Mina Sakurai
Kyoritsu-Women’s University Faculty of Nursing, Tokyo, Japan
Title: Comparison of Methods for Moving Patient Up on Bed: Kinaesthetic versus Kobujutsu
Biography
Biography: Mina Sakurai
Abstract
Purpose：Generally, two nurses assist a patient in moving up on bed. Japanese basic nursing education teaches the methods of assisting alone without any tool. In this study, we compared Kinaesthetic and Kobujutsu methods, which are nursing methods of moving patient up on bed, to clarify the proper method.
Methods：Three nurses each assisted a patient up on the bed using Kinaesthetic and Kobujutsu methods, and the performances were videoed. Data of the trajectory between the eyebrows of the patient, angle of nurse’s back bent, assistance time, and patient’s movement distance were collected.
Results：Kinaesthetic method is the way to promote upward a scapula in turn. The trajectory between the eyebrows of the patient was S-shaped like the trajectory of natural motion.
Kobujutsu method involves pulling upward the buttocks at lateral position, and then returning the upper body to supine position by setting the line of the buttocks and straightening the alignment. Then patients will feel uncomfortable, when the upper body is not adjusted well.
The nurse’s back was less bent in Kinaesthetic than Kobujutsu method, indicating less burden on the lumbar in Kinaesthetic than Kobujutsu method.
The time to make the patient move the same distance was shorter in Kinaesthetic than Kobujutsu method.
Conclusion：On comparing Kinaesthetic to Kobujutsu methods for assisting in moving patient up on bed, Kinaesthetic method is suggested as more appropriate for patients and nurses.