Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace
Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace
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DOI：
10.1002/ajim.10294
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发表时间：
2003-11-01
影响因子：
3.5
通讯作者：
Collins, J
中科院分区：
文献类型：
--
作者：
Evanoff, B;Wolf, L;Collins, J
背景医护人员因病人转送和搬运任务而频繁受伤。方法在急诊医院和长期护理(LTC)设施中引入机械式电梯，并对电梯使用情况进行调查。结果干预后肌肉骨骼损伤(RR=0.82，95%CI：0.68~1.00)、丢失工作日伤害(RR=0.56，95%CI：0.41~0.78)和总伤害损失天数(RR=0.42)的发生率显著降低。LTC设施的降幅比医院更大。注册护士和护理助理自我报告的升降机使用频率在长期护理中心设施中高于急诊护理医院。在报告较多使用升降机的护理单元中，观察到的伤害和损失日伤害率的降低幅度更大。结论实施患者升降机可以有效地减少LTC和急性护理环境中护理人员的职业性肌肉骨骼损伤。应探讨促进更多使用机械起重设备的战略，因为增加使用可能会进一步减少伤害。(C)2003年Wiley-Liss，Inc.
Background Health care workers incur frequent injuries resulting from patient transfer and handling tasks. Few studies have evaluated the effectiveness of mechanical lifts in preventing injuries and time loss due to these injuries.Methods We examined injury and lost workday rates before and after the introduction of mechanical lifts in acute care hospitals and long-term care (LTC) facilities, and surveyed workers regarding lift use.Results The post-intervention period showed decreased rates of musculoskeletal injuries (RR = 0.82, 95% CI: 0.68-1.00), lost workday injuries (RR = 0.56, 95% CI: 0.41-0.78), and total lost days due to injury (RR = 0.42). Larger reductions were seen in LTC facilities than in hospitals. Self-reported frequency of lift use by registered nurses and by nursing aides were higher in the LTC facilities than in acute care hospitals. Observed reductions in injury and lost day injury rates were greater on nursing units that reported greater use of the lifts.Conclusions Implementation of patient lifts can be effective in reducing occupational musculoskeletal injuries to nursing personnel in both LTC and acute care settings. Strategies to facilitate greater use of mechanical lifting devices should be explored, as further reductions in injuries may be possible with increased use. (C) 2003 Wiley-Liss, Inc.