Otto Ann-Kathrin, Pietschmann Juliane, Appelles Luisa-Marie, Bebenek Michael, Bischoff Laura L, Hildebrand Claudia, Johnen Bettina, Jöllenbeck Thomas, Kemmler Wolfgang, Klotzbier Thomas, Korbus Heide, Rudisch Julian, Schott Nadja, Schoene Daniel, Voelcker-Rehage Claudia, Vogel Oliver, Vogt Lutz, Weigelt Matthias, Wilke Jan, Zwingmann Katharina, Wollesen Bettina
Department of Human Movement Science, University of Hamburg, Hamburg, Germany
Department of Sport and Health, University of Paderborn, Paderborn, Germany.
BMJ Open. 2020 Oct 6;10(10):e038202. doi: 10.1136/bmjopen-2020-038202.
Nursing staff is burdened by high workload and stress. Furthermore, heavy lifting, as well as transferring nursing home residents, cause lumbar tissue damage and back pain. Exercise intervention studies to reduce work-related problems are rare and the evidence for efficacy of studies among nurses is limited. Studies including targeted analysis of requirements are necessary to generate effective recommendations and tailored interventions for health promotion programmes. The purpose of this multicentred intervention study is to identify work-related problems, to implement health promotion programmes and to evaluate their effectiveness.
A randomised controlled trial will be conducted, including a total of 48 nursing home facilities in eight regions of Germany with an estimated sample size of 700 nurses. Standardised ergonomics and posture training (10 weeks, once a week for 20-30 min) and subsequently, back-fitness training (12 weeks, once a week for 45-60 min) will be administered. Following the implementation of standardised health promotion programmes, further demand-oriented interventions can be implemented. The perceived exposure to work-related demands, work-related pain in different parts of the body, health-related quality of life, perceived stress, work-related patterns of behaviour and experience, presentism behaviour, work environment as well as general needs and barriers to health promotion, will be assessed at baseline (pre-test), at 10 weeks (post-test, after ergonomics training), at 22 weeks (post-test, after back-fitness training) and at 34 weeks of the programme (follow-up).
The study was reviewed and approved by the local ethics committee of the University of Hamburg (AZ: 2018_168). The results of the study will be published in open-access and international journals. Furthermore, the results will be presented in the participating nursing homes and at national and international conferences.
DRKS.de (DRKS00015241).
护理人员承受着高工作量和压力。此外，搬运重物以及护理院居民的转移会导致腰椎组织损伤和背痛。旨在减少与工作相关问题的运动干预研究很少见，且护士中此类研究的疗效证据有限。开展包括针对性需求分析的研究对于制定有效的建议以及为健康促进计划量身定制干预措施很有必要。这项多中心干预研究的目的是识别与工作相关的问题，实施健康促进计划并评估其效果。
将进行一项随机对照试验，纳入德国八个地区的48家护理院设施，估计样本量为700名护士。将实施标准化的人体工程学和姿势训练（10周，每周一次，每次20 - 30分钟），随后进行背部健身训练（12周，每周一次，每次45 - 60分钟）。在实施标准化健康促进计划之后，可实施进一步的需求导向型干预措施。将在基线（预测试）、10周（后测试，人体工程学训练后）、22周（后测试，背部健身训练后）以及计划的34周（随访）时评估对与工作相关需求的感知暴露、身体不同部位的与工作相关疼痛、与健康相关的生活质量、感知压力、与工作相关的行为和体验模式、出勤主义行为、工作环境以及健康促进的一般需求和障碍。
该研究已由汉堡大学当地伦理委员会审查并批准（编号：2018_168）。研究结果将在开放获取的国际期刊上发表。此外，研究结果将在参与的护理院以及国内和国际会议上展示。
DRKS.de（DRKS00015241）
