Coman Robyn L, Caponecchia Carlo, McIntosh Andrew S
Work Health and Safety (WHS) Academic Program, School of Health & Society, Faculty of Social Sciences, University of Wollongong, NSW, Australia.
School of Aviation, University of New South Wales (UNSW), Sydney, NSW, Australia.
Saf Health Work. 2018 Dec;9(4):372-380. doi: 10.1016/j.shaw.2018.02.003. Epub 2018 Mar 6.
The manual handling of people (MHP) is known to be associated with high incidence of musculoskeletal disorders for aged care staff. Environment-related MHP interventions, such as appropriate seated heights to aid sit-to-stand transfers, can reduce staff injury while improving the patient's mobility. Promoting patient mobility within the manual handling interaction is an endorsed MHP risk control intervention strategy. This article provides a narrative review of the types of MHP environmental controls that can improve mobility, as well as the extent to which these environmental controls are considered in MHP risk management and assessment tools. Although a range of possible environmental interventions exist, current tools only consider these in a limited manner. Development of an assessment tool that more comprehensively covers environmental strategies in MHP risk management could help reduce staff injury and improve resident mobility through auditing existing practices and guiding the design of new and refurbished aged care facilities.
众所周知，人工搬运患者（MHP）与老年护理人员肌肉骨骼疾病的高发病率相关。与环境相关的MHP干预措施，如合适的就座高度以辅助从坐立位转移，可减少工作人员受伤，同时改善患者的活动能力。在人工搬运互动中促进患者活动能力是一种认可的MHP风险控制干预策略。本文对可改善活动能力的MHP环境控制类型，以及这些环境控制在MHP风险管理和评估工具中的考虑程度进行了叙述性综述。尽管存在一系列可能的环境干预措施，但目前的工具对其考虑有限。开发一种能更全面涵盖MHP风险管理中环境策略的评估工具，通过审核现有做法并指导新的和翻新的老年护理设施设计，有助于减少工作人员受伤并改善居民的活动能力。
