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首页> 外文期刊>Iranian red crescent medical journal >Assessing the Risk of Manual Handling of Patients and Its Relationship with the Prevalence of Musculoskeletal Disorders Among Nursing Staff: Performance Evaluation of the MAPO and PTAI Methods
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Assessing the Risk of Manual Handling of Patients and Its Relationship with the Prevalence of Musculoskeletal Disorders Among Nursing Staff: Performance Evaluation of the MAPO and PTAI Methods

机译：评估患者人工操作的风险及其与护理人员肌肉骨骼疾病患病率的关系：MAPO和PTAI方法的绩效评估

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摘要

Manual handling of patients without using proper devices built for this purpose is the most important risk factor causing musculoskeletal disorders (MSDs) among nursing staff. Objectives: The aim of the present study was to determine the prevalence of MSDs, assess the risk of manual handling of patients, and identify the risk factors related to the development of such disorders among nursing staff. Methods: This cross-sectional study was conducted in 2015 and included 220 nurses from 24 wards who were working in Baqiyatallah hospital, Tehran, Iran; their duties mainly involved patient handling. The participants were selected based on the random stratified sampling method. In this study, the Nordic musculoskeletal questionnaire, demographic questionnaire, movimentazione and assistenza di pazienti ospedalizzati (MAPO), and patient transfer assessment instrument (PTAI) methods were applied as data collection tools. In addition, Spearman correlation coefficients and binary and multiple logistic regressions were used to determine the possible relationships between the variables. Results: The prevalence of MSDs among the participants over the past 12 months was found to be 79.5%. The results for the risk factors showed that the lower back, neck, shoulders, and upper back were the most affected areas of the body. According to the MAPO and PTAI, 60% and 40% of the wards, respectively, are at risk of MSDs. A significant relationship between MAPO and PTAI was found, with a coefficient correlation of 0.252. Based on the statistical analysis, positively significant relationships were found between body mass index, gender, nurse-to-bed ratio, final PTAI and MAPO indices, and MSDs. Conclusions: The prevalence of MSDs among the nurses was high, and the occurrence of such disorders was found to be related to the scores of MAPO and PTAI indices. Based on the results, these two indices can be used as appropriate tools to assess the risk of MSDs in patient handling by nursing staff. The risk of developing MSDs can be lowered through interventional programs, such as providing and equipping hospitals with the tools required for patient handling and educating staff on how to properly use such devices. In addition, increasing the nurse-to-bed ratio will lower the burden for the nurses in patient handling.
机译：在护理人员中，不使用用于此目的的适当设备对患者进行手动处理是引起肌肉骨骼疾病（MSD）的最重要风险因素。目的：本研究的目的是确定MSD的患病率，评估人工处理患者的风险，并确定与护理人员中与此类疾病发展相关的风险因素。方法：这项横断面研究于2015年进行，纳入了来自24个病区的220名护士，这些护士在伊朗德黑兰的Baqiyatallah医院工作;他们的职责主要涉及患者处理。根据随机分层抽样方法选择参与者。在这项研究中，北欧的肌肉骨骼问卷，人口统计学问卷，运动量表和辅助性骨关节炎（MAPO）以及患者转移评估工具（PTAI）方法被用作数据收集工具。此外，使用Spearman相关系数以及二元和多元logistic回归确定变量之间的可能关系。结果：过去12个月，参与者中MSD的患病率为79.5％。危险因素的结果显示，下背部，颈部，肩膀和上背部是人体受影响最大的部位。根据MAPO和PTAI的说法，分别有60％和40％的病房有MSD的风险。发现MAPO和PTAI之间存在显着关系，系数相关系数为0.252。根据统计分析，发现体重指数，性别，护士床比，最终PTAI和MAPO指数以及MSD之间存在显着正相关。结论：护士中MSD的患病率较高，并且这种疾病的发生与MAPO和PTAI指数的得分有关。根据结果​​，这两个指数可以用作评估护理人员在患者处理MSD风险中的适当工具。可以通过干预计划来降低开发MSD的风险，例如为医院提供和配备患者处理所需的工具，并向员工提供有关如何正确使用此类设备的教育。另外，增加护士与病床的比例将减轻护士在患者处理方面的负担。

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