J Korean Acad Nurs.  2016 Feb;46(1):39-49. 10.4040/jkan.2016.46.1.39.

Development of Patient Transfer Techniques based on Postural-stability Principles for the Care Helpers in Nursing Homes and Evaluation of Effectiveness

• Ma R
• Jung D

• KMID: 2373161
• DOI: http://doi.org/10.4040/jkan.2016.46.1.39

Abstract

PURPOSE
This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and to evaluate its effectiveness.
METHODS
Four types of patient transfer techniques (Lifting towards the head board of the bed, turning to the lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the following three methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helper standard 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. To differentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using the Wilcoxon 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 Methods 1 and 2. DISCUSSION: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention of musculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes.

Keyword

Patient transfer; Musculoskeletal disease; Nursing homes

MeSH Terms

Adult
Aged
*Caregivers
Female
Humans
Knee Joint/physiology
Male
Middle Aged
Muscle, Skeletal/physiology
Nursing Homes
Patient Transfer/*methods
Posture
Shoulder Joint/physiology

Figure

• 

  Figure 1 Research process.

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