降低腦神經內科加護病房護理人員腰背痠痛發生率

Reducing the prevalence of back pain among nurses in the neurological intensive care unit

護理人員是面對病人第一線重要角色，護理工作中，常因重複彎腰動作、過度負重，長期累積的傷害，造成慢性肌肉骨骼的職業損傷，有研究指出32.2%護理人員因肌肉骨骼傷害而無法從事護理工作，導致護理人力流失並影響病人照護品質。深入調查發現，單位護理人員過去一年腰背痠痛發生率為90.6%。因工作時需長時間彎腰站立、翻身姿勢不正確、人員對於腰背痠痛認知不足、不知正確翻身姿勢、且需徒手搬運洗頭用物、無翻身工具協助。因此舉辦教育訓練、設立舒壓小站、教導人員翻身技巧及伸展運動、舉辦減輕腰背酸痛教育訓練、建制翻身移動滑布墊並設立搬運小推車及水桶標示線。經策略推行後，人員腰背酸痛發生率由90.6%下降至28.1%達專案目標，期望未來人員能持續減輕腰背酸痛及達到良好生活品質。

As essential frontline healthcare workers, nurses frequently perform repetitive bending and heavy loading that can lead to chronic musculoskeletal injuries, with research showing that 32.2% of nurses are eventually unable to perform their duties due to such cumulative damage. An investigation into these occupational hazards revealed that 90.6% of nurses experienced back pain over the past year, driven by prolonged standing, improper posture, a lack of ergonomic awareness, and the manual handling of heavy equipment without assistive devices. To mitigate these risks, a comprehensive wellness initiative was launched, featuring educational training on proper turning techniques, the establishment of a dedicated stress relief station, and the introduction of patient turning slide sheets, transport carts, and stretching programs. Following these interventions, the incidence of staff back pain dropped significantly from 90.6% to 28.1%, successfully achieving the project goal of reducing occupational injury and ensuring that nursing staff maintain a high quality of life while providing optimal patient care.