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Development of Patient Transfer Techniques based on Postural-stability Principles for the Nursing Home's Care Helper and Evaluation of the Effectiveness

Journal of Korean Academy of Nursing 2016³â 46±Ç 1È£ p.39 ~ 49
KMID : 0806120160460010039
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Á¤´öÀ¯ ( Jung Duk-Yoo ) - ÀÌÈ­¿©ÀÚ´ëÇб³ °Ç°­°úÇдëÇÐ °£È£ÇкÎ

Abstract

Purpose: This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and toevaluate its effectiveness.

Methods: Four types of patient transfer techniques (Lifting towards the head board of the bed, turning tothe lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the followingthree methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helperstandard textbooks (Method 2), and a method developed by the author ensuring postural-stability (Method 3). The care helpers¡¯muscle activity and four joint angles were measured. The collected data were analyzed using the program SPSS Statistic 21.0. Todifferentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using theWilcoxon Signed Rank test.

Results: Muscle activity was significantly lower during Method 3 compared to Methods 1 and 2. In addition,the joint angle was significantly lower for the knee and shoulder joint angle while performing Method 3 compared to Methods1 and 2.

Discussion: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention ofmusculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes.
KeyWords
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Patient transfer, Musculoskeletal disease, Nursing homes
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