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The Effects of Multifaceted Ergonomic Interventions on Musculoskeletal Complaints in Intensive Care Units.
International Journal of Environmental Research and Public Health Pub Date : 2020-05-25 , DOI: 10.3390/ijerph17103719
Ayse Coskun Beyan 1 , Banu Dilek 2 , Yucel Demiral 1
Affiliation  

Working at intensive care units (ICUs) is considered a risk factor for developing musculoskeletal complaints (MSC). This study was conducted between January 2017 and June 2019 in two ICUs of a university hospital. It was designed as a pre- and post-assessment of the intervention group (IG) (N = 27) compared with a control group (CG) (N = 23) to determine the effects of a multifaceted ergonomics intervention program in reducing MSC. The IG (N: 35) received a multifaceted ergonomic intervention program, which was implemented by an ERGO team over an 18 month period. Four ergonomic interventions were planned as follows: individual level interventions such as training; stretching exercises and motivation meetings; administrative intervention such as a daily 10 min stretching exercises break; engineering interventions such as lifting and usage of auxiliary devices. The CG (N:29) did not receive any intervention. Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) was used to assess MSC in both groups. At the start of the intervention, both groups were similar concerning the number of visits to doctors due to MSC, the number of sick leave days, and total CMDQ scores (p > 0.05 for all). Two factor repeated ANOVA measures were performed for between-groups and within-group analyses. The mean of the initial CMSDQ total scores in both groups increased significantly in the 18th month (p < 0.001). However, the interaction effect of group and time (between and within factors) was not significant (p = 0.992). Work-related MSC is a common occupational health problem among nurses. This study showed that individual-level interventions are not likely to succeed in eliminating manual patient lifting by nurses. Our results suggested that interventions without administrative measures might have limited success

中文翻译:

人机工程学方面的多方面干预对重症监护病房中肌肉骨骼投诉的影响。

在重症监护病房(ICU)工作被认为是发展肌肉骨骼疾病(MSC)的危险因素。这项研究于2017年1月至2019年6月在一家大学医院的两个ICU中进行。它被设计为与对照组(CG)(N = 23)相比,干预组(IG)(N = 27)的评估前和评估后,以确定多方面的人体工程学干预计划在减少MSC中的作用。IG(N:35)收到了一个多方面的人体工程学干预计划,该计划由ERGO团队在18个月内实施。计划了以下四种人体工程学干预措施:个体层面的干预措施,例如培训;进行锻炼和动机会议;行政干预,例如每天10分钟的伸展运动休息;工程干预,例如提升和使用辅助设备。CG(N:29)没有接受任何干预。康奈尔肌肉骨骼不适问卷(CMDQ)用于评估两组中的MSC。在干预开始时,两组在因MSC而去看医生的次数,病假天数以及CMDQ总得分方面相似(对于所有p > 0.05)。对组间和组内分析进行两次因素重复方差分析。两组的初始CMSDQ总评分平均值在第18个月显着增加(p <0.001)。但是,组和时间(因素之间和因素之内)的交互作用并不显着(p = 0.992)。与工作有关的MSC是护士中常见的职业健康问题。这项研究表明,个人层面的干预措施不可能成功消除护士对患者的手动举重。我们的结果表明,没有行政措施的干预措施收效有限。
更新日期:2020-05-25
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