马来西亚西海岸养老院政府护士对肌肉骨骼疾病的安全病人处理干预的有效性:研究方案

E. Eriyani, A. Azuhairi, Salmiah, A. Rosliza, Rafee M.B
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引用次数: 2

摘要

背景:医务工作者易患肌肉骨骼疾病(MSD)。养老院环境中的护士暴露在生理和心理压力源下,由于这些条件,他们很容易患上MSD (Simon et al., 2008)。护理人员在处理老年病人时,会出现笨拙的姿势,导致护士出现MSD。因此,安全的病人处理干预对于降低护士中MSD的患病率是重要的。材料与方法:采用聚类前测和后测结合对照组的准实验研究,研究对象为马来西亚西海岸8家政府养老院。共有256名护士及助理护士参与本研究。四名家庭护理人员将在干预组。另外4名家庭护理人员将作为对照组。实施安全病人处理干预方案。在健康教育中,健康信念模型理论将用于增加知识,随后将实践转变为安全的病人处理。结果:在实施干预方案之前,将编制模块干预和健康教育教材。健康教育和培训将根据所提供的模块进行。结果测量是肌肉骨骼疾病,知识和安全的病人处理实践。这些结果将通过自我管理的问卷来衡量。数据将使用SPSS版本22进行分析。为了测量相关性,将使用卡方检验、Mann Whitney U检验、独立t检验、依赖t检验和Wilcoxon符号秩检验,对于多变量分析,将使用广义估计方程(GEE)。结论:安全处理病人的健康教育对降低养老院护士的MSD具有重要意义。
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EFFECTIVENESS OF SAFE PATIENT HANDLING INTERVENTION ON MUSCULOSKELETAL DISORDER AMONG GOVERNMENT NURSES IN ELDERLY CARE HOMES WEST COAST MALAYSIA: STUDY PROTOCOL
Background: Health care worker are susceptible to develop musculoskeletal disorder (MSD). Nurses in nursing home setting exposed with physical and psychological stressors and they are prone to develop MSD due to these conditions (Simon et al., 2008). Manual handling while handling elderly patient involved awkward posture which lead to MSD among nurses. Therefore safe patient handling intervention is important in reducing prevalence of MSD among nurses. Materials and Methods: The cluster pre-test and post-test with control group quasi experimental study will be done involving 8 government elderly care homes in West Coast Malaysia. Total 256 nurses and assistant nurses will be involved in this study. Four home care will be in the intervention group. While another 4 home care will be in the control group. Safe patient handling intervention program will be conducted. During health education, health belief model theory will be used to increase the knowledge and subsequently change the practice to safe patient handling. Result: Prior to intervention program, module intervention and health education material will be developed. The health education and training will be given according to module provided. Outcome measurements are musculoskeletal disorder, knowledge and practice of safe patient handling. These outcomes will be measured through selfadministered questionnaires. Data will be analysed using SPSS version 22. To measure the association, Chi-square test, Mann Whitney U test, independent t test, dependent t test and Wilcoxon signed rank test will be used and for multivariate analysis, the Generalized Estimating Equation (GEE) will be used. Conclusion: Health education on safe patient handling is important in order to reduce the MSD among nurses in elderly care homes.
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