PDF(Pubmed)
Abstract：
UNASSIGNED: : The incidence of work-related musculoskeletal disorders have been consistently high in nursing sectors and are a significant cost to the health service due to absenteeism. Work-related musculoskeletal disorders are more common among healthcare workers in nursing homes due to the high dependency needs of older persons which often include need for help with self-care and mobility. Therefore, staff are exposed to potential injury associated with moving and handling patients. Work-related musculoskeletal disorders significantly impact on the quality of life of affected individuals, can cause economic hardship and affect service provision.
UNASSIGNED: : To identify, review, and discuss interventions that may be effective in reducing the prevalence and consequences of work-related musculoskeletal disorders in nursing homes.
UNASSIGNED: : An integrative literature review.
UNASSIGNED: : A systematic search of Embase, Science direct, Web of science and EBSCO Host was conducted and an ancestry search of the references of the reviewed articles were also reviewed. Peer reviewed primary research published between 2000 and 2020 were selected. The quality of these studies was appraised with Crowe Quality Appraisal Tool and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The components of the interventions were categorised using Burnard (2011) framework for content analysis.
UNASSIGNED: : Fifteen studies met the criteria for inclusion in the review. Interventions reported in the literature were in four categories; (i) Specialised equipment (ii) Staff training (iii) Policies and procedures to reduce work-related musculoskeletal disorders and (iv) Support and follow up. A ceiling lift is the intervention of choice to reduce work-related musculoskeletal disorders, as it reduces the stress associated with pushing and pulling. Risk assessment is vital to determine the individual needs of clients for safe handling. Train-the-trainer roles could be used to implement training interventions where resources limit the employment of a designated lead to facilitate injury prevention. A multifaceted approach to prevent and reduce work-related musculoskeletal disorders is recommended. Further research is required to ascertain the effectiveness of Cognitive Behavioural Therapy on injury reduction in nursing homes.
UNASSIGNED: : These findings have the potential to inform the development and adherence to injury prevention policies and regulations by healthcare managers and staff which could reduce injuries. Identifying the appropriate interventions to prevent and reduce work-related musculoskeletal disorders is significant for staff wellbeing, has economic implications in terms of reduced work-related musculoskeletal disorder absenteeism and ultimately will positively impact on the care of mobility impaired clients.
UNASSIGNED: : To identify, review, and discuss interventions that may be effective in reducing the prevalence and consequences of work-related musculoskeletal disorders in nursing homes.
UNASSIGNED: : An integrative literature review.
UNASSIGNED: : A systematic search of Embase, Science direct, Web of science and EBSCO Host was conducted and an ancestry search of the references of the reviewed articles were also reviewed. Peer reviewed primary research published between 2000 and 2020 were selected. The quality of these studies was appraised with Crowe Quality Appraisal Tool and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The components of the interventions were categorised using Burnard (2011) framework for content analysis.
UNASSIGNED: : Fifteen studies met the criteria for inclusion in the review. Interventions reported in the literature were in four categories; (i) Specialised equipment (ii) Staff training (iii) Policies and procedures to reduce work-related musculoskeletal disorders and (iv) Support and follow up. A ceiling lift is the intervention of choice to reduce work-related musculoskeletal disorders, as it reduces the stress associated with pushing and pulling. Risk assessment is vital to determine the individual needs of clients for safe handling. Train-the-trainer roles could be used to implement training interventions where resources limit the employment of a designated lead to facilitate injury prevention. A multifaceted approach to prevent and reduce work-related musculoskeletal disorders is recommended. Further research is required to ascertain the effectiveness of Cognitive Behavioural Therapy on injury reduction in nursing homes.
UNASSIGNED: : These findings have the potential to inform the development and adherence to injury prevention policies and regulations by healthcare managers and staff which could reduce injuries. Identifying the appropriate interventions to prevent and reduce work-related musculoskeletal disorders is significant for staff wellbeing, has economic implications in terms of reduced work-related musculoskeletal disorder absenteeism and ultimately will positively impact on the care of mobility impaired clients.
摘要：
■：护理部门与工作相关的肌肉骨骼疾病的发生率一直很高，并且由于缺勤而对卫生服务造成了巨大的成本。与工作有关的肌肉骨骼疾病在疗养院的医护人员中更为常见，因为老年人的高度依赖性需求通常包括需要自我护理和行动方面的帮助。因此,工作人员暴露于与移动和处理患者相关的潜在伤害。与工作相关的肌肉骨骼疾病对受影响个体的生活质量有显著影响，会造成经济困难并影响服务提供。
■：要确定，review,并讨论可能有效降低疗养院中与工作相关的肌肉骨骼疾病的患病率和后果的干预措施。
■：综合文献综述。
■：对Embase的系统搜索，科学直接，进行了Webofscience和EBSCOHost，并对所审查文章的参考文献进行了血统搜索。选择了2000年至2020年之间发表的同行评审的主要研究。使用Crowe质量评估工具评估这些研究的质量，并使用系统评价和荟萃分析指南的首选报告项目进行报告。使用Burnard(2011)内容分析框架对干预措施的组成部分进行分类。
■：15项研究符合纳入审查的标准。文献中报告的干预措施分为四类；（i）专用设备；（ii）员工培训；（iii）减少与工作有关的肌肉骨骼疾病的政策和程序；（iv）支持和随访。天花板升降机是减少与工作相关的肌肉骨骼疾病的首选干预措施，因为它减少了与推拉相关的应力。风险评估对于确定客户对安全处理的个人需求至关重要。在资源限制指定铅的使用以促进伤害预防的情况下，可以使用培训师角色来实施培训干预措施。建议采取多方面的方法来预防和减少与工作有关的肌肉骨骼疾病。需要进一步的研究来确定认知行为疗法对疗养院减少伤害的有效性。
■：这些发现有可能为医疗管理人员和员工制定和遵守伤害预防政策和法规提供信息，以减少伤害。确定适当的干预措施以预防和减少与工作有关的肌肉骨骼疾病对员工的福祉具有重要意义。在减少与工作相关的肌肉骨骼疾病缺勤方面具有经济意义，最终将对行动不便的客户的护理产生积极影响。
■：要确定，review,并讨论可能有效降低疗养院中与工作相关的肌肉骨骼疾病的患病率和后果的干预措施。
■：综合文献综述。
■：对Embase的系统搜索，科学直接，进行了Webofscience和EBSCOHost，并对所审查文章的参考文献进行了血统搜索。选择了2000年至2020年之间发表的同行评审的主要研究。使用Crowe质量评估工具评估这些研究的质量，并使用系统评价和荟萃分析指南的首选报告项目进行报告。使用Burnard(2011)内容分析框架对干预措施的组成部分进行分类。
■：15项研究符合纳入审查的标准。文献中报告的干预措施分为四类；（i）专用设备；（ii）员工培训；（iii）减少与工作有关的肌肉骨骼疾病的政策和程序；（iv）支持和随访。天花板升降机是减少与工作相关的肌肉骨骼疾病的首选干预措施，因为它减少了与推拉相关的应力。风险评估对于确定客户对安全处理的个人需求至关重要。在资源限制指定铅的使用以促进伤害预防的情况下，可以使用培训师角色来实施培训干预措施。建议采取多方面的方法来预防和减少与工作有关的肌肉骨骼疾病。需要进一步的研究来确定认知行为疗法对疗养院减少伤害的有效性。
■：这些发现有可能为医疗管理人员和员工制定和遵守伤害预防政策和法规提供信息，以减少伤害。确定适当的干预措施以预防和减少与工作有关的肌肉骨骼疾病对员工的福祉具有重要意义。在减少与工作相关的肌肉骨骼疾病缺勤方面具有经济意义，最终将对行动不便的客户的护理产生积极影响。
