Musculoskeletal Disorders (MSDs) and Their Related Factors Among Nurses in a Private Hospital in Muar District, Johor

Authors

  • Mohd Khairul Amirin Khalid KPJ Bandar Maharani Specialist, Muar, Johor
  • Mohd Hasni Jaafar Universiti Kebangsaan Malaysia

Keywords:

musculoskeletal disorders, nurses, ergonomic awareness, private hospital, occupational health

Abstract

Introduction:

MSDs are a major occupational health concern among nurses due to the physically demanding nature of their work. Despite global recognition, local data in private hospitals in Malaysia remains scarce. This study aims to address this gap by assessing the prevalence of MSDs among nurses in a private hospital setting. Additionally, it intends to examine the associations between MSDs and various sociodemographic, lifestyle, occupational, and psychosocial factors, while also exploring the potential mitigating role of ergonomic awareness in reducing MSD-related risks.

Methods:

A cross-sectional study was conducted from June to July 2024 among nurses at a private hospital in Muar, Johor. A total of 103 nurses (n=103) who met the inclusion criteria were recruited using universal sampling (73% response rate). Data were collected using a set of validated, self-administered questionnaires, including the Modified Nordic Questionnaire (MNQ), the Occupational Factor Questionnaire (OFQ), the Workplace Stress Scale (WSS), and the Ergonomic Knowledge Questionnaire (EKQ). All data were analysed using IBM SPSS Statistics version 27.0 with simple and multiple logistic regression to identify significant associations (p<0.25).

Results:

The 12-month prevalence of MSDs was 90.3%, with the lower back (86.7%), neck (86.0%), and shoulder (85.0%) being the most affected regions. In simple logistic regression, repetitive tasks were significantly associated with MSDs, and this association remained significant in the multiple logistic regression model (adjusted OR=4.50, 95% CI: 1.11–18.30, p=0.036).

Conclusion:

The high prevalence of MSDs among nurses warrants urgent ergonomic interventions. Emphasis should be placed on awareness, neutral postures, rest breaks, stretching, and proper lifting techniques to reduce the risk of MSDs and ensure long-term musculoskeletal health.

References

Afsharian A, Dollard MF, Glozier N, Morris RW, Bailey TS, Nguyen H, et al. Work-related psychosocial and physical paths to future musculoskeletal disorders (MSDs). Saf Sci. 2023;164(July 2022).

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).

Naoum S, Mitseas P, Koutserimpas C, Spinthouri M, Kalomikerakis I, Raptis K, et al. Musculoskeletal Disorders and Caring Behaviors among Nursing Staff in Greek Hospitals: a Prospective Multicenter Study. Maedica - A J Clin Med. 2022;17(1).

Dimitriou C, Alegakis A, Karageorgiou I, Mantadaki AE, Symvoulakis EK. Original Paper Stress and Prevalence of Musculoskeletal Disorders Among the Nursing Personnel of a Tertiary Hospital Unit in Greece: A Cross-Sectional Study. Curr Heal Sci J. 2023;49(1):45–53.

Mehrdad R, Dennerlein JT, Haghighat M, Aminian O. Association between psychosocial factors and musculoskeletal symptoms among Iranian nurses. Am J Ind Med. 2010;53(10):1032–9.

Punnett L, Wegman DH. Work-related musculoskeletal disorders: The epidemiologic evidence and the debate. J Electromyogr Kinesiol. 2004;14(1):13–23.

Department of Statistics Malaysia. Big Data Analytics: National Occupational Accident and Disease Statistics 2021. Stat Malaysia [Internet]. 2022;(June):9. Available from: https://www.dosm.gov.my/v1/index.php?r=column/pdfPrev&id=YzI2NWE2U0tXS1VEdnFsWHpqM1Fudz09

Anak Nicholas Felix S, Siew WF. Prevalence, Associated Factors, and Risk Management Practices of Work-Related Musculoskeletal Disorders Among Registered Nurses in Hospitals in Sarawak, Malaysia. SAGE Open Nurs. 2025;11(23).

Zenbaba D, Sahiledengle B, Dibaba D, Tufa T, Mamo A, Atlaw D. Work-Related Musculoskeletal Symptoms and Associated Factors Among Academic Staff in Ethiopian Universities. 2022;

Rao JNK, Kish L. Survey Sampling. Biometrics. 1969;25(3):603.

Rahman SHA, Rasdi I, Karrupiah K, Abdullah AM. Risk Factors of Musculoskeletal Symptoms among Healthcare Workers in a Public Hospital. Malaysian J Med Heal Sci. 2021;17(4):80–8.

Yan P, Li F, Zhang L, Yang Y, Huang A, Wang Y, et al. Prevalence of Work-Related Musculoskeletal Disorders in the Nurses Working in Hospitals of Xinjiang Uygur Autonomous Region. Pain Res Manag. 2017;2017.

Jaffar NAT, Rahman MNA. Review on risk factors related to lower back disorders at workplace. IOP Conf Ser Mater Sci Eng. 2017;226(1).

AzizAli N, Sreedharan J. Ergonomic awareness and practices to prevent musculoskeletal disorder among healthcare workers in UAE: A cross-sectional study. J Bodyw Mov Ther [Internet]. 2024 Oct;40:1973–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1360859224004467

Ithnin A, Kong D, Venkataraman S. Occupational Risk Factors for Carpal Tunnel Syndrome among Nurses in Medical. Int J Public Heal Res. 2012;2(2):137–43.

Sazarina N, Isa M, Baba DM, Sahani M, Ahmad, Rasdan I. Personal and Psychosocial Risk Factor for Low Back Pain among. Public Heal Res. 2012;4(1):412–8.

Viet Thuy N. Work-related Musculoskeletal Disorders Among Healthcare Workers in a General Provincial Hospital in Vietnam. Soisuda Kesornthong Nontiya Homkham Int J Ergon. 2019;(10):2020–38.

Serol Deveci CC. Evaluation Of Musculoskeletal Complaints Of Health Workers In Training Material-Method. 2022;7(1):1–14. Available from: https://www.proquest.com/docview/2627997413/8A0F279B88C14E5DPQ/34

Downloads

Published

06-03-2026

How to Cite

Khalid, M. K. A., & Mohd Hasni Jaafar. (2026). Musculoskeletal Disorders (MSDs) and Their Related Factors Among Nurses in a Private Hospital in Muar District, Johor. International Journal of Public Health Research, 16(1), 2410–2417. Retrieved from https://spaj.ukm.my/ijphr/index.php/ijphr/article/view/583