Relationship between working posture/movement and measures to prevent low back pain among care workers: a cross-sectional study in the Kansai region of Japan.

IF 1.8 4区 医学 Q3 ENVIRONMENTAL SCIENCES Industrial Health Pub Date : 2024-10-29 DOI:10.2486/indhealth.2024-0096
Satoshi Tomitagawa, Teruyo Kitahara, Hiroji Tsujimura, Kazushi Taoda
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Abstract

We investigated the implementation of safe work practices for preventing low back pain (LBP) among care workers (CWs) to ascertain the interrelationships between appropriate device use and the frequency of working postures/movements that cause LBP. This cross-sectional study used an anonymous, self-administered questionnaire of CW team leaders (one per facility) working at long-term care facilities in Japan. Data on bed-height adjustment, the use of devices for repositioning in bed and bed- and wheelchair-transfer assistance, and the frequency of awkward postures/movements were cross-tabulated and analyzed using Haberman's residuals. Among the LBP prevention measures adopted by the facilities, 79.1%, 61.6%, and 30.9% involved bed-height adjustment, the use of repositioning/transferring devices, and the use of mechanical lifts, respectively. However, only 12.8% of the facilities had thorough bed-height adjustments, and 79.5% and 86.5% repositioned residents on the bed without assistive devices or transferred residents between the bed and wheelchair without assistive devices, respectively. Facilities that enforce bed-height adjustment and device use had fewer incidences of awkward posture/movement than those that did not. Our study revealed a discrepancy between the facility's policy and the implementation of LBP prevention measures. Additionally, bed-height adjustment and device use were related to reduced working postures/movements that cause LBP.

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护理人员的工作姿势/运动与预防腰背痛措施之间的关系:日本关西地区的一项横断面研究。
我们调查了护理工作者(CWs)预防腰背痛(LBP)的安全工作实践的实施情况,以确定适当的设备使用与导致腰背痛的工作姿势/动作频率之间的相互关系。这项横断面研究采用匿名自填问卷的方式,调查对象是在日本长期护理机构工作的护理人员小组负责人(每个机构一名)。研究人员使用哈伯曼残差法对有关床高调整、床上体位调整设备的使用、床上和轮椅转移辅助设备的使用以及笨拙姿势/动作的频率等数据进行了交叉分析。在医疗机构采取的预防腰肌劳损措施中,分别有 79.1%、61.6% 和 30.9% 涉及调整床高、使用移位/转运装置和使用机械升降机。然而,只有12.8%的护理机构彻底调整了床的高度,79.5%和86.5%的护理机构在没有辅助设备的情况下将住院患者重新安置在床上,或在没有辅助设备的情况下将住院患者在床和轮椅之间转移。与不执行床高调整和辅助设备使用规定的医疗机构相比,执行床高调整和辅助设备使用规定的医疗机构发生姿势不正确/移动的情况较少。我们的研究表明,养老机构的政策与预防腰背痛措施的实施之间存在差异。此外,调整床铺高度和使用设备与减少导致腰背痛的工作姿势/动作有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Industrial Health
Industrial Health 医学-毒理学
CiteScore
3.40
自引率
5.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: INDUSTRIAL HEALTH covers all aspects of occupational medicine, ergonomics, industrial hygiene, engineering, safety and policy sciences. The journal helps promote solutions for the control and improvement of working conditions, and for the application of valuable research findings to the actual working environment.
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