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首页> 美国卫生研究院文献>Frontiers in Medicine >The Use of the Self-Standing Turning Transfer Device to Perform Bed-To-Chair Transfers Reduces Physical Stress among Caregivers of Older Patients in a Middle-Income Developing Country
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The Use of the Self-Standing Turning Transfer Device to Perform Bed-To-Chair Transfers Reduces Physical Stress among Caregivers of Older Patients in a Middle-Income Developing Country

机译：使用自立式转向设备进行床到椅子的转移可减少中等收入发展中国家老年患者护理人员的身体压力

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Manual transfer of elderly patients remains commonplace in many developing countries because the use of lifting equipment, such as hoists, is often considered unaffordable luxuries. The aim of this study was, therefore, to evaluate the usage and potential benefits of a low-cost, mechanical turning transfer device among elderly patients and their caregivers on a geriatric ward in a developing country in South East Asia. Fifty-six inpatients, aged 66–92 years, on a geriatric ward, and their caregivers were recruited. Participants were asked to transfer from bed-to-chair transfer with manual assistance, and the task was repeated using the Self-standing Turning Transfer Device (STurDi). The time taken to perform manual transfers and STurDi-assisted transfers was recorded. Physical strain was assessed using the perceived physical stress-rating tool for caregivers with and without the use of the device. User satisfaction was evaluated using the usefulness, satisfaction, and ease of use questionnaire. There was a significant reduction in transfer-time with manual transfers compared to STurDi-assisted transfers [mean (SD) = 48.39 (13.98) vs. 36.23 (10.96); p ≤ 0.001]. The physical stress rating was significantly lower in STurDi-aided transfers compared to manual transfers, shoulder [median (interquartile range) = 0 (1) vs. 4 (3); p = 0.001], upper back [0 (0) vs. 5 (4); p = 0.001], lower back [0 (1) vs. 5 (3), p = 0.001], whole body [1 (2) vs. 4 (3), p = 0.001], and knee [0 (1) vs. 1 (4), p = 0.001]. In addition, majority of patients and caregivers definitely or strongly agreed that the device was useful, saved time, and was easy to use. We have therefore demonstrated in a setting where manual handling was commonly performed that a low-cost mechanical transfer device reduced caregiver strain and was well received by older patients and caregivers.
机译：在许多发展中国家，手动转移老年患者仍然是司空见惯的事情，因为人们通常认为使用起重设备（例如卷扬机）是负担不起的奢侈品。因此，本研究的目的是评估东南亚发展中国家一个老年病房中老年患者及其看护者的低成本，机械式转弯转移装置的使用情况和潜在收益。招募了66名年龄在66-92岁之间的住院患者，并在其老年病房中照顾他们。要求参与者在人工协助下从床到椅子转移，然后使用自立转身转移装置（STurDi）重复执行此任务。记录执行手动传输和STurDi辅助传输所需的时间。使用看护者使用感知的物理压力评估工具评估身体的劳损，无论是否使用该设备。使用有用性，满意度和易用性调查表对用户满意度进行了评估。与STurDi辅助传输相比，手动传输的传输时间显着减少[平均值（SD）= 48.39（13.98）对36.23（10.96）； p≤0.001]。与手动传输相比，在STurDi辅助传输中的物理压力额定值显着较低，肩膀[中位数（四分位间距）= 0（1）对4（3）； p = 0.001]，上背部[0（0）对5（4）； p = 0.001]，下背部[0（1）vs. 5（3），p = 0.001]，全身[1（2）vs. 4（3），p = 0.001]和膝盖[0（1）相对于1（4），p = 0.001]。此外，大多数患者和护理人员明确或强烈同意该设备有用，节省时间且易于使用。因此，我们证明了在通常进行手动处理的环境中，低成本的机械转移装置减少了护理人员的劳损，并且深受老年患者和护理人员的欢迎。

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