On the one hand, transferring patient from bed to bed is usually handling by the manual lifting of several staffs or utilizing bedsheet, slide sheet , shovel-style stretcher or other devices to move and lift patients. Whatever, there are some advantages using these devices. On the other hand, nurses are among the professionals at the highest risk for musculoskeletal disorders. The Bureau of Labor Statistics has shown that overexertion in manual lifting was the main event or exposure leading to injury or illness involving time away from work. Excessive weights, awkward postures, and repetitive motions are some of the known risk factors that contribute to sprains/strains and back injuries. During the process of patient transferring , it refers to the above risk factors for health-care workers. It recommended that using appropriate assistive equipment can reduce the injuries. If staff is safe, patients are safer. The research team has designed and produced a new transport assistive devices-- biodegradable and air-suspending transfer mattress, which was precisely controlled by gas flow and based on ergonomics. And then apply it to the clinic in order to find whether it's benefit for patients and nursing staff. It is a randomized controlled trial design.
Research design:randomized controlled trials. Computer generated random numbers. The patients were randomly divided into three groups, ① transfer patients by air-suspending mattress, ② transfer patients by slide board, ③ transfer patients by bedsheets. Participants: passive patient with transports needs, such as CT/ MRI examination etc. The sample size estimation was according to the formula of multiple parallel design. The main outcome measure was the perceived exertion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
300
Put mattress in advance on the bed. When patients need to be transferred from bed to bed, fill the mattress with gas and keep it inflated, then pull the mattress .
When patients need to be transferred from bed to bed, insert slide board under patient, then pull the slide board.
When patients need to be transferred from bed to bed, just lift the bedsheet.
Second Affiliated Hospital, School of Medicine, Zhejiang University
Hangzhou, Zhejiang, China
Force value
Spring balance was used to measured the pulling force while transferring patients.(Force value in N)
Time frame: Day 1
perceived exertion
Perceived exertion was evaluated by using the Borg Scale of 6-20, which the values near 6 and 20 represent low and high physical exertion, respectively.(perceived exertion in scores)
Time frame: Day 1
respiration rate
Be recorded by ECG monitor the moment before and after transferring.(respiration rate in bpm)
Time frame: Day 1(before and after transferring)
blood pressure
Be recorded by ECG monitor the moment before and after transferring.(blood pressure in mmHg)
Time frame: Day 1(before and after transferring)
heart rate
Be recorded by ECG monitor the moment before and after transferring.(heart rate in bpm)
Time frame: Day 1(before and after transferring)
oxygen saturation
Be recorded by ECG monitor the moment before and after transferring.
Time frame: Day 1(before and after transferring)
Transfer time
Stopwatch was used to record the time from using the assistive devices to moving the patients to another bed.(transfer time in minutes)
Time frame: Day 1
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