جستجوی مقالات مرتبط با کلیدواژه « ptai » در نشریات گروه « پزشکی »
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هدف
این مطالعه باهدف بررسی عوامل ایجادکننده کمردرد در پرستاران و ارایه اقداماتی جهت کنترل و اصلاح این عوامل با استفاده از دو روش ارزیابی ریسک MAPO و PTAI انجام شده است.
روش هااین مطالعه مقطعی بین 480 نفر (با استفاده از روش نمونه گیری تصادفی طبقه بندی) از کارکنان پرستاری بیمارستان های دولتی خوزستان انجام و اطلاعات آن ازطریق پرسشنامه در چهار بخش جمع آوری گردید. پرسشنامه نوردیک، اطلاعات دموگرافیک و چک لیست های MAPO و PTAI که شامل دو بخش بوده، از طریق بازدید میدانی و مشاهده تکمیل شده است. پس از تکمیل چک لیست ها، شاخص ها برای سه سطح ارزیابی گردید. داده ها با استفاده از نرم افزار SPSS و آزمون های کای دو و پیرسون تجزیه و تحلیل شدند.
نتایجپرسشنامه نوردیک نشان داد 92/72 درصد از افراد مورد مطالعه دارای کمردرد بوده اند. براساس ارزیابی های انجام شده توسط روش MAPO، 66/16درصد از افراد در سطح ریسک پایین، 41/60 درصد در سطح متوسط و 91/22 درصد در سطح بالا قرار دارند. در حالی که روش PTAI نشان داد 95/23 درصد از افراد در سطح ریسک یک، 08/52 درصد در سطح دو و 95/23 درصد در سطح سه قرار دارند. براساس آزمون کای دو نیز بین سطوح ریسک هر دو روش MAPO و PTAI و کمردرد از نظر آماری رابطه معنا داری وجود دارد.
نتیجه گیرییافته ها نشان داد با افزایش سطوح شاخص در هر دو روشMAPO و PTAI، میزان اختلالات اسکلتی- عضلانی در ناحیه کمر افزایش می یابد. در نتیجه می توان به دقت و مناسبت این روش ها اطمینان حاصل نمود و دریافت که هر دو روش مورد بررسی در طبقه بندی سطح ریسک و شناسایی عوامل تاثیرگذار، کارآمد و قابل اطمینان می باشند.
کلید واژگان: MAPO, PTAI, کمردرد, پرستاران}IntroductionThe aim of this study was to investigate the causes of low back pain (LBP) among nurses and provide measures to control and correct the risk factors using two methods of risk assessment, MAPO and PTAI.
MethodsThis cross-sectional study was conducted on a total number of 480 nursing staff working in public hospitals in Khuzestan Province who were selectes using stratified random sampling method. Data were collected though a questionnaire in four sections including Nordic Musculoskeletal Questionnaire(NMQ), a demographic characteristics information form, as well as MAPO and PTAI checklists which were completed using field visits and observations. After completing the checklists, relevant indicators were evaluated at three levels. Data analysis was performed using SPSS software (version 16) as well as Chi-square test and Pearson correlation coefficient.
ResultsAccording to the results, 72.92% of the nurses were suffering from LBP. Based on the evaluations performed by the MAPO method, 16.66% of the respondents were at low-risk level, 60.41% of them at moderate-risk level, and 22.91% of the individuals at high-risk level. However, the findings of the PTAI revealed that 23.95% of the respondents were at risk level I, 52.08% of these individuals at risk level II, and 23.95% of them at risk level III. According to the Chi-square test results, there was a statistically significant relationship between risk levels of both MAPO method and PTAI and LBP.
ConclusionThe results showed that with increasing the indicator levels in bboth MAPO and PTAI methods, the rate of musculoskeletal disorders in the lumbar region increases. Consequently, the accuracy and the appropriateness of these techniques are assured and it was concluded that both techniques are efficient and reliable to determine the risk levels.
Keywords: MAPO, PTAI, Low Back Pain, Nurses} -
BackgroundManual handling of patients without using proper devices built for this purpose is the most important risk factor causing musculoskeletal disorders (MSDs) among nursing staff.ObjectivesThe aim of the present study was to determine the prevalence of MSDs, assess the risk of manual handling of patients, and identify the risk factors related to the development of such disorders among nursing staff.MethodsThis cross-sectional study was conducted in 2015 and included 220 nurses from 24 wards who were working in Baqiyatallah hospital, Tehran, Iran; their duties mainly involved patient handling. The participants were selected based on the random stratified sampling method. In this study, the Nordic musculoskeletal questionnaire, demographic questionnaire, movimentazione and assistenza di pazienti ospedalizzati (MAPO), and patient transfer assessment instrument (PTAI) methods were applied as data collection tools. In addition, Spearman correlation coefficients and binary and multiple logistic regressions were used to determine the possible relationships between the variables.ResultsThe prevalence of MSDs among the participants over the past 12 months was found to be 79.5%. The results for the risk factors showed that the lower back, neck, shoulders, and upper back were the most affected areas of the body. According to the MAPO and PTAI, 60% and 40% of the wards, respectively, are at risk of MSDs. A significant relationship between MAPO and PTAI was found, with a coefficient correlation of 0.252. Based on the statistical analysis, positively significant relationships were found between body mass index, gender, nurse-to-bed ratio, final PTAI and MAPO indices, and MSDs.ConclusionsThe prevalence of MSDs among the nurses was high, and the occurrence of such disorders was found to be related to the scores of MAPO and PTAI indices. Based on the results, these two indices can be used as appropriate tools to assess the risk of MSDs in patient handling by nursing staff. The risk of developing MSDs can be lowered through interventional programs, such as providing and equipping hospitals with the tools required for patient handling and educating staff on how to properly use such devices. In addition, increasing the nurse-to-bed ratio will lower the burden for the nurses in patient handling.Keywords: Patient Transfer, Risk Assessment, Risk Factor, Low Back Pain, MAPO, PTAI}
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