Ergonomic and safety risk factors in home health care: Exploration and assessment of alternative interventions
Ergonomic and safety risk factors in home health care: Exploration and assessment of alternative interventions
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DOI：
10.3233/wor-2012-1433
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发表时间：
2012-01-01
影响因子：
2.3
通讯作者：
Lavender, Steven A.
中科院分区：
文献类型：
--
作者：
Czuba, Laura Rae;Sommerich, Carolyn M.;Lavender, Steven A.
目的：该项目的目标是提高对可能导致家庭健康助理受伤和营业额增加的风险因素的理解，发现未探索的干预机会，并测试这些干预想法的潜在影响，可行性和家庭健康助理及其雇主的接受程度。方法：分析伤害数据，广泛的直接观察和分析援助-病人的互动，参与式干预构思焦点小组讨论，和干预试点testings.Results：分类每个病人的转移和洗澡活动的技能水平的方法，他们的流动性援助的要求，从研究过程中收集的信息，以及文献综述。在一项试点测试中，新的分类方案被用来控制助手每天接触更高需求的病人。的时间百分比，助手与患者在更高的需求类别被发现是有关的助手的自我报告的结束轮班疲劳和pain.Conclusion：家庭医疗保健公司可能会发现，开发一个调度系统，管理他们的助手暴露于更高的需求患者可能是一个可行的和有效的方法，减少助手的暴露于肌肉骨骼损伤的危险因素。
Objective: The goals of this project were to improve the understanding of risk factors that may lead to injury and increased turnover in home health aides, discover unexplored opportunities for intervention, and test those intervention ideas for potential effects, feasibility, and acceptance by home health aides and their employers.Methods: Analysis of injury data, extensive direct observation and analysis of aide-patient interactions, participatory intervention ideation focus group discussions, and intervention pilot testing was conducted.Results: A method of categorizing each patient's level of skill in transfer and bathing activities, and their mobility assistance requirements was developed from information collected during the study as well as a review of the literature. In a pilot test, the new categorization scheme was used to control the aides' daily exposure to higher needs patients. The percentage of time that aides worked with patients in higher needs categories was found to be related to the aides' self-reports of end-of-shift fatigue and pain.Conclusion: Home health care companies may find that developing a scheduling system that manages the exposure of their aides to higher needs patients may be a feasible and effective method for reducing the aides' exposure to risk factors for musculoskeletal injuries.