20.500.12556/RUL-119442 Ergonomija dela s pacientom in analiza štirih pogostih transferjev diplomsko delo Ergonomic patient handling and analysis of four common transfers diploma work Uvod: Medicinske sestre se pri delu s pacienti pogosto srečujemo s potrebo pacientov po naši pomoči pri premikanju. Ker je povprečna telesna masa pacientov vedno večja, tudi nenehno delo z njimi predstavlja vedno večji izziv. Nepravilno delo s pacientom pušča posledice tako na telesu pacienta kot na zdravstvenemu delavcu, ki intervencijo izvaja. Da bi se izognili nepotrebnim poškodbam lokomotornega aparata, predvsem hrbtenice, vratu in ramen medicinskih sester, se moramo naučiti pravilne tehnike manipuliranja pacienta in jo tudi uporabljati, da bo intervencija čim lažja tako zanj kot za nas. Namen: Namen diplomskega dela je analizirati štiri optimalno izvedene transferje pacientov in izpostaviti glavne elemente posameznih analiziranih transferjev. Metode dela: Za analizo štirih izbranih videoposnetkov smo uporabili metodo videografije. Pridobljene podatke smo nato uredili po sklopih aktivnosti, okolica, komuniciranje, predmeti/pripomočki in uporabniki. Iz vsakega videoposnetka smo izbrali po en primer medicinske sestre ali zdravstvenega tehnika, v katerem je položaj njegovega telesa najbolj odstopal od nevtralnega. Položaj smo nato analizirali z orodjem REBA. Rezultati: Vsi izbrani položaji so bili po rezultatu ocene z REBA-orodjem nevarni. Izbrani položaj iz videoposnetka, ki prikazuje pomoč pacientki po padcu s tal nazaj na posteljo, je bil ocenjen z osmimi točkami, kar ga uvršča med položaje z visoko nevarnostjo za pojav mišično-skeletnih okvar. Sledil mu je položaj iz videoposnetka transferja iz sedečega v stoječ položaj, ki je bil ocenjen s petimi točkami. Položaja iz videoposnetkov pomoči pacientu iz ležečega v sedeč položaj in transferja s postelje na invalidski voziček sta bila ocenjena s štirimi točkami. Vsi trije sodijo v kategorijo srednje nevarnih položajev za pojav mišično-skeletnih okvar. Ker so vsi analizirani položaji dosegli visoko število točk, je pri vseh potrebna uvedba sprememb. Razprava in zaključek: Kljub temu da smo analizirali optimalno izvedene transferje, smo še vedno lahko našli položaje, ki sodijo med tvegane za nastanek mišično-skeletnih okvar. Stalna pozornost pravilne izvedbe posameznih transferjev in čim bolj naravne drže telesa na sploh je za medicinske sestre velikega pomena. Z ergonomskim delom se lahko izognejo številnim okvaram mišično-skeletnega sistema in tako poskrbijo za kakovostno življenje. Introduction: Nurses often help patients move. As the average body weight of patients is increasing, constantly working with them is also an increasing challenge. Improper work with the patient leaves consequences both on the patient's body and on the nurse performing the intervention. To avoid unnecessary damage to the locomotor system, especially the spine, neck and shoulders of nurses, we must learn the correct techniques of manipulating the patient and also use it to make the intervention as easy as possible for the patient and for us. Purpose: The purpose of the diploma thesis is to analyze four optimally performed patient transfers and to highlight the main elements of the analyzed transfers. Methods: We used the videography method to analyze the four selected videos. The obtained data was then arranged by sets of activities, environment, interactions, objects and users. From each video, we selected one example of a nurse or medical technician in which the position of his body deviated the most from the neutral. The position was then analyzed with REBA tool. Results: All selected positions were dangerous after the evaluation with the REBA tool. The selected position from the video, which shows help to the patient after falling from the floor back to the bed, was assessed with eight points, which places it among the positions with a high risk of musculoskeletal disorders. It was followed by a position from the video of the transfer from a sitting to a standing position, which was assessed with five points. Positions from patient assistance videos from lying to sitting position and transfer from bed to a wheelchair were rated with four points. All three fall into the category of moderately dangerous positions for the occurrence of musculoskeletal disorders. As all the analyzed positions scored a high number of points, changes are needed in all of them. Discussion and conclusion: Despite the fact that we analyzed optimally performed transfers, we were still able to find positions that are among the risks for the development of musculoskeletal disorders. Constant attention to the correct execution of individual transfers and the most natural posture, in general, is of great importance for nurses. With ergonomic work, they can avoid many defects of the musculoskeletal system and thus ensure a quality life. diplomska dela zdravstvena nega ergonomija transfer pacientov REBA-orodje diploma theses nursing care ergonomics patients transfers REBA tool true false false [Š. Vodnik] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2020-09-09 07:47:15 2020-09-09 07:47:22 2022-08-31 03:53:07 0000-00-00 00:00:00 2020 0 Ljubljana 0 Ljubljana 40 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 99425 27659267 10114.pdf 10114.pdf 1 E0AD63D644C382AC31C5DE5872E69BBE b5522a862db4abb5856f594bc303bb9ca8b8a60e7fa7b39a4b9bf82319b621c4 d42283fd-a1b9-11eb-a523-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=134153 Zdravstvena fakulteta 0 0 0