The Effect of a Safe Patient Handling and Movement Program on Rehabilitation Outc

安全的患者处理和移动计划对康复效果的影响

• 批准号: 8176781
• 负责人: Marc Alexander Campo
• 金额: $ 4.85万
• 依托单位: MERCY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8176781
• 关键词: Effect; Safe; Patient; Handling; Movement

DESCRIPTION (provided by applicant): This study will examine the effect of a safe patient handling and movement (SPHM) program on rehabilitation patients. The immediate objective of this study is to determine the effect of a comprehensive SPHM program on functional patient outcomes at a rehabilitation hospital. The long-term objective of this research is to determine whether SPHM programs enhance or inhibit patient recovery in rehabilitation. The findings will have a substantial impact on SPHM in clinical practice and in the related literature. The proposed project is consistent with the Agency for Healthcare Research and Quality's comparative effectiveness portfolio. The mission of the comparative effectiveness portfolio is to provide healthcare decision makers with up to date evidence about treatment options. Currently, across the United States, the majority of inpatient healthcare facilities are facing a decision about whether to implement a SPHM program. It is widely known that these programs can reduce injuries for healthcare professionals and reduce costs. However, the evidence for SPHM programs is incomplete without exploration of the effect on patients. Having "up to date information" implies that decision makers in healthcare facilities and systems would know, prior to spending thousands, if not millions of dollars on patient handling equipment, that the programs they are considering will not inhibit patient recovery. Methods: This study will employ a retrospective cohort design with data from electronic medical records. The mobility portion of the Functional Independence Measure (FIM) will be compared for two groups of patients at a large rehabilitation hospital. The first group was rehabilitated prior to the implementation of a SPHM program. The second group was rehabilitated after the implementation of a SPHM program. Both the changes in mobility FIM scores and the discharge levels of mobility FIM scores (adjusted for baseline) will be compared. PUBLIC HEALTH RELEVANCE: Across the United States, healthcare facilities are implementing safe patient handling and movement programs to protect healthcare professionals from injuries. This project will determine the effect of these programs on patient outcomes in rehabilitation. The findings will show whether these programs enhance or inhibit patient recovery in rehabilitation.

描述（由申请方提供）：本研究将检查安全患者处理和运动（SPHM）计划对康复患者的影响。本研究的直接目的是确定一个全面的SPHM计划对康复医院功能患者结局的影响。本研究的长期目标是确定SPHM项目是否促进或抑制患者康复。这些发现将对SPHM在临床实践和相关文献中产生重大影响。 拟议的项目与医疗保健研究和质量机构的比较有效性组合一致。比较有效性组合的使命是为医疗保健决策者提供有关治疗方案的最新证据。 目前，在美国各地，大多数住院医疗机构都面临着是否实施SPHM计划的决定。众所周知，这些计划可以减少医疗保健专业人员的伤害并降低成本。然而，SPHM计划的证据是不完整的，没有探索对患者的影响。拥有“最新信息”意味着医疗机构和系统的决策者在花费数千美元（如果不是数百万美元）购买患者处理设备之前会知道他们正在考虑的方案不会抑制患者康复。 研究方法： 本研究将采用回顾性队列设计，数据来自电子病历。在一家大型康复医院，将对两组患者的功能独立性测量（Functional Independence Measure，简称ADL）的活动性部分进行比较。第一组是在实施SPHM方案之前康复的。第二组在实施SPHM方案后得到康复。将比较移动性评分的变化和移动性评分的出院水平（根据基线调整）。 公共卫生相关性：在美国各地，医疗机构正在实施安全的患者处理和移动计划，以保护医疗专业人员免受伤害。该项目将确定这些计划对患者康复结果的影响。研究结果将显示这些计划是否会促进或抑制患者的康复。