta: Pain Symposium Towards Mechanism Based Treatment
Michael R (2001). Physical, Psychosocial and Work Organization Factors on Injury/illness Absences. Diakses dari : http://www.ergoweb.com/news/detail.cfm?id=340.
Murti B (2013). Desain dan Ukuran Sampel untuk Penelitian Kuantitatif dan Kualitatif di Bidang Kesehatan. Yogyakarta: Gadjah Mada University Press
Pogalad M (2008). Faktor yang Berhubungan dengan Kekambuhan Penyakit Reumatik di Wilayah Puskesmas Anggrek Kaupaten Gorontalo Utara. Universitas Gorontalo.
Pramayu AR (2013). Office Ergonomic. Retrieved January 30, 2015, dari http:// www.premysisconsulting.com/2013/11/14/officeergonomic/
Priyoto (2014). Teori Sikap dan Perilaku dalam Kesehatan. Yogyakarta: Nuha Medika.
Sadeli HA, Tjahyono B (2001). Nyeri punggung bawah. Dalam: Nyeri, Neuropatik, patofisiologi dan pelaksanaan. Jakarta: Perdossi.
Sari RM, Ambarita LP, Sitorus H (2013). Akses Pelayanan Kesehatan dan Kejadian Malaria di Provinsi Bengkulu. Media Litbangkes 23 (4).
Sianturi R (2014). Analisis Faktor yang Berhubungan dengan Kekambuhan TB Paru. Unes Journal of Public Health 3 (1).
Strong J (1996). Chronic Pain the Occupational Therapist’s Perspective. Churchill Livingstone: Medical Division of Pearson Professional Limited.
Tana L, Delima (2013). Gambaran Nyeri Pinggang Bawah Pada Paramedis di Beberapa Rumah Sakit di Jakarta. Media Litbangkes 23 (1).