加州安全病人处理法规对护士肌肉骨骼损伤预防的影响。
Impact of California's safe patient handling legislation on musculoskeletal injury prevention among nurses.
机构信息
School of Nursing, University of California, San Francisco, California.
School of Medicine, University of California, San Francisco, California.
出版信息
Am J Ind Med. 2019 Jan;62(1):50-58. doi: 10.1002/ajim.22923. Epub 2018 Nov 25.
BACKGROUND
This study evaluated the impact of California's safe patient handling (SPH) legislation on musculoskeletal injury prevention among hospital nurses.
METHODS
Two serial cross-sectional surveys were conducted using postal and online questionnaires in statewide random samples of California registered nurses in 2013 and 2016. Analysis included hospital nurses who performed patient handling (n = 254 and n = 281, respectively).
RESULTS
In 2016, there were significant improvements in nurses' knowledge of a SPH policy in their hospital (87%), receipt of annual SPH training (73%), and availability of lift equipment (80%); 33% perceived their hospital's SPH programs as excellent or very good. Significant prevalence reduction was observed for work-related musculoskeletal symptoms (61% vs 52%; Adjusted Prevalence Ratio = 0.78, 95% CI 0.66-0.91).
CONCLUSIONS
Our findings indicate the significant role of SPH legislation with positive impacts on SPH policies and programs at the hospital level and on musculoskeletal health outcomes at the worker level.
背景
本研究评估了加州安全病人搬运（SPH）法规对医院护士肌肉骨骼损伤预防的影响。
方法
2013 年和 2016 年，采用邮政和在线问卷调查，在加州进行了两次连续的横断面调查，调查对象为全州范围内随机抽取的注册护士。分析包括进行病人搬运的医院护士（分别为 254 名和 281 名）。
结果
2016 年，护士对其医院 SPH 政策的知晓率（87%）、接受年度 SPH 培训的比例（73%）以及提升设备的可获得性（80%）均显著提高；33%的人认为他们医院的 SPH 计划非常好或很好。与工作相关的肌肉骨骼症状的流行率显著降低（61%比 52%；调整后的患病率比为 0.78，95%CI 0.66-0.91）。
结论
我们的研究结果表明，SPH 法规发挥了重要作用，对医院层面的 SPH 政策和计划以及工人层面的肌肉骨骼健康结果产生了积极影响。
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