Abstract:
A high prevalence of work-related musculoskeletal disorders (WMSDs) has been reported among nurses as a result of the injuries caused by patient transfer and handling. This review examines the impact of motorised and non-motorised lifting devices on reducing physical stress during wheelchair transfers among nurses. Systematic electronic database searches were performed, and the review was prepared according to the PRISMA guidelines. The results of 20 studies on biomechanical stresses related to WMSDs were synthesised qualitatively, and 13 were analysed quantitatively using meta-analysis. Motorised lifting devices significantly decreased biomechanical stress among nurses [SMD -0.68; 95% CI -1.02 to -0.34], whereas non-motorised counterparts showed no significant change [SMD - 0.23; 95% CI -0.59 to 0.13]. This study underscores the effectiveness of motorised lifting devices in mitigating WMSD risk during wheelchair transfers. The findings provide practical guidance for hospital administrators, policymakers, and experts seeking suitable devices to prevent WMSDs in nursing professionals.
Practitioner Summary: This study investigated the impact of motorised and non-motorised lifting devices on nurses during wheelchair transfers. Findings revealed that motorised devices significantly reduce biomechanical stress, while non-motorised devices showed limited effectiveness. The research emphasises the superior role of motorised devices in preventing WMSDs during wheelchair transfers among nurses.
摘要:
据报道,由于患者转移和处理造成的伤害,护士中与工作相关的肌肉骨骼疾病(WMSD)的患病率很高。这篇综述研究了机动和非机动举升装置对减少护士轮椅转移过程中身体压力的影响。进行了系统的电子数据库搜索,审查是根据PRISMA指南编写的。定性综合了20项与WMSD相关的生物力学应力研究的结果,13例采用荟萃分析进行定量分析。电动举升装置显着降低了护士的生物力学应力[SMD-0.68;95%CI-1.02至-0.34],而非机动对应物没有显着变化[SMD-0.23;95%CI-0.59至0.13]。这项研究强调了电动举升装置在减轻轮椅转移过程中WMSD风险方面的有效性。研究结果为医院管理者提供了实践指导,政策制定者,和专家寻求合适的设备,以防止护理专业人员中的WMSD。
从业人员总结:本研究调查了电动和非电动举升装置在轮椅转移过程中对护士的影响。研究结果表明,机动设备显着降低生物力学应力,而非机动设备效果有限。该研究强调了机动设备在护士轮椅转移过程中防止WMSD的优越作用。