关键词: Allied health personnel Delivery of health care Lifting Moving and lifting patients Musculoskeletal diseases Posture

Mesh : United States Humans Moving and Lifting Patients Cross-Sectional Studies Lifting Musculoskeletal Diseases Delivery of Health Care

来  源:   DOI:10.1016/j.physio.2023.06.003

Abstract:
Manual patient handling is the most frequently reported risk factor for work related musculoskeletal disorders in healthcare. Patient handling tasks are routinely performed manually without assistive devices and can create awkward postures and high loads for nurses and allied health professionals (AHPs). However, AHPs, notably physiotherapists, also utilize therapeutic handling to facilitate patient movement during rehabilitation.
To comprehensively map the literature surrounding manual patient handling (without assistive devices) by healthcare practitioners.
AMED, CINAHL, MEDLINE, SPORTDiscus, and EMBASE databases were searched. Grey literature was sourced from Google Scholar, EThOS, Open Grey, Health and Safety Executive, National Institute for Occupational Safety and Health and Work Safe Australia. Literature published in English between 2002 and 2021 was included.
Forty-nine records were included: 36 primary research studies, 1 systematic review and 12 \'other\' including narrative and government reports. Primary research was predominantly observational cross-sectional (n = 21). The most common settings included laboratories (n = 13) and hospitals (n = 13). Seven research questions were identified, with patient handling practices (n = 13) the most common. Nurses formed the largest practitioner population (n = 13) and patients were often simulated (n = 12). Common outcomes included tasks performed (n = 13) and physical demands during patient handling (n = 13).
This comprehensive scoping review identified that most research was observational, investigating nurses in hospitals or laboratories. More research on manual patient handling by AHPs and investigation of the biomechanics involved in therapeutic handling is needed. Further qualitative research would allow for greater understanding of manual patient handling practices within healthcare. CONTRIBUTION OF THE PAPER.
摘要:
背景:手动处理患者是医疗保健中与工作相关的肌肉骨骼疾病的最常见风险因素。患者处理任务通常在没有辅助设备的情况下手动执行,并且可能为护士和专职医疗专业人员(AHP)造成笨拙的姿势和高负荷。然而,AHP,尤其是物理治疗师,还利用治疗处理,以促进患者在康复过程中的运动。
目的:全面绘制有关医疗保健从业人员手动处理患者(无辅助设备)的文献。
方法:AMED,CINAHL,MEDLINE,SPORTDiscus,和EMBASE数据库进行了搜索。灰色文献来自谷歌学者,埃托斯,打开灰色,健康与安全执行官,澳大利亚国家职业安全与健康和安全生产研究所。包括2002年至2021年之间以英语出版的文献。
结果:包括49项记录:36项主要研究研究,1个系统审查和12个“其他”,包括叙事和政府报告。主要研究主要是观察性横断面(n=21)。最常见的设置包括实验室(n=13)和医院(n=13)。确定了七个研究问题,与患者处理实践(n=13)最常见。护士构成了最大的从业者群体(n=13),并且经常模拟患者(n=12)。常见结果包括执行的任务(n=13)和患者处理期间的身体需求(n=13)。
结论:这项全面的范围审查发现,大多数研究都是观察性的,调查医院或实验室的护士。需要对AHP手动处理患者进行更多研究,并研究治疗处理中涉及的生物力学。进一步的定性研究将允许更好地了解医疗保健中的手动患者处理实践。论文的贡献。
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