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首页> 外文期刊>Occupational and environmental medicine >Interventions to prevent back pain and back injury in nurses: a systematic review.
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Interventions to prevent back pain and back injury in nurses: a systematic review.

机译：预防护士背部疼痛和背部受伤的干预措施：系统评价。

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摘要

A systematic literature review was undertaken to assess the effectiveness of interventions that aim to prevent back pain and back injury in nurses. Ten relevant databases were searched; these were examined and reference lists checked. Two reviewers applied selection criteria, assessed methodological quality and extracted data from trials. A qualitative synthesis of evidence was undertaken and sensitivity analyses performed. Eight randomised controlled trials and eight non-randomised controlled trials met eligibility criteria. Overall, study quality was poor, with only one trial classified as high quality. There was no strong evidence regarding the efficacy of any interventions aiming to prevent back pain and injury in nurses. The review identified moderate level evidence from multiple trials that manual handling training in isolation is not effective and multidimensional interventions are effective in preventing back pain and injury in nurses. Single trials provided moderate evidence that stress management programs do not prevent back pain and limited evidence that lumbar supports are effective in preventing back injury in nurses. There is conflicting evidence regarding the efficacy of exercise interventions and the provision of manual handling equipment and training. This review highlights the need for high quality randomised controlled studies to examine the effectiveness of interventions to prevent back pain and injury in nursing populations. Implications for future research are discussed.
机译：进行了系统的文献综述，以评估旨在防止护士背痛和背伤的干预措施的有效性。搜索了十个相关数据库;检查了这些并检查了参考清单。两名评价者应用选择标准，评估方法学质量并从试验中提取数据。对证据进行了定性综合，并进行了敏感性分析。八项随机对照试验和八项非随机对照试验均符合入选标准。总体而言，研究质量较差，只有一项试验被归类为高质量。没有任何强有力的证据表明旨在防止护士背痛和伤害的任何干预措施的功效。该评价从多个试验中确定了中等水平的证据，表明单独进行人工处理培训无效，而多维干预对预防护士的背痛和伤害有效。单个试验提供了适度的证据表明压力管理程序不能预防背部疼痛，而有限的证据表明腰部支撑可以有效防止护士背部受伤。关于运动干预的有效性以及提供人工处理设备和培训的证据相互矛盾。这篇综述强调了高质量的随机对照研究的必要性，以研究预防护理人群中预防背痛和伤害的干预措施的有效性。讨论了对未来研究的意义。

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