Samaei Seyed Ehsan, Mostafaee Maryam, Jafarpoor Hasanali, Hosseinabadi Majid Bagheri
Mobility Impairment Research Center, Babol University of Medical Sciences, Babol, Iran.
Clinical Research Development Unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
Work. 2017;56(4):551-561. doi: 10.3233/WOR-172526.
Patient-handling is one of the main tasks of nursing personnel; it imposes compressive and shear forces on nurses' lower spine. The aim of this study was to determine the prevalence of Low Back Pain (LBP), risk factors in the incidence of such disorders, and patient handling risk assessment among nursing personnel.
This study was carried out on 243 randomly selected nursing personnel who played a role in handling the patients (58 wards). Patient Transfer Assessment Instrument (PTAI) checklists alongside Standardized Nordic Musculoskeletal Questionnaires (NMQ) were used for data collection. The statistical analyses such as independent t-test and Chi-Square test were used.
Prevalence of LBP among nursing personal was 69.5% in the previous 12 months. Significant correlations were found among age, working hours per week, work experience, BMI, gender and shift-work. Results of PTAI index assessment revealed that more than 90% of subjects were in medium and severe risks of LBP. PTAI index scores were significantly associated with LBP (P < 0.05).
PTAI index is regarded as an efficient tool for risk level classifications and identification of effective factors on LBP incidence among nursing personnel involved in patient transfer. In this regard and for the aim of ergonomic intervention towards the reduction of LBP incidence among nurses, the modification of improper factors which are identified in PTAI index such as the use of advanced patient handling equipment, increase in work posture guidance and work arrangements, can be mentioned.
患者搬运是护理人员的主要任务之一;它会给护士的下脊柱施加压力和剪切力。本研究的目的是确定腰痛(LBP)的患病率、此类疾病发病的危险因素以及护理人员中患者搬运风险评估情况。
本研究对243名随机挑选的参与患者搬运工作的护理人员(58个病房)进行。使用患者搬运评估工具(PTAI)清单以及标准化北欧肌肉骨骼问卷(NMQ)进行数据收集。采用独立t检验和卡方检验等统计分析方法。
在过去12个月中,护理人员中腰痛的患病率为69.5%。发现年龄、每周工作时长、工作经验、体重指数、性别和轮班工作之间存在显著相关性。PTAI指数评估结果显示,超过90%的受试者存在中度和重度腰痛风险。PTAI指数得分与腰痛显著相关(P<0.05)。
PTAI指数被视为一种有效的工具,用于对参与患者搬运的护理人员进行风险水平分类以及识别腰痛发病的影响因素。在这方面,为了通过人体工程学干预降低护士腰痛的发病率,可以提及对PTAI指数中识别出的不当因素进行改进,如使用先进的患者搬运设备、增加工作姿势指导和工作安排。