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医院及家庭护理人员患者搬运技能培训评估

Evaluation of training in patient handling and moving skills among hospital and home care personnel.

作者信息

Johnsson Christina, Carlsson Ruth, Lagerström Monica

机构信息

Department of Nursing, Karolinska Institutet, Box 286, SE-171 77 Stockholm, Sweden.

出版信息

Ergonomics. 2002 Oct 10;45(12):850-65. doi: 10.1080/00140130210160920.

Abstract

The aim of the study was to evaluate the training programme in patient handling and moving skills according to the Stockholm Training Concept. The evaluation focused on work technique, musculoskeletal problems, job strain and the experience of the person being transferred. The training programme consisted of two models of learning: traditional groups and quality circles. Fifty-one people employed at geriatric hospitals and in primary care, participated in the training programme. For the evaluation, the participants were video-recorded in one standardized transfer situation: moving the patient from bed to wheelchair, before and after the training. The participants' work technique during the patient transfer was assessed using seven items. A questionnaire covering individual factors, physical exertion, job strain, and musculoskeletal problems, was filled in by the participants before training and also six months after. The results showed improvements in six of the seven work technique items, directly after training. A decrease in the participants' physical exertion during transfers of patients from 'bed to chair' was shown six months after completion of the training programme. There was no significant decrease in the participants' musculoskeletal problems and job strain after training. Ninety-eight per cent of the participants were positive about having participated in the training. Training in patient handling and moving skills led to improved work technique. The participants improved their transfer technique and experienced less discomfort during the transfer, and patients experienced greater comfort and safety when being transferred.

摘要

本研究的目的是根据斯德哥尔摩培训理念评估患者搬运技能培训项目。评估重点在于工作技巧、肌肉骨骼问题、工作压力以及被搬运者的体验。培训项目包含两种学习模式:传统小组模式和质量圈模式。51名受雇于老年医院和初级护理机构的人员参与了该培训项目。为进行评估,在一种标准化的搬运情境(将患者从病床搬运至轮椅)中,对参与者在培训前后进行了视频录制。使用七个项目评估参与者在搬运患者过程中的工作技巧。参与者在培训前以及培训六个月后填写了一份涵盖个人因素、体力消耗、工作压力和肌肉骨骼问题的问卷。结果显示,培训刚结束后,七个工作技巧项目中的六个有了改进。培训项目结束六个月后,参与者在将患者从“病床搬运至椅子”过程中的体力消耗有所减少。培训后,参与者的肌肉骨骼问题和工作压力没有显著降低。98%的参与者对参加培训持积极态度。患者搬运技能培训带来了工作技巧的提升。参与者改进了他们的搬运技巧,在搬运过程中不适感减轻,患者在被搬运时也体验到了更高的舒适度和安全性。

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