Disease Prevention and Public Health Journal
Volume 14, Issue 2, September 2020, pp. 81 ~ 89
ISSN: 2720-9997
81
The Impact of Work Method on Muskuloskeletal Disorders.....(Achmad Delianur Nasution)
The Impact of Work Method on Musculoskeletal Disorders
Complaints in Pharmacy Unit
Achmad Delianur Nasution
1
dan Eka Lestari Mahyuni
2*
1
Directorate of Infrastructure dan Medical Support of USU Hospital, the University of
Sumatra Utara, Medan, Indonesia
2
Department of Occupational Health and Safety, Faculty of Public Health, the University of
Sumatra Utara, Medan, Indonesia
*corresponding author, e-mail: eka.lestari@usu.ac.id
Received: 30/09/2019; published: 29/09/2020
Abstract
Background: Musculoskeletal disorders (MSDs) are complaints on parts of skeletal muscle
which is perceived by someone ranging from mild to severe. These complaints often occur in
the manual process, heavy workload, and work environment interactions that may lead to a non-
ergonomic work posture. This study aims to analyze the impact of the work method to MSDs
complaints at the pharmacy unit of The University of Sumatera Utara Hospital. Method: This
study is an observational survey using a cross-sectional design. The population was all workers
in the pharmacy unit of the University of Sumatera Utara Hospital numbered 27 people.
Samples were taken from the total population. Data were collected using camera media and
direct observation of the work process that took place in the pharmacy unit of USU Hospital.
Musculoskeletal complaints were obtained by mapping the pain using Nordic Body Map (NBM).
The data obtained were analyzed using a simple logistic regression test to see the impact of the
working methods of the pharmacy unit workers on their complaints of musculoskeletal disorders.
Results: There was a significant association between work methods in the Pharmacy unit and
the MSDs complaints with p-value = 0,001. This was supported by the mean of the work
patterns in the pharmacy unit which have a heavy workload and the interaction with the layout
according to anthropometry. There was a significant association between the work method
causing musculoskeletal complaints when the drug compounding process (p = 0.000). It was
evidenced from the result of NBM questionnaire that the three most prevalent complaints of
MSDs were pain around the neck, back, and right shoulder. Conclusion: It can be concluded
that the static working methods with a heavy workload must be accompanied by a relaxation to
avoid burn out and fatigue.
Keywords: MSDs; ergonomics; pharmaceuticals; methods; work
Copyright © 2013 Universitas Ahmad Dahlan. All rights reserved.
1. Introduction
Healthcare workers is a working group which has a high risk for musculoskeletal
disorders (MSDs). Their physical work patterns which require them to stand, sit, squat, etc.
are characterized as an exposure of a non-ergonomic working environment. MSDs are
complaints about skeletal muscle conditions in which pain people experienced ranges from
mild to severe. MSDs generally concerns with symptoms which related to muscle tissues,
tendon, ligament, cartilage, nerves’ system, bone structure, and blood vessels. At first, the
disorder will cause pain, itchy sensation, numbness, pins and needles sensation, swelling,
stiffness, shivering, sleeping disorders, and burning sensation which may affect one’s
movement. If the muscle becomes the subject of a repetitive static load in a long period of
time, the joint, ligament, or tendon will be damaged (1-3).
MSDs conditions including swellings and degenerative conditions of muscle,
tendon, ligament, back joint, shoulder, forearm, and upper extremities as well as lower