Feldstein A, Valanis B, Vollmer W, Stevens N, Overton C
Center for Health Research, Kaiser Permanente, Northwest Region, Portland, Oregon 97210.
J Occup Med. 1993 Feb;35(2):114-20.
The Back Injury Prevention Project was a pilot study of "Back Attack," an educational program designed to prevent back injuries among nurses, nurses' aides, and orderlies. The pilot tested program feasibility, developed and tested instruments, and generated preliminary data measuring program effectiveness. Fifty-five nurses, aides, and orderlies on two medical/surgical units at two Kaiser Permanente medical centers in Portland, Oregon participated in the study. Intervention group scores on the composite back pain and composite fatigue scales decreased relative to the control group, but this did not reach statistical significance. A 19% improvement in scores for quality of patient transfer was observed for the intervention group (P < .0003), while the control group did not show any significant improvement during the same time period. Results of the pilot suggest that the Back Attack program changes behavior at least in the short term. Further study will be necessary to determine if the behavior change persists and back pain and injury rates are subsequently reduced.
背部损伤预防项目是对“背部攻击”这一教育项目的一项试点研究，该项目旨在预防护士、护工和勤杂工的背部损伤。该试点测试了项目的可行性，开发并测试了相关工具，并生成了衡量项目有效性的初步数据。俄勒冈州波特兰市两家凯撒医疗机构的两个内科/外科科室的55名护士、护工和勤杂工参与了这项研究。干预组在复合背痛和复合疲劳量表上的得分相对于对照组有所下降，但未达到统计学显著性。干预组患者转移质量得分提高了19%（P < .0003），而对照组在同一时期未显示出任何显著改善。该试点的结果表明，“背部攻击”项目至少在短期内改变了行为。有必要进行进一步研究，以确定行为改变是否持续以及随后背痛和损伤率是否降低。
