Journal of occupational and environmental medicine · 2013
Sit-stand powered mechanical lifts in long-term care and resident quality indicators.
Сравнительное исследованиеОценочное исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gucer Patricia W, Gaitens Joanna, Oliver Marc, McDiarmid Melissa A
Аннотация
OBJECTIVE: To determine associations between long-term care powered mechanical lift (PML) availability and mobility-related resident outcomes.
METHODS: Long-term care directors of nursing (N = 271) nationwide gave facility information on the PML availability and the lifting policy to which we linked data on mobility-related resident outcomes from the Centers for Medicare & Medicaid Services Minimum Data Set Quality Indicators.
RESULTS: Four of six Centers for Medicare & Medicaid Services-derived resident indicators improved with the PML number but were maximal for the sit-stand lift use. In facilities with the fewest lifts, 16% of residents had pressure ulcers and 4% were bedfast. In facilities with the maximum number of lifts, only 10% had pressure ulcers (P = 0.000) and 2% were bedfast (P = 0.002). Although falls were more frequent with more lift use, this risk was blunted by a comprehensive safe lift program.
CONCLUSION: The PML availability is associated with benefits to resident outcomes, and accompanying risks are mitigated by safe lift policies.
METHODS: Long-term care directors of nursing (N = 271) nationwide gave facility information on the PML availability and the lifting policy to which we linked data on mobility-related resident outcomes from the Centers for Medicare & Medicaid Services Minimum Data Set Quality Indicators.
RESULTS: Four of six Centers for Medicare & Medicaid Services-derived resident indicators improved with the PML number but were maximal for the sit-stand lift use. In facilities with the fewest lifts, 16% of residents had pressure ulcers and 4% were bedfast. In facilities with the maximum number of lifts, only 10% had pressure ulcers (P = 0.000) and 2% were bedfast (P = 0.002). Although falls were more frequent with more lift use, this risk was blunted by a comprehensive safe lift program.
CONCLUSION: The PML availability is associated with benefits to resident outcomes, and accompanying risks are mitigated by safe lift policies.
Предметные рубрики MeSH
Accidental FallsActivities of Daily LivingAgedAged, 80 and overCross-Sectional StudiesFemaleFractures, BoneGeriatric AssessmentGeriatric NursingHomes for the AgedHumansLong-Term CareMaleMobility LimitationMoving and Lifting PatientsNursing HomesPatient SafetyPressure UlcerQuality Indicators, Health CareQuality of LifeSelf-Help Devices