Miller Aaron, Engst Chris, Tate Robert B, Yassi Annalee
Occupational Health and Safety Agency for Healthcare (OHSAH) in BC, #301-1195 West Broadway, Vancouver, BC, Canada, V6 H 3X5.
Occupational Health and Safety Agency for Healthcare (OHSAH) in BC, #301-1195 West Broadway, Vancouver, BC, Canada, V6 H 3X5; Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Appl Ergon. 2006 May;37(3):377-385. doi: 10.1016/j.apergo.2005.05.012. Epub 2005 Dec 27.
Researchers and health and safety practitioners have advocated replacing manual patient handling techniques with ceiling lifts in long-term care. The majority of these studies have only evaluated the impact of fixed ceiling lifts on extended care residents where the ratio of ceiling lifts to resident beds is one to one. This pre-post intervention study assesses the effectiveness of portable ceiling lifts in a new multi-level care facility on risk of patient handling injuries where the ratio of ceiling lifts to resident beds is one to six. Results indicated that staff perceived they were at significantly (p<0.05) less risk of injury when using ceiling lifts compared to manual methods. Seventy-five percent of staff preferred to use the ceiling lifts over any other method for lifting and transferring residents. Compensation costs due to patient handling decreased in the intervention facility, with a 241% increase in the comparison facility. This study demonstrates that incorporating ceiling lifts into the design of a new multi-level care facility reduced patient handling injuries and decreased perceived risk of injury among care staff.
研究人员以及健康与安全从业者主张,在长期护理中用天花板升降机取代人工搬运患者的技术。这些研究大多仅评估了固定天花板升降机对长期护理机构居民的影响,在这些机构中,天花板升降机与居民床位的比例为一对一。这项干预前后的研究评估了便携式天花板升降机在一个新的多层护理机构中对患者搬运受伤风险的有效性,该机构中天花板升降机与居民床位的比例为一比六。结果表明,与人工方法相比,工作人员认为使用天花板升降机时受伤风险显著降低(p<0.05)。75%的工作人员在搬运和转移居民时,比起其他任何方法,更倾向于使用天花板升降机。干预机构中因患者搬运导致的赔偿成本下降,而对照机构则增加了241%。这项研究表明,在新的多层护理机构设计中纳入天花板升降机可减少患者搬运受伤情况,并降低护理人员感知到的受伤风险。