20.500.12556/DKUM-70305 Ergonomsko nepravilni pristopi pri obravnavi pacienta in analiza obremenitve ledvenega dela hrbtenice medicinskih sester z merilnikom me6000 Ergonomically incorrect approaches to handling patients and analysing loads on the lumgar spine of nurses using biomonitor me6000 Izhodišče: Intenzivni oddelki so s svojo kompleksnostjo in zahtevnostjo obravnave pacientov eni izmed fizično najbolj zahtevnih oddelkov. Delo medicinskih sester namreč poteka večinoma stoje, kar dopolnjujejo najrazličnejši gibi. Izrednega pomena je pravilno izvajanje fizičnih gibov medicinskih sester, kajti njihova izpostavljenost obremenitvam ledvenega predela hrbtenice je precejšnja. Z upoštevanjem načel pravilnega sklanjanja ter predvsem dvigovanja bremen se tveganje za razvoj težav v hrbtenici bistveno zmanjša. Namen: V magistrskem delu odgovarjamo na vprašanja o obremenitvah ledvenega dela hrbtenice pri medicinskih sestrah na intenzivnem oddelku. Metode: Uporabili smo anketni vprašalnik pri 23 medicinskih sestrah, s katerim smo ugotavljali njihovo seznanjenost z načeli pravilnih drž pri rokovanju s pacienti ter upoštevanje le-teh. S pomočjo aparature Biomonitor ME6000 ter spremljajočega programskega paketa, pa smo ugotavljali, kako globoko in kolikokrat se medicinska sestra pri določenih opravilih skloni. Rezultati: Medicinske sestre na intenzivnem oddelku so seznanjene z načeli pravilnih drž, prav tako vedo, kako se je potrebno pravilno sklanjati, vendar se teh pravil večina drži le delno. Mnenja so, da ne namenjajo dovolj pozornosti pravilnim držam pri opravljanju negovalnih intervencij, kar rezultira v pogostnosti njihovih težav s hrbtenico. Večina jih je namreč že imela težave (bolečine), kot verjeten razlog za to, pa so na vprašanje ali je to posledica nepravilnih drž, večina odgovorila pritrdilno. Z Biomonitorjem ME6000 smo izmerili, da se medicinske sestre sklanjajo pri vseh opravilih, kar jih počnejo, predvsem pri rokovanju s pacienti v postelji (prestiljanje postelje, premeščanje pacienta po postelji, obračanje na bok, itd.). Tam pride sklanjanje najbolj do izraza. Tudi pri ostalih opravilih, ki ne vključujejo pacienta v postelji, sklanjanje ni izvzeto. Meritve so predstavljene z grafičnimi prikazi. Sklep: Pomembnost pravilnih drž medicinskih sester je velika, kajti v nasprotnem primeru se zaradi dlje časa trajajočih ter ponavljajočih se nepravilnih tehnik ter prisilnih drž, kopičijo motnje v delovanju hrbtenice. Ob tem je medicinskim sestram v veliko pomoč uporaba ergonomskih pripomočkov, ki olajšajo izvedbo negovalnih intervencij pri pacientih ter posledično manj težav na dolgi rok. Upamo, da bodo rezultati meritev v prihodnje pozitivno vplivali na držo medicinskih sester. Background: Intensive care units with their complexity and challenging patient treatment are one of the most physically demanding hospital wards. Nurses generally work in a standing position and perform a wide variety of body movements. Because their lumbar spine is under considerable pressure, the correct performance of these movements is extremely important. By complying with the principles of proper bending techniques and especially load lifting, the risk of developing back problems significantly lowers. Aim: This master's thesis tries to provide answers regarding the strain on the lumbar spine of the nurses working in the intensive care unit. Methods: A questionnaire among 23 nurses was used to establish how well the nurses are acquainted with the principles of proper posture during patient handling and if they comply with these principles. With the help of Biomonitor ME6000 and the accompanying program package, we tried to establish how far down and how many times nurses bend during various tasks they perform. Results: Nurses in the intensive care unit are familiar with the principles of proper working posture and the correct way of bending; however, they only partly adhere to these principles. It is believed that nurses do not pay enough attention to proper posture during nursing interventions which results in their common back problems. Most of them have already experienced such problems (pain) and they believe that their back pain probably occurred as a consequence of their improper posture. The results of the measurements carried out with the Biomonitor ME6000 show that nurses tend to bend during all of their tasks, especially when handling bedridden patients (while making the bed, positioning the patient in bed, rotating the patient on his/her hip). In these cases, bending usually takes place; however, other tasks do also not exclude bending. The measurements are presented in graphs. Conclusion: Proper working posture of nurses is very important because the long-lasting and repeated incorrect techniques as well as forced posture contribute to an increasing number of back problems. The use of ergonomic aids can help ease the performance of nursing interventions with patients and therefore reduce back problems of nurses in the long run. We hope that the results of the measurements will have a positive impact on the nurses’ posture. ergonomija v zdravstveni negi intenzivni oddelek ledveni predel hrbtenice sklanjanje medicinskih sester biomonitor ME6000 ergonomics in health care intensive care unit lumbar spine nurses bending over Biomonitor ME6000 true false false [M. Küčan] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2018-04-30 14:37:15 2018-07-13 10:46:39 2022-08-01 19:10:11 2019-07-11 18:02:39 2018 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 331.101.1:616-083(043.2) 2417572 URN:SI:UM:DK:6ANGWEHB MAG_Kucan_Maja_2018.pdf MAG_Kucan_Maja_2018.pdf 1 D8BB6E13EE59B65DF5CC141389C3356F de74c6c186bd986eb3f5a68106a80a87d5fdd7c777c64099efa4367365672820 112780a4-7c10-11eb-bb7a-00155d0001ca 20.500.12556/dkum/ed470e15-b6be-454f-be3e-36f0c2283b1a https://dk.um.si/Dokument.php?lang=slv&id=126091 Fakulteta za zdravstvene vede 0 0 0