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Titolo:
A randomized controlled trial to prevent patient lift and transfer injuries of health care workers
Autore:
Yassi, A; Cooper, JE; Tate, RB; Gerlach, S; Muir, M; Trottier, J; Massey, K;
Indirizzi:
Univ Manitoba, Fac Med, Dept Community Hlth Sci, Occupat & Environm Hlth Unit, Winnipeg, MB, Canada Univ Manitoba Winnipeg MB Canada nvironm Hlth Unit, Winnipeg, MB, Canada Univ Manitoba, Sch Med Rehabil, Winnipeg, MB, Canada Univ Manitoba Winnipeg MB Canada , Sch Med Rehabil, Winnipeg, MB, Canada Hlth Sci Ctr, Dept Occupat & Environm Med, Winnipeg, MB, Canada Hlth Sci Ctr Winnipeg MB Canada pat & Environm Med, Winnipeg, MB, Canada
Titolo Testata:
SPINE
fascicolo: 16, volume: 26, anno: 2001,
pagine: 1739 - 1746
SICI:
0362-2436(20010815)26:16<1739:ARCTTP>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
LOW-BACK-PAIN; ERGONOMIC EVALUATION; NURSES; EPIDEMIOLOGY; WHEELCHAIR; CLAIMS; TASKS; RISK;
Keywords:
back injury; health care workers; prevention; randomized controlled trial;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Yassi, A Univ Manitoba, Fac Med, Dept Community Hlth Sci, Occupat & Environm Hlth Unit, S112-750 Bannatyne Ave, Winnipeg, MB, Canada Univ Manitoba S112-750 Bannatyne Ave Winnipeg MB Canada , Canada
Citazione:
A. Yassi et al., "A randomized controlled trial to prevent patient lift and transfer injuries of health care workers", SPINE, 26(16), 2001, pp. 1739-1746

Abstract

Study Design. Randomized controlled trial (RCT). Objectives. To compare the effectiveness of training and equipment to reduce musculoskeletal injuries, increase comfort, and reduce physical demands on staff performing patient lifts and transfers at a large acute care hospital. Summary of Background Data. Back injury to nursing staff during patient handling tasks is a major issue in health care. The value of mechanical assistive devices in reducing injuries to these workers is unclear. Methods. This three-armed RCT consisted of a "control arm," a "safe lifting" arm, and a "no strenuous lifting" arm. A medical, surgical, and rehabilitation ward were each randomly assigned to each arm. Both intervention armsreceived intensive training in back care, patient assessment, and handlingtechniques. Hence, the "safe lifting" arm used improved patient handling techniques using manual equipment, whereas the "no strenuous lifting" arm aimed to eliminate manual patient handling through use of additional mechanical and other assistive equipment. Results. Frequency of manual patient handling tasks was significantly decreased on the "no strenuous lifting" arm. Self-perceived work fatigue, back and shoulder pain, safety, and frequency and intensity of physical discomfort associated with patient handling tasks were improved on both intervention arms, but staff on the mechanical equipment arm showed greater improvements. Musculoskeletal injury rates were not significantly altered. Conclusions, The "no strenuous lifting" program, which combined training with assured availability of mechanical and other assistive patient handlingequipment, most effectively improved comfort with patient handling, decreased staff fatigue, and decreased physical demands. The fact that injury rates were not statistically significantly reduced may reflect the less sensitive nature of this indicator compared with the subjective indicators.

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Documento generato il 03/07/20 alle ore 01:17:10