EFFECT OF JAW RELAXATION TECHNIQUE ON LOW BACK PAIN AND SELECTED VITAL SIGNS AMONG NURSING STAFF: A RANDOMIZED CONTROLLED TRIAL

Authors

  • Naglaa Fawzy Medical Surgical Nursing department, Faculty of Nursing, Cairo University, Cairo, Egypt
  • Dalia Salah El-Deen Medical Surgical Nursing department, Faculty of Nursing, Cairo University, Cairo, Egypt

DOI:

https://doi.org/10.31674/mjn.2019.v10i04.012

Abstract

Background: Nurses are repeatedly exposed to many forms of occupational hazards such as low back pain while doing their jobs. Aim: The aim of this study was to examine the effect of jaw relaxation technique on low back pain and selected vital signs among nursing staff.  Methodology: A randomized control clinical trial study design was utilized. A randomized sample composed of 60 adult male and female nurses working in both medical and surgical specialty departments in a governmental hospital in Egypt were recruited. Three tools were utilized for data collection: I. Demographic- and Work-Related Data, II. Numeric Pain rating scale (NPRS) and III. Medical related data. Results: There was a statistically significant difference in mean systolic and diastolic blood pressure, heart and respiratory rates, as well as low back pain score among nurses before and after practicing Jaw relaxation technique. While, no statistically significant difference was found in low back pain mean score and selected vital signs between post intervention 1& 2. Conclusion: Low back pain mean score improved among nurses after implementation of the jaw relaxation technique. Recommendation: Jaw relaxation technique is recommended to be endorsed as an adjuvant non-pharmacological pain management and coping strategy.

Keywords:

Jaw Relaxation Technique, Low Back Pain, Vital Signs, Nursing Staff

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References

Abou El-Souda, A.M., El-Najjara A.R., El-Fattaha, A.N. & Hassan, A.A. (2014). Prevalence of low back pain in working nurses in Zagazig University Hospitals: an epidemiological study. Egyptian Rheumatology & Rehabilitation, 41(3), pp 109–115.

Aljeesh, Y. & Al Nawajha, S. (2011). Determinants of low back pain among operating room nurses in Gaza Governmental Hospitals. Journal of Al Azhar University-Gaza (Natural Sciences), 13, pp 41-54

Casas, S., Aminta, S., Patiño, S., María, S., Camargo, L. & Diana, M. (2016). Association between the Sitting Posture and Back Pain in College Students. Revista de la Universidad Industrial de Santander. Salud, 48(4), pp 446-454.

Bartley, E. & Fillingim, R. (2013). Sex Differences in Pain: A Brief Review of Clinical and Experimental Findings. British Journal of Anaesthesia, 111(1), pp 52–58.

Charan, J. & Biswas, T. (2013). How to Calculate Sample Size for Different Study Designs in Medical Research? Indian Journal of Psychological Medicine, 35(2), pp 121-126

Chiou, S.T., Chiang, J.H., Huang, N., Wu, C.H. & Chien, L.Y. (2013). Health Issues among Nurses in Taiwanese Hospitals: National Survey. International Journal of Nursing Studies, 50(10), pp 1377-1384

d'Errico, A., Viotti, S., Baratti, A., Mottura, B., Barocelli, A.P., Tagna, M., Sgambelluri, B., Battaglino, P. & Converso, D. (2013). Low back pain and associated presenteeism among hospital nursing staff. Journal of Occupational Health, 55(4), 276-283.

Dhyani, D., Siddhartha, S. & Sen, R. (2015). Effect of Progressive Muscular Relaxation on Stress and Disability in Subjects with Chronic Low Back Pain. IOSR Journal of Nursing and Health Science, 4(1), pp 40-45.

Doolen, J., Fenj, D. & Menzel, N. (2016). Low Back Pain in Student Nurses: Literature Review and Prospective Cohort Study. International Journal of Nursing Education Scholarship.

Ellegaard, H. & Pedersen, B.D. (2012). Stress is dominant in patients with depression man chronic low back pain. A qualitative study of psychotherapeutic interventions for patients with non-specific low back pain of 3-- 12months'duration, BMC Musculoskeletal Disorders, 13(166), pp 1471-2474.

Farooq, M.A., Awwal, L.M., Abdul Musa, H. & Mustapha, G.A. (2015). Work- Related Risk Factors for Lower Back Pain Among Nurses In Ahmadu Bello University Teaching Hospital (ABUTH), Zaria - Nigeria. IOSR Journal of Nursing and Health Science, 4(3), pp 20-25.

Felix, M.M., Ferreira, M.G., Oliveira, F.L. & Barichello, E. (2018). Guided imagery relaxation therapy on preoperative anxiety: a randomized clinical trial. Revista Latino-Americana de Enfermagem, 26, e3101

Goel, S., Mani, P., Mangla, D. & Goel, J.K. (2015). Low Back Ache in Working Women of Reproductive Age Group. Journal of South Asian Federation of Obestetrics and Gynaecology, 7(1), pp 33-36

Hanoch, K. & Elavarasi, P. (2016). Definition of pain and classification of pain disorders. Journal of Advanced Clinical & Research Insights, 3, pp 87–90.

Hawker, G.A., Mian, S., Kendzerska, T. & French, M. (2011). Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care & Research, 63 Suppl 11, S240-252.

İbrahimoğlu, O. & Kanan, N. (2017). The Effect of Progressive Muscle Relaxation Exercises After Endotracheal Extubation on Vital Signs and Anxiety Level in Open Heart Surgery Patients. Türk Yoğun Bakım Dergisi, 15, pp 98- 106.

Jensen, J.N., Holtermann, A., Clausen T., Mortensen, O.S., Carneiro, I.G. & Andersen, L.L. (2012). The greatest risk for low-back pain among newly educated female health care workers; body weight or physical work load? BMC Musculoskeletal Disorders, 13:87.

Kim, J. & Shin, W. (2014). How to do random allocation (randomization). Clinics in Orthopedic Surgery, 6(1), 103e9.

Lela, M. & Frantz, J. (2012). The Relationship Between Low Back Pain and Physical Activity Among Nurses in Kanombe Military Hospital. AJPARS, 4(1 & 2), pp 63-66.

Lin, P.H., Tsai, Y.A., Chen, W.C. & Huang, S.F. (2012). Prevalence, characteristics, and work-related risk factors of low back pain among hospital nurses in Taiwan: A Cross-sectional survey. International Journal of Occupational Medicine and Environmental Health, 25, 41e50.

Merskey, H, & Bogduk, N. (2017). "Part III: Pain Terms, A Current List with Definitions and Notes on Usage" (pp 209-214) Classification of Chronic Pain, Second Edition, IASP Task Force on Taxonomy. IASP Press, Seattle.

Panahi, Y., Saadat, A., Sahebkar, A., Hashemian, F., Taghikhani, M. & Abolhasani, E., (2012). Effect of Ginger on Acute and Delayed Chemotherapy-

Induced Nausea and Vomiting: A Pilot, Randomized, Open-Label Clinical Trial. Integrative Cancer Therapies, 11(3), pp 204-211.

Lin, P (2011). An Evaluation of the Effectiveness of Relaxation Therapy for Patients Receiving Joint Replacement Surgery. Journal of Clinical Nursing, 21(5‐6), pp 601-608.

Pimentel, C.B., Briesacher, B.A., Gurwitz, J.H., Rosen, A.B., Pimentel, M.T. & Lapane, K.L. (2015). Pain management in nursing home residents with cancer. Journal of The American Geriatrics Society, 63(4), pp 633-641.

Qareeballa, A.A. Alhamdan, O.A., Almutawaa, A.A., Alsayed, I.M., Kamal, F.A., Al Abdrabbuh, D.S., Al Suwaidi, M.K., Rashwan, M.A., Buhiji, A.M. & Aref, B. (2018). Prevalence of Low Back Pain Among Female Nurses Working in Secondary and Tertiary Healthcare, Kingdom of Bahrain. International Journal of Medical Science and Public Health, 7(3), pp 183-187.

Rohads, C.J. (2013). Mechanism of Pain Relief Through Tai Chi and Qigong, Pain Relief. Journal of pain and Relief, 2(1), 115.

Shieh, S.H., Sung, F.C., Su, C.H., Tsai, Y. & Hsieh, V. (2016). Increased low back pain risk in nurses with high workload for patient care: A questionnaire survey. Taiwanese Journal of Obstetrics & Gynecology, 55(2016), 525e529.

Shieh, S.H., Sung, F.C., Su, C.H., Tsai, Y. & Hsieh, V.C. (2016). Increased low back pain risk in nurses with high workload for patient care: A questionnaire survey. Taiwanese Journal of Obstetrics and Gynecology, 55(4), pp 525-529

Soleimani, S. (2015). 8 Jaw Exercises To Relieve TMJ Pain. Retrieved from: https://www.sovanightguard.com/blog/8-jaw-exercises-to-relieve-tmj-pain/

Soliman, H. & Mohamed, S. (2013). Effects of Zikr Meditation and Jaw Relaxation on Postoperative Pain, Anxiety and Physiologic Response of Patients Undergoing Abdominal Surgery. Journal of Biology, Agriculture and Healthcare, 3(2), pp 23-38

Tang, N.K., Lereya, S.T., Boulton, H., Miller, M.A., Wolke, D. & Cappuccio, F.P. (2015). Nonpharmacological treatments of long-term painful conditions: A systematic review and meta-analysis of patient-reported outcomes in randomized controlled trials. Sleep, 38(11), pp 1751-1764.

Vrbanić, T.S. (2011). Low back pain – from definition to diagnosis. Reumatizam, 58(2), pp 105–107.

Zargarzadeh, M. & Memarian, R. (2013). Assessing barriers for using of complementary medicine in relieving pain in patients by nurses. Iranian Journal of Nursing Vision, 1(4), pp 45-53.

Zhou, K., Li, X., Li, J., Liu, M., Dang, S., Wang, D., & Xin, X. (2015). A clinical randomized controlled trial of music therapy and progressive muscle relaxation training in female breast cancer patients after radical mastectomy: Results on depression, anxiety and length of hospital stay. European Journal of Oncology Nursing, 19(1), 54-59.

Published

03-04-2019

How to Cite

Naglaa Fawzy, & Dalia Salah El-Deen. (2019). EFFECT OF JAW RELAXATION TECHNIQUE ON LOW BACK PAIN AND SELECTED VITAL SIGNS AMONG NURSING STAFF: A RANDOMIZED CONTROLLED TRIAL. The Malaysian Journal of Nursing (MJN), 10(4), 88-99. https://doi.org/10.31674/mjn.2019.v10i04.012

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