Occupational Therapy for Work-related Musculoskeletal Disorders Among Hemodialysis Nurse
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- severity degree of muscular discomfort
研究概览
简要总结
This study aimed to examine the effectiveness of the 12-week ergonomic intervention developed by Person-Environment-Occupation (PEO) model in improving musculoskeletal discomfort and muscle strength for hemodialysis nurses. The maintenance effects of the intervention were also evaluated after another 12-week follow-up.
详细描述
Methods A cluster experimental design was used to conduct this study. Participants were recruited from hemodialysis units at two medical centers in Taiwan and had complaints of work-related musculoskeletal disorders (WMSDs) within the past six months. By PEO model, the 12-week intervention including ergonomic education and exercise program was designed based on the job contents of hemodialysis nurses. In the study period, we used a mobile massager app to reminder them and monitor their implementation of exercises. The outcome indicators were measured before and after intervention as well as the follow-up after another 12 weeks. A generalized estimating equations model was adopted to analyze the repeated measurements.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •20 to 65 years old, which is the legal age range of adult for work in Taiwan
- •registered nurses to work full time in the hemodialysis unit more than 6 months,
- •having complaint of WMSDs within previous 6 months before this study.
排除标准
- •having no musculoskeletal disorder related to the job
- •to care less than 4 patients in 4 hours, which was below the Taiwan workload reference for nurse in hemodialysis job
- •to have any other consideration to keep from 12- week physical exercise program (such as pregnancy, injury, disease, leave..., etc.).
结局指标
主要结局
severity degree of muscular discomfort
时间窗: week 24
self reported by Nordic Musculoskeletal Questionnaire (0-5 points; the higher score indicates the more discomfort)
muscle strength
时间窗: week 24
grip and pinch power; the muscle strength of neck extension, shoulder flexion/extension, and wrist flexion/extension of the dominant (maximal force of the muscles movement against in kilogram, the higher the stronger)
次要结局
- Subjective quality of life(week 24)
研究者
Jer-Hao Chang
Associate Professor
National Cheng-Kung University Hospital