Hill-Rom Holdings, Inc., 1069 State Road 46 East, Batesville, IN 47006, United States.
Int J Nurs Stud. 2020 Apr;104:103508. doi: 10.1016/j.ijnurstu.2019.103508. Epub 2019 Dec 23.
Mobilizing hospital patients is associated with improved outcomes and shorter length of stay. Safe patient handling and mobility programs that include mechanical lift use facilitate mobilizing patients and reduce the likelihood of musculoskeletal disorders in staff. However, there is little information on the prevalence of lift use or why some patients are more likely to have a lift used than others. Such information is needed to inform public policy, benchmark lift use over time, and contextualize barriers for lift use.
To determine the percentage of patients that had a lift used during care in US acute care facilities, identify attributes related to the patient and their hospital stay that affect the lift use, examine whether state legislation increased lift use, and determine whether lift use was correlated with more frequent mobilization out of bed.
Retrospective analysis of the 2018 International Pressure Ulcer Prevalence ™ data.
40,856 patients in 642 US acute care hospitals over the age of 18 with complete data.
Lift use prevalence was calculated as the percentage of patients that met inclusion criteria that had a lift used for care. Prevalence was then analyzed by patient mobility level. A logistic regression examined the influence of patient and facility related attributes. For patients with limited mobility (that could not stand or turn themselves), a t-test of proportions evaluated whether lift use during a patient's stay was correlated with an increased likelihood of being out of bed at the time of the survey.
3.7% of patients had a lift used during their care. 11.1% of limited mobility patients had a lift used. Lift use was associated with higher body mass, longer length of stay, lower Braden score, pressure injury prevention methods in place, being in an intensive care unit, being in a smaller hospital, and being in a state with safe patient handling and mobility legislation. Limited mobility patients moved with lifts during their stay were more likely to be observed in a bedside chair and less likely to be observed in bed, as compared to patients that never had a lift used.
Despite the benefits to patients and caregivers, US acute care facilities are largely not using lifts to safely mobilize patients. Results suggested that safe patient handling and mobility legislation has increased the rate of lift use. Finally, lift use was correlated with patients being mobilized out of bed.
动员住院患者有助于改善治疗效果和缩短住院时间。包含机械升降设备的安全患者处理和移动计划有助于动员患者，并降低员工发生肌肉骨骼疾病的可能性。然而，关于升降设备的使用频率或为什么某些患者比其他患者更有可能使用升降设备的信息很少。这些信息对于制定公共政策、随时间推移对升降设备的使用情况进行基准测试以及为使用升降设备确定障碍因素非常重要。
确定美国急症护理机构中使用升降设备的患者比例，确定与患者及其住院时间相关的影响升降设备使用的属性，检查州立法是否增加了升降设备的使用，并确定升降设备的使用是否与更频繁的离床活动有关。
对 2018 年国际压疮发生率 ™数据进行回顾性分析。
年龄在 18 岁及以上，在 642 家美国急症护理医院中接受过完整治疗且符合纳入标准的 40856 名患者。
使用升降设备的患者比例为符合纳入标准且接受过升降设备护理的患者比例。然后根据患者的活动水平分析患病率。使用逻辑回归检查患者和医疗机构相关属性的影响。对于活动受限（无法站立或自行翻身）的患者，通过比较患者住院期间的升降设备使用情况与调查时离床可能性增加的比例，对比例进行 t 检验。
3.7%的患者在治疗过程中使用了升降设备。11.1%活动受限的患者使用了升降设备。使用升降设备与更高的体重指数、更长的住院时间、更低的Braden 评分、使用压力性损伤预防方法、入住重症监护病房、在规模较小的医院、以及在实施安全患者处理和移动立法的州有关。与从未使用过升降设备的患者相比，在住院期间使用升降设备移动的活动受限患者更有可能被观察到坐在床边椅子上，而不太可能被观察到躺在床上。
尽管对患者和护理人员有好处，但美国急症护理机构在很大程度上并未使用升降设备来安全地转移患者。结果表明，安全患者处理和移动立法提高了升降设备的使用率。最后，升降设备的使用与患者离床活动有关。
