Galinsky Traci, Deter Lena, Krieg Edward, Feng H Amy, Battaglia Catherine, Bell Revonda, Haddock Kathlyn Sue, Hilton Tony, Lynch Charlotte, Matz Mary, Moscatel Sarah, Riley Franciner D, Sampsel Debi, Shaw Sandra
National Institute for Occupational Safety and Health (NIOSH), USA.
DELHEC, USA.
Appl Ergon. 2021 Feb;91:103300. doi: 10.1016/j.apergo.2020.103300. Epub 2020 Nov 12.
This study was conducted at 5 Veterans Administration Medical Centers (VAMCs). A cross sectional survey was administered to 134 workers who routinely lift and mobilize patients within their workplaces' safe patient handling and mobility (SPHM) programs, which are mandated in all VAMCs. The survey was used to examine a comprehensive list of SPHM and non-SPHM variables, and their associations with self-reported musculoskeletal injury and pain. Previously unstudied variables distinguished between "bariatric" (≥300 lb or 136 kg) and "non-bariatric" (<300 lb or 136 kg) patient handling. Significant findings from stepwise and logistic regression provide targets for workplace improvements, predicting: lower injury odds with more frequently having sufficient time to use equipment, higher back pain odds with more frequent bariatric handling, lower back pain odds with greater ease in following SPHM policies, and lower odds of upper extremity pain with more bariatric equipment, and with higher safety climate ratings.
本研究在5家退伍军人管理局医疗中心（VAMCs）开展。对134名工人进行了横断面调查，这些工人在其工作场所的安全患者搬运与移动（SPHM）计划中负责常规的患者搬运和移动工作，所有VAMCs均要求实施该计划。该调查用于检查一系列全面的SPHM和非SPHM变量，以及它们与自我报告的肌肉骨骼损伤和疼痛之间的关联。此前未研究过的变量区分了“肥胖症患者”（≥300磅或136千克）和“非肥胖症患者”（<300磅或136千克）的患者搬运情况。逐步回归和逻辑回归的显著结果为工作场所的改进提供了目标，预测结果如下：有更多时间频繁使用设备时受伤几率较低；肥胖症患者搬运更频繁时背痛几率较高；更易于遵守SPHM政策时背痛几率较低；有更多肥胖症患者搬运设备且安全氛围评分较高时上肢疼痛几率较低。
