University of Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Hum Factors. 2020 Nov;62(7):1141-1149. doi: 10.1177/0018720819869119. Epub 2019 Aug 21.
To validate the effectiveness of MAPO method (Movement and Assistance of Hospital Patient) after the introduction of some changes to improve assessment objectivity.
The number of operators exposed to patient manual handling is increasing considerably. MAPO, proposed in 1999 as a useful tool to estimate the risk of patient manual handling, is a method characterized by analytical quickness. It has recently been improved to better match the 2012 ISO (International Organization for Standardization) technical report.
A multicenter study was conducted between 2014 and 2016 involving 26 Italian hospitals in the Apulia Region. MAPO method was used to assess the risk of patient manual handling in 116 wards. A total of 1,998 exposed subjects were evaluated for the presence or absence of acute low back pain in the previous 12 months.
Only 12% of the investigated wards fell in the green exposure level (MAPO index = 0.1-1.5), 37% resulted in the average exposure level (MAPO index = 1.51-5) and the remaining 51% in the higher exposure level (MAPO index >5). The results confirmed a positive association between increasing levels of MAPO index and the number of episodes of acute low back pain (adjusted trend = .001).
The improvements made over the past years led to a more objective assessment procedure. Despite the changes, the study confirmed the effectiveness of MAPO method to predict low back pain.
MAPO method is an accurate risk assessment tool that identifies and evaluates workplace risks. The proper application of the method significantly improves working conditions.
在对 MAPO 方法（医院患者的移动和辅助）进行一些改进以提高评估客观性后，验证其有效性。
接触患者手动搬运的操作人员数量正在大幅增加。MAPO 于 1999 年提出，是一种用于估计患者手动搬运风险的有用工具，其特点是分析迅速。最近，它进行了改进，以更好地符合 2012 年 ISO（国际标准化组织）技术报告。
一项多中心研究于 2014 年至 2016 年在意大利普利亚地区的 26 家医院进行。使用 MAPO 方法评估 116 个病房的患者手动搬运风险。共评估了 1998 名暴露于风险中的受试者，以确定他们在过去 12 个月中是否患有急性腰痛。
在所调查的病房中，只有 12%处于低暴露水平（MAPO 指数=0.1-1.5），37%处于平均暴露水平（MAPO 指数=1.51-5），其余 51%处于高暴露水平（MAPO 指数>5）。结果证实 MAPO 指数水平与急性腰痛发作次数之间存在正相关关系（调整趋势=0.001）。
过去几年的改进使得评估程序更加客观。尽管进行了更改，但该研究仍证实了 MAPO 方法预测腰痛的有效性。
MAPO 方法是一种准确的风险评估工具，可识别和评估工作场所风险。该方法的正确应用可显著改善工作条件。
