ID 113094
Title Alternative
Evaluation of skills in transferring patients from bed to wheelchair with videotape recording : extraction of evaluation items.
Author
Momino, Kanae Okayama University
Gunji, Atuaki Seigakuin University
Keywords
移乗技術評価
ビデオ撮影法
移乗動作分析
技術教育
transferring skill evaluation
videotape recording
transfer motion analysis
basic nursing skill education
Content Type
Journal Article
Description
本研究は,介助の必要な高齢者を安全にベッドから車椅子に移乗させるための移乗介助技術の評価項目を帰納的に明らかにすることを目的とした.研究方法は,口頭にて研究参加への了解が得られた横浜市K区O病院の入院患者4名に対して,30名の看護・介護者が移乗介助を実施している場面をビデオで撮影し,データとした.次に移乗介助動作を記述した84のチェック項目を作成し,撮影された移乗動作についてチェックを行った.最後に6名の専門家(看護職3名,理学療法士2名,作業療法士1名)が撮影された移乗介助技術を総合的に評価し,評価得点をつけた.そして,評価得点とチェックされた動作との関連を分析し,専門家による評価得点を従属変数,関連のあった移乗動作を独立変数とした共分散分析を実施した.その結果,移乗介助技術の評価項目として次の5項目が挙げられた;①患者が端坐位になったら膝関節がベッドの端にくるほど深く座らせない,②患者の両脚を開かせその中に介助者の足を挿入する,③患者の両上肢は介助者の肩にまわし,介助者と患者の重心を近づけ安定した姿勢をとる,④安定した姿勢を維持し患者を車椅子へ移す,⑤患者の能力を引き出すために声かけを行う.
移乗介助技術の評価において,この5項目が必要であることが本研究により明らかにされた.今後,さらに技術評価を進め項目を一般化することの必要性と,評価項目を技術教育に応用することの重要性が示された.
Description Alternative
The purpose of this study was to clarify inductively items for evaluating skills in transferring frail elderly patients safely from bed to wheelchair. Initially, the manner in which 30 nurses and nursing assistants provided help with transfers of four hospitalized elderly patients in Yokohama City was recorded on video. Next, the researcher listed84items that could be checked off that described the ideal motion of transfer and assessed the performance of the recorded transfers in relation to these items. Finally, six specialists(3 nurses,2physical therapists,1occupational therapist)evaluated transfer skills from the recorded videotapes and assigned a score. Relationship between the checked-off transfer motion items and the evaluation score assigned by the specialists was analyzed. As a result, five items were extracted for use in evaluating transfer skills. These were that the assistant should1)ensure that the patient sits on the edge of the bed and provide sufficient support to prevent the patient from falling backward,2)spread the patient's legs, and place one foot between the patient's feet,3)put the patient's arms around the assistant's shoulder to shorten the distance between the assistant and patient,4)continue to maintain a position close to the patient during transfer from bed to wheelchair, and5)provide verbal reassurance and encouragement to the patient to promote the patient's self-care ability. This study showed that these five items were needed to evaluate transfer skills. In the future, it is important that items for evaluation of skills are generalized and applied in providing education on basic nursing skills.
Journal Title
The Journal of Nursing Investigation
ISSN
13483722
24342238
NCID
AA11937122
Publisher
徳島大学医学部
Volume
3
Issue
1
Start Page
1
End Page
10
Sort Key
1
Published Date
2004-12-25
FullText File
language
jpn
TextVersion
Publisher