Do Technical Aids for Patient Handling Prevent Musculoskeletal Complaints in Health Care Workers?—A Systematic Review of Intervention Studies
| Autor: | R. Staudte, Andreas Seidler, Maria Girbig, Albert Nienhaus, Julia Scharfe, Philipp Heinrich, Wera Berge, Alice Freiberg, Janice Hegewald |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Health Personnel media_common.quotation_subject occupational medicine Health Toxicology and Mutagenesis moving and lifting patients Psychological intervention lcsh:Medicine Review law.invention Occupational medicine 03 medical and health sciences 0302 clinical medicine systematic review Randomized controlled trial law Patient Handling Health care medicine Humans low back pain (LBP) 030212 general & internal medicine hospital Musculoskeletal System media_common Selection bias business.industry lcsh:R Public Health Environmental and Occupational Health Human factors and ergonomics Workload medicine.disease Occupational Injuries 030210 environmental & occupational health equipment and supplies Occupational Diseases musculoskeletal diseases ergonomics Relative risk Musculoskeletal injury Physical therapy business |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 15, Iss 3, p 476 (2018) International Journal of Environmental Research and Public Health |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph15030476 |
| Popis: | The physical load ensuing from the repositioning and moving of patients puts health care workers at risk of musculoskeletal complaints. Technical equipment developed to aid with patient handling should reduce physical strain and workload; however, the efficacy of these aids in preventing musculoskeletal disorders and complaints is still unclear. A systematic review of controlled intervention studies was conducted to examine if the risk of musculoskeletal complaints and disorders is reduced by technical patient handling equipment. MEDLINE®/PubMed®, EMBASE®, Allied and Complementary Medicine Database (AMED), and Cumulative Index of Nursing and Allied Health Literature (CINAHL®) were searched using terms for nursing, caregiving, technical aids, musculoskeletal injuries, and complaints. Randomized controlled trials and controlled before-after studies of interventions including technical patient handling equipment were included. The titles and abstracts of 9554 publications and 97 full-texts were screened by two reviewers. The qualitative synthesis included one randomized controlled trial (RCT) and ten controlled before-after studies. A meta-analysis of four studies resulted in a pooled risk ratio for musculoskeletal injury claims (post-intervention) of 0.78 (95% confidence interval 0.68–0.90). Overall, the methodological quality of the studies was poor and the results often based on administrative injury claim data, introducing potential selection bias. Interventions with technical patient handling aids appear to prevent musculoskeletal complaints, but the certainty of the evidence according to GRADE approach ranged from low to very low. |
| Databáze: | OpenAIRE |
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