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[养老院护理人员的下背部负荷]

[Load on the low back of care workers in nursing homes for the elderly].

作者信息

Kumagai Shinji, Tainaka Hidetsugu, Miyajima Keiko, Miyano Naoko, Kosaka Junko, Tabuchi Takeo, Akasaka Susumu, Kosaka Hiroshi, Yoshida Jin, Tomioka Kimiko, Oda Hajime

机构信息

Osaka Prefectural Institute of Public Health, 1-3-69 Nakamichi, Higashinari-ku, Osaka 537-0025, Japan.

出版信息

Sangyo Eiseigaku Zasshi. 2005 Jul;47(4):131-8. doi: 10.1539/sangyoeisei.47.131.

Abstract

In order to evaluate the load on the low back of care workers in nursing homes for the elderly, basic activities and working postures were analyzed for six care workers using the 30-s snap reading method. The trunk inclination angle (TIA) was also measured continuously using an inclination monitor. The analysis of basic activities showed that 22.5% and 21.1% of the workshift were spent on 'bathing and ablution' and 'meal', respectively, and 9.3%, 8.7% and 8.3% were spent on 'assistance with elimination', 'assistance with moving and repositioning' and 'exchange of bed sheet', respectively. Total of the assistance activity was 43.7% of the workshift. The analysis of working posture showed that 'standing' and 'standing bent forward' accounted for 36.1% and 29.5%, respectively, of the workshift. Total of three postures loading the low back ('standing bent forward', 'squatting', 'kneeling') accounted for 39.0%. The time spent in TIA of 20 degrees or more was 45.7%. The postures loading the low back during 'bathing and ablution', 'exchange of bed sheet' and 'assistance with elimination' account for 68.3%, 58.2% and 49.6%, respectively, which suggests that these activities load the low back of the care workers considerably.

摘要

为了评估养老院护理人员的腰部负荷,采用30秒快速阅读法对6名护理人员的基本活动和工作姿势进行了分析。还使用倾斜监测仪连续测量了躯干倾斜角度(TIA)。基本活动分析表明,轮班期间分别有22.5%和21.1%的时间用于“洗澡和洗漱”以及“用餐”,分别有9.3%、8.7%和8.3%的时间用于“协助排泄”、“协助移动和重新安置”以及“更换床单”。协助活动总计占轮班时间的43.7%。工作姿势分析表明,“站立”和“向前弯腰站立”分别占轮班时间的36.1%和29.5%。对腰部有负荷的三种姿势(“向前弯腰站立”、“下蹲”、“跪姿”)总计占39.0%。TIA达到20度及以上的时间占45.7%。在“洗澡和洗漱”、“更换床单”以及“协助排泄”过程中对腰部有负荷的姿势分别占68.3%、58.2%和49.6%,这表明这些活动对护理人员的腰部造成了相当大的负荷。

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