Analysis Of Factors Affecting Musculoskeletal Disorders (MSDs) On Nurses At Nunukan Regional General Hospital

Authors

  • Aida Ummul Ainun Musdalifah
  • Yahya Thamrin
  • Ridwan Amiruddin
  • Syamsiar S Russeng
  • Atjo Wahyu
  • Atjo Wahyu
  • Ummu Salma

Abstract

Background. Musculoskeletal disorders (MSDs) are disorders of the muscoleskeletal system including muscles, tendons, ligaments, nerves, joints and bones. Factors that affect MSDs are age, BMI, work period, workload and fatigue. Aims. This study is to analyze the relationship between age, BMI, tenure, workload and fatigue to the occurrence of MSDs complaints in nurses at RSUD Nunukan. Methods. This study used a cross-sectional design with a quantitative approach. The study sample consisted of 150 nurses selected using simple random sampling technique. Data were collected through Nordic Body Map (NBM) questionnaire to measure MSDs complaints, as well as NASA-TLX and KAUPK2 questionnaires to measure mental workload and job fatigue. Data were analyzed using chi-square test and logistic regression. Results. The results showed that there was a significant relationship between BMI (p=0.027), length of service (p=0.035), physical workload (p=0.018), mental workload (p=0.039) and job fatigue (p=0.028) with the incidence of MSDs in nurses. The age factor (p=0.498) did not have a significant relationship with MSDs. Conclusion. BMI, length of service, physical workload, mental workload and job fatigue are factors that influence the incidence of MSDs in nurses at RSUD Nunukan. Preventive efforts such as the implementation of work ergonomics, workload management, and physical health promotion need to be improved to reduce MSDs complaints among nurses.

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References

Gustina D, Soecahyadi S. Identifikasi Potensi Musculoskeletal Disorders (MSDs) pada Para Pekerja di Konveksi AA. J Tek Ind Terintegrasi. 2023;6(4):1027–37.

Jatmika L, Fachrin SA, Sididi M. Faktor Yang Berhubungan Dengan Keluhan MSDS Pada Pekerja Buruh Di Pelabuhan Yos Sudarso Tual. Wind Public Heal J. 2022;3(3):563–74.

Lestari S, Ita Puji Lestari, Milla Annisa Khasanah. Gambaran Keluhan Muskuloskeletal Disorder pada Pekerja Pemecah Batu di Leyangan, Ungaran Timur. Pro Heal J Ilm Kesehat. 2023;5(2):373–9.

Gebreyesus T, Nigussie K, Gashaw M, Janakiraman B. The prevalence and risk factors of work-related musculoskeletal disorders among adults in Ethiopia: A study protocol for extending a systematic review with meta-analysis of observational studies. Syst Rev. 2020;9(1):1–6.

Krishnan KS, Raju G, Shawkataly O. Prevalence of work-related musculoskeletal disorders: Psychological and physical risk factors. Int J Environ Res Public Health. 2021;18(17).

Amilda Putry Apryanti, Puspita Sari, Budi Aswin. Effect of Deep Stretching Minimizing the Incident of Low Back Pain on Rice Farmers in Pudak Village Muaro Jambi District Year 2024. Formosa J Multidiscip Res. 2024;3(5):1665–74.

Alruwaili SH, Thirunavukkarasu A, Alanazi RM, Alsharari AY, Alruwaili DK, Alenzi HA, et al. Prevalence, Patterns, and Associated Factors for Musculoskeletal Disorders Among the Healthcare Workers of Northern Saudi Arabia: A Multicenter Cross-Sectional Study. J Pain Res. 2023;16(November):3735–46.

WHO. Musculoskeletal Health [Internet]. World Health Organization. 2022. Tersedia pada: https://www.who.int/news-room/fact- sheets/detail/musculoskeletal-conditions

Devi T, Purba I, Lestari M. RISK FACTORS OF MUSCULOSKELETAL DISORDERS (MSDs) COMPLAINTS ON RICE TRANSPORTATION ACTIVITIES AT PT. BUYUNG POETRA PANGAN PEGAYUT OGAN ILIR. J Ilmu Kesehat Masy. 2017;8(2):125–34.

Hoboubi N, Choobineh A, Ghanavati FK, Khalife M, Keshavarzi S, Rezaie AA, et al. Relationship between organizational leadership style and musculoskeletal injuries among workers of an Iranian process industry. Shiraz E Med J. 2018;19(11).

Bhuanantanondh P, Buchholz B, Arphorn S, Kongtip P, Woskie S. The prevalence of and risk factors associated with musculoskeletal disorders in thai oil palm harvesting workers: A cross-sectional study. Int J Environ Res Public Health. 2021;18(10).

Bouziri H, Roquelaur Y, Descatha A, Dab W, Jean K. The spatio-temporal distribution of musculoskeletal disorders: results of the Global Burden of Disease in 204 countries and 21 subregions between 1990 and 2019. BMJ Public Heal [Internet]. 2023; Tersedia pada: https://doi.org/10.1101/2022.09.16.22280040

Meliana R, Wardoyo E, Zumaedza Ulfa H, Arif Wahyudi D, Sugiarto, Susanto G. Hubungan Masa Dan Beban Kerja Dengan Keluhan Muskuloskeletal Disorder (MsDs) Pada Petani Di Wilayah Upt Puskesmas Rawat Inap Banjar Agung Kabupaten Lampung Selatan. J Keperawatan Bunda Delima. 2024;6(1):31–9.

Tjahayuningtyas A. FACTORS AFFECTING MUSCULOSKELETAL DISORDERS (MSDs) IN INFORMAL WORKERS. Indones J Occup Saf Heal. 2019;8(1):1–10.

Purandima RAIH, Roga AU, Salmun JAR. Analysis of individual and work-related factors towards MSDs in cement transporters. J Community Health [Internet]. 2023;2023(2):459–504. Tersedia pada: https://doi.org/10.35508/ljch

Rahmawati U. Faktor-Faktor yang Berhubungan dengan Keluhan Muskuloskeletal Disorders Pekerja Pengangkut Barang di Pasar Panorama Kota Bengkulu. J Kesehat Lingkung J dan Apl Tek Kesehat Lingkung. 2020;17(1):49–56.

Thongtip S, Sangkham S, Sukpromson R. Factors associated with occupational hearing loss among stone-mortar workers in phayao province, northern thailand. J Heal Sci Med Res. 2020;38(3):213–9.

Yang F, Di N, Guo W wei, Ding W bin, Jia N, Zhang H, et al. The prevalence and risk factors of work related musculoskeletal disorders among electronics manufacturing workers: a cross-sectional analytical study in China. BMC Public Health [Internet]. 2023;23(1):1–11. Tersedia pada: https://doi.org/10.1186/s12889-022-14952-6

Widiyanto A, Ellina AD, Peristiowati Y, Atmojo JT, Livana PH. Risk factor of work-related musculoskeletal disorders among health workers. Int J Health Sci (Qassim). 2022;6(April):4687–701.

Alie M, Abich Y, Demissie SF, Weldetsadik FK, Kassa T, Shiferaw KB, et al. Magnitude and possible risk factors of musculoskeletal disorders among street cleaners and solid waste workers: a cross-sectional study. BMC Musculoskelet Disord [Internet]. 2023;24(1):1–10. Tersedia pada: https://doi.org/10.1186/s12891-023-06619-z

Sharifi AS, Danesh MK, Gholamnia R. Improvements in musculoskeletal symptoms, mental workload and mental fatigue: Effects of a multicomponent ergonomic intervention among call center workers. Work. 2022;72(2):765–74.

Maciel ET, Padilha VH, Graup S, da Silva Pinto ACC. Mental workload, musculoskeletal disorders, and associated factors among international transport truck drivers. Rev Bras Med do Trab. 2024;22(2):1–9.

Alshehri S. Prevalence, characteristics, contributing factors, work sector, and impact of work-related musculoskeletal disorders among otorhinolaryngology practitioners in Saudi Arabia: A cross-sectional study. Work. 2022;73(1):131–42.

Falahati M, Dehghani F, Malakoutikhah M, Karimi A, Zare A, rad SY. Using fuzzy logic approach to predict work-related musculoskeletal disorders among automotive assembly workers. Med J Islam Repub Iran. 2019;33(1):1–7.

Yusuf Muri. Metode Penelitian Kuantitatif, Kualitatif dan Penelitian Gabungan. Kencana; 2014.

Raihan. Metodologi Penelitian. Universitas Islam Jakarta.; 2017. Metodologi Penelitian.

Indriyani I, Badri PRA, Oktariza RT, Ramadhani RS. Analisis Hubungan Usia, Masa kerja dan Pengetahuan terhadap Keluhan Musculoskeletal Disorders (MSDs). J Kesehat. 2022;13(1):186–91.

Supardi, K FN, Winarti A, Suprajatno A. Faktor- faktor yang Mempengaruhi Keluhan Muskuloskeletal Pada Perawat Di Ruang IGD dan Kamar Operasi RSUD Prambanan. J Inov Penelit. 2022;3(2):5091–100.

Ajhara S, Novianus C, Muzakir H. FAKTOR –FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN MUSCULOSKELETAL DISORDERS (MSDs) PADA PEKERJA BAGIAN SEWING DI PT. X PADA TAHUN 2022. J Fisioter dan Kesehat Indones. 2022;2(2):150–62.

Fanjaniaina S, Cahyati WH, Koesyanto H. Hubungan Umur, IMT, dan Masa Kerja dengan Keluhan Muskuloskeletal Disorders (MSDs) pada Sales Promotion Girl (SPG). Jppkmi [Internet]. 2022;3(1):62–70. Tersedia pada: https://journal.unnes.ac.id/sju/index.php/jppkmi

Sartono, Martaferry, Winaresmi. Hubungan Faktor Internal dan Faktor Eksternal Karyawan dengan Kelelahan Kerja pada Karyawan Laundry Garment di bagian Produksi CV. Sinergie Laundry Jakarta Barat Tahun 2013. Arsip Kesehat Masy [Internet]. 2016;1(1):64–72. Tersedia pada: https://journal.uhamka.ac.id/index.php/arkesmas/article/view/226

Indah V, Utami TN, Nuraini. Analisis Faktor Risiko Ergonomi Perawat Terhadap Keluhan Musculoskeletal Disorders. J Keperawatan Prior [Internet]. 2023;6(2):131–43. Tersedia pada: http://jurnal.unprimdn.ac.id/index.php/jukep/article/view/4060

Balaputra I. Hubungan Pengetahuan Dan Masa Kerja Dengan Gangguan Muskuloskeletal Pada Perawat Di Rumah Sakit. Med J Al Qodiri. 2020;5(2):7.

Manik WCO, Lestari F. Faktor Risiko Musculoskeletal Disorders (Msds) Pada Perawat : Literature Review. J Kesehat Tambusai. 2023;4(2):1693–706.

Aprillia P, Rifai M. Hubungan masa kerja, postur kerja dan beban kerja fisik dengan keluhan musculoskeletal disorders (MSDs) pada pekerja industri genteng di desa Sidoluhur Sleman. Period Occup Saf Heal. 2022;1(1):31–40.

Pratiwi LD, Saputra IK, Manangkot MV. HUBUNGAN BEBAN KERJA FISIK DENGAN KELUHAN MUSKULOSKELETAL. Community Publ Nurs. 2020;8:440–5.

Sani NT, Widajati N. The Correlation of Work Duration and Physical Workload with the Complaints of Musculoskeletal Disorders in Informal Workers. Indones J Occup Saf Heal. 2021;10(1):79–87.

Aeni HF riatul, Banowati L, Nur’alinda T. Correlation between Physical Workload and Musculoskeletal Disorders Complaints among Nurses at Hospital. Indones J Occup Saf Heal. 2020;9(1):88–94.

Laksono YR, Asyfiradayati R. Hubungan Beban Kerja Dengan Keluhan. Univ Muhammadiyah Surakarta [Internet]. 2022;(2022):11. Tersedia pada: https://eprints.ums.ac.id/113182/1/Naskah Publikasi.pdf

Rahmawati IN, Pawestri FN, Putra KR, Studi P, Ilmu S, Fakultas K, et al. Beban Kerja Mental Berhubungan dengan Keluhan Gangguan Muskuloskeletal pada Perawat di Rumah Sakit. 2024;000(March):88–97.

Naserian E, Pouladi S, Bagherzadeh R, Ravanipour M. Relationship between mental workload and musculoskeletal disorders with intention to leave service among nurses working at neonatal and pediatric departments: a cross-sectional study in Iran. BMC Nurs. 2024;23(1):1–11.

Fitrah SR, Pratiwi AD, Liaran RD. Hubungan Beban Kerja , Status Gizi , Shift Kerja , Kualitas Tidur , Keluhan Msds Dengan Kelelahan Kerja Pada Sleep Quality , Msds Complaints With Work Fatigue On Employees At PT . X In 2023. J Kesehat dan Keselam Kerja Univ Halu Oleo. 2025;5(4):177–86.

Maudy CK, Ruliati LP, Doke S. Keluhan Musculoskeletal Disorders dan Kelelahan Kerja pada Tenaga Kerja Bongkar Muat di Pelabuhan Tenau. Media Kesehat Masy. 2021;3(3):312–21.

Sorour AS, El-Maksoud MMA. Relationship between musculoskeletal disorders, job demands, and burnout among emergency nurses. Adv Emerg Nurs J. 2022;34(3):272–82.

Renaldi B, Kawatu PAT, Engkeng S, Kesehatan F, Universitas M, Manado SR. Hubungan Antara Masa Kerja dan Beban Kerja Fisik dengan Keluhan Muskuloskeletal Pada Pedagang Asongan di Kota Manado. KESMAS J Kesehat Masy Univ Sam Ratulangi [Internet]. 2020 [dikutip 10 Juni 2025];9(4). Tersedia pada: https://ejournal.unsrat.ac.id/v3/index.php/kesmas/article/view/29533

Winiasa NA, Supriyadi S, Fanani E, Marji M. Hubungan Antara Mental Workload dan Stres Kerja, dengan Gejala Psikosomatis pada Perawat di Puskesmas Pasrepan Pasuruan. Sport Sci Heal [Internet]. 31 Juli 2024 [dikutip 10 Juni 2025];6(7):758–71. Tersedia pada: https://journal3.um.ac.id/index.php/fik/article/view/5896

Khofiyya AN, Suwondo A, Jayanti S. Hubungan Beban Kerja, Iklim Kerja, Dan Postur Kerja Terhadap Keluhan Musculoskeletal Pada Pekerja Baggage Handling Service Bandara (Studi Kasus di Kokapura, Bandara Internasional Ahmad Yani Semarang). J Kesehat Masy [Internet]. 2019;7(4):619–25. Tersedia pada: http://ejournal3.undip.ac.id/index.php/jkm

CDC. About Hierarchy of Controls [Internet]. Center for disease control and prevention. 2024. Tersedia pada: https://www.cdc.gov/niosh/hierarchy-of-controls/about/index.html

Dwi Yanti S, Fujianti S, Nur Apriandini S, Teja Asih Fathaddin A, Fikriya A, Mardhiyah A, et al. Gangguan muskuloskeletal pada perawat di rumah sakit: A literature review. Holistik J Kesehat [Internet]. 23 Oktober 2024 [dikutip 10 Juni 2025];18(8):1011–20. Tersedia pada: https://ejurnal.malahayati.ac.id/index.php/hjk/article/view/450

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Published

2025-07-08

How to Cite

1.
Musdalifah AUA, Thamrin Y, Amiruddin R, S Russeng S, Wahyu A, Wahyu A, Salma U. Analysis Of Factors Affecting Musculoskeletal Disorders (MSDs) On Nurses At Nunukan Regional General Hospital. J Neonatal Surg [Internet]. 2025Jul.8 [cited 2025Sep.21];14(32S). Available from: https://jneonatalsurg.com/index.php/jns/article/view/7976

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