围手术期员工肌肉骨骼疾病预防的工作场所伸展计划:一项混合方法实施研究

Alison King, Joanne Campbell, Carole James, Jed Duff
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引用次数: 1

摘要

目的:探讨围手术期工作场所拉伸方案预防肌肉骨骼疾病的可接受性、可行性、使用及影响。方法:采用混合方法进行效果-实施混合研究。数据收集前后的计划,以评估其对肌肉骨骼疾病,不适,病假,事故和索赔的影响。通过节目后调查和参与者访谈来确定节目的可接受性、可行性和使用情况。结果:共有42名员工参与了研究。在这个项目之后,与医院的其他部分相比,肌肉骨骼相关事件的几率降低了60% (OR 0.4, 95% CI 0.1, 8.0 p = 0.01)。工人索赔的几率降低了50% (OR 0.5, 95% CI 0.1, 1.5, p = 0.8),肌肉骨骼疾病(OR 0.8, 95% CI 0.1, 7.0, p = 0.8)或病假(OR 0.8, 95% CI 0.1, 6.1, p = 0.8)的几率降低了20%。计划前后肌肉骨骼不适评分无显著变化(+0.2,95% CI -7.0, 7.3, p = 0.9)。超过70%的参与者认为该计划是可以接受和可行的,超过85%的人认为该计划非常适合并符合部门的需求。对参与者的采访发现了积极的身体、心理和文化益处。员工报告的最常见的缺点是没有足够的机会使用该程序。结论:鉴于积极的结果和该方案所需资源最少的事实,建议其他围手术期部门考虑实施类似的方案,以补充现有的工作健康和安全措施。
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A workplace stretching program for the prevention of musculoskeletal disorders in perioperative staff: A mixed methods implementation study
Aim: The study aimed to investigate the acceptability, feasibility, use and impact of a workplace stretching program for preventing musculoskeletal disorders in perioperative staff. Method: This was a hybrid effectiveness–implementation study using mixed methods. Data was collected preand post-program to evaluate its impact on musculoskeletal disorders, discomfort, sick leave, incidents and compensation claims. A post-program survey and participant interviews were used to ascertain the programs acceptability, feasibility and use. Results: A total of 42 staff participated in the study. Following the program, there was a 60 per cent reduction in the odds of a musculoskeletal-related incident (OR 0.4, 95% CI 0.1, 8.0 p = 0.01) when compared with the rest of the hospital. The odds of a workers compensation claim reduced by 50 per cent (OR 0.5, 95% CI 0.1, 1.5, p = 0.8) and there was a 20 per cent decrease in the odds of a musculoskeletal disorder (OR 0.8, 95% CI 0.1, 7.0, p = 0.8) or sick leave (OR 0.8, 95% CI 0.1, 6.1, p = 0.8). There was no significant change in musculoskeletal discomfort scores preand post-program (+0.2, 95% CI -7.0, 7.3, p = 0.9). Greater than 70 per cent of participants felt that the program was acceptable and feasible with over 85 per cent agreeing that it was a good fit and matched department needs. Interviews with participants identified positive physical, psychological and cultural benefits. The most common shortcoming reported by staff was not having the opportunity to use the program enough. Conclusion: Given the positive results and the fact that the program requires minimal resources, it is recommended that other perioperative departments consider implementing a similar program to complement existing work health and safety initiatives.
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来源期刊
Journal of Perioperative Nursing
Journal of Perioperative Nursing Nursing-Medical and Surgical Nursing
CiteScore
0.70
自引率
0.00%
发文量
22
审稿时长
12 weeks
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