Personal service assistance: Musculoskeletal disorders and injuries in consumer-directed home care
Personal service assistance: Musculoskeletal disorders and injuries in consumer-directed home care
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DOI：
10.1002/ajim.22133
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发表时间：
2013-04-01
影响因子：
3.5
通讯作者：
Newcomer, Robert
中科院分区：
文献类型：
--
作者：
Faucett, Julia;Kang, Taewoon;Newcomer, Robert
背景 与针对残疾人或老年人的其他类型的护理一样，以消费者为导向的个人援助服务可能会带来与工作相关的肌肉骨骼疾病 (WRMSD) 的多因素风险。方法 使用调查数据，我们将前一年经历过 WRMSD 的提供者与未经历过 WRMSD 的提供者进行比较，试图确定暂时性和慢性疾病的功能、时间、身体和关系风险因素。结果 与接受者一起工作的时间越长，弯腰的次数越多，就会增加处于最慢性组（12 次疼痛发作）的风险，而可预测的工作时间、休息时间和接受者提供的更多社会支持似乎具有保护作用。对于短暂的情况（一到两次发作），与接受者一起工作的较长时间和可预测的休息时间似乎具有保护作用。结论 我们提出改进危害评估以及与家庭护理计划相关的培训和信息分发的建议。随着人口老龄化，家庭护理工作需要加强监督，以防止 WRMSD。是。 J.工业医学。 56:454468, 2013。(c) 2013 Wiley 期刊公司。
Background Like other types of care for disabled or elderly adults, consumer-directed personal assistance services may present multi-factorial risks for work-related musculoskeletal disorders (WRMSDs). Methods Using survey data, we compared providers experiencing WRMSDs in the previous year to those who did not, seeking to identify functional, temporal, physical, and relationship risk factors for transient and chronic conditions. Results Longer work experience with the recipient and more frequent bending increased the risk of being in the most chronic group (12 painful episodes), whereas predictable work hours with rest breaks and greater social support from the recipient appeared protective. For transient conditions (one to two episodes), longer work experience with the recipient and predictable hours with rest breaks appeared protective. Conclusions We offer recommendations to improve hazard assessment as well as training and information distribution related to home care programs. With the population aging, home care jobs require increasing oversight to prevent WRMSDs. Am. J. Ind. Med. 56:454468, 2013. (c) 2013 Wiley Periodicals, Inc.