Hanger H C, Wilkinson Tim J
Canterbury District Health Board, Geriatrician, Burwood Hospital, Christchurch, New Zealand.
Department of Medicine, University of Otago, Christchurch, New Zealand.
Disabil Rehabil. 2022 Apr;44(7):1136-1140. doi: 10.1080/09638288.2020.1786174. Epub 2020 Jul 6.
Low impact flooring (LIF) has shown potential for reducing fall-related injuries for older people in residential care or hospital environments. However, the increased rolling resistance when moving equipment on these floors has raised concerns that staff injuries may increase.
LIF was trialled on one Older Persons Health ward for 2.5 years. Reported staff injuries were monitored during and following the trial. Numbers of staff injured on the LIF ward were compared with three other similar and adjacent OPH wards without LIF for the duration of the trial ('concurrent control' evaluation). At the trial conclusion the LIF ward moved to a different hospital that had standard flooring. This enabled a further 'during and after' evaluation where numbers of staff injured from the LIF ward during the trial were compared with those reported afterwards by the same ward staff without LIF.
There was no difference in the numbers of staff injured in the LIF ward compared with the concurrent control wards (28 LIF vs 30 control; = 0.44). The number of staff with injuries in the LIF ward also did not significantly alter when those staff moved to a new ward without LIF (45 after vs 28 before; = 0.11).
There was no change in the numbers of staff with injuries during the LIF trial in an Older Persons Health ward. This small study suggests LIF appears safe for both patients and staff.Implications for rehabilitationFalls in hospital are common with patient injuries occurring in approximately 20-30% of falls.Low impact (compliant) flooring may reduce fall-related injuries in hospitals and residential care.Low impact flooring has an increased rolling resistance, which has the potential to increase staff injuries when moving equipment.This study found no change in the number of staff injured during a low impact flooring trial providing some reassurance that these floors are safe for staff.
低冲击性地板(LIF)已显示出在减少住宿护理机构或医院环境中老年人跌倒相关伤害方面的潜力。然而,在这些地板上移动设备时滚动阻力增加,引发了人们对工作人员受伤可能增加的担忧。
在一个老年健康病房对LIF进行了2.5年的试验。在试验期间及之后监测报告的工作人员受伤情况。将LIF病房工作人员受伤人数与另外三个在试验期间没有LIF的类似且相邻的老年健康病房(“同期对照”评估)进行比较。试验结束时,LIF病房迁至另一家有标准地板的医院。这使得能够进行进一步的“前后”评估,即将试验期间LIF病房工作人员受伤人数与同一病房工作人员在没有LIF之后报告的受伤人数进行比较。
与同期对照病房相比,LIF病房工作人员受伤人数没有差异(LIF组28例,对照组30例;P = 0.44)。当这些工作人员搬到没有LIF的新病房时,LIF病房受伤工作人员的数量也没有显著变化(之后45例,之前28例;P = 0.11)。
在老年健康病房进行LIF试验期间,受伤工作人员的数量没有变化。这项小型研究表明,LIF对患者和工作人员似乎都是安全的。康复的意义医院内跌倒很常见,约20%-30%的跌倒会导致患者受伤。低冲击性(柔性)地板可能会减少医院和住宿护理机构中与跌倒相关的伤害。低冲击性地板滚动阻力增加,在移动设备时有可能增加工作人员受伤的风险。本研究发现,在低冲击性地板试验期间,受伤工作人员的数量没有变化,这让人放心这些地板对工作人员是安全的。