{"id":93709,"date":"2025-10-01T11:55:00","date_gmt":"2025-10-01T09:55:00","guid":{"rendered":"https:\/\/hospitals.be\/?p=93709"},"modified":"2025-12-17T16:29:24","modified_gmt":"2025-12-17T15:29:24","slug":"cesi-vers-une-manutention-des-patients-plus-efficace","status":"publish","type":"post","link":"https:\/\/hospitals.be\/fr\/cesi-vers-une-manutention-des-patients-plus-efficace\/","title":{"rendered":"Cesi – Vers une manutention des patients plus efficace"},"content":{"rendered":"\n

S\u00e9bastien Goffinet
<\/strong>Kin\u00e9sith\u00e9rapeute, conseiller en pr\u00e9vention, formateur & ergocoach aupr\u00e8s du CESI<\/p>\n\n\n\n

\n

Le terme manutention est utilis\u00e9 dans les soins de sant\u00e9 pour d\u00e9signer le d\u00e9placement des patients afin d\u2019effectuer des soins, de les pr\u00e9parer pour un examen ou, simplement, pour plus de confort. \u00abMalgr\u00e9 le fait que la manutention des patients ait beaucoup \u00e9volu\u00e9 ces derni\u00e8res ann\u00e9es vers une \u00e9conomie d\u2019effort, le taux d\u2019absent\u00e9isme li\u00e9 aux troubles musculosquelettiques (TMS) chez les soignants est encore important<\/em>\u00bb, explique S\u00e9bastien Goffinet.<\/h2>\n<\/blockquote>\n\n\n\n

Selon ce kin\u00e9sith\u00e9rapeute, conseiller en pr\u00e9vention, formateur & ergocoach, aupr\u00e8s du CESI, Service Externe de Pr\u00e9vention et de Protection au Travail (SEPPT), les TMS sont notamment dus aux efforts intenses lors des manutentions, mais aussi \u00e0 des postures prolong\u00e9es et \u00e0 la r\u00e9p\u00e9titivit\u00e9 des gestes souvent hors zone de confort articulaire. La formation des soignants fait-elle d\u00e9faut sur ce point? \u00abLors de nos interventions d\u2019accompagnement des soignants, nous nous rendons compte que ceux-ci ont \u00e9t\u00e9 form\u00e9s avec une approche ancienne, voire d\u00e9pass\u00e9e, qui repose sur des techniques utilisant les jambes pour \u00e9viter tout effort du dos, sans le faire fl\u00e9chir.\u00bb<\/p>\n\n\n\n

Contrairement au Canada, et notamment au Qu\u00e9bec, il existe peu de chiffres en Belgique permettant de confirmer l\u2019efficacit\u00e9 de l\u2019enseignement. Cependant, dans la r\u00e9alit\u00e9, la difficult\u00e9 est multifactorielle. Il y a d\u2019une part le manque de mat\u00e9riel adapt\u00e9<\/strong>, tant le petit mat\u00e9riel d\u2019aide (draps de glisse, planches de transfert\u2026) que le mat\u00e9riel m\u00e9canis\u00e9 (l\u00e8ve-personne, verticalisateur). D\u2019autre part, en plus du manque d\u2019effectifs<\/strong>, accentu\u00e9 par la crise sanitaire actuelle, un manque de personnel form\u00e9 de r\u00e9f\u00e9rence<\/strong> est constat\u00e9. Enfin, certaines institutions n\u2019ont pas de strat\u00e9gie de pr\u00e9vention des TMS<\/strong>.<\/p>\n\n\n\n

\n

Pour le patient, se mouvoir reste l\u2019acte le plus difficile \u00e0 r\u00e9aliser durant son s\u00e9jour. Pour le soignant, manutentionner un patient reste \u00e9galement l\u2019acte le plus p\u00e9nible en termes d\u2019effort! Chaque collaborateur (y compris la ligne hi\u00e9rarchique) est acteur dans la qualit\u00e9 de la prise en charge et la manutention des patients. Il faut donc veiller \u00e9galement \u00e0 la qualit\u00e9 de l\u2019enseignement moyennant une m\u00e9thode adapt\u00e9e aux besoins r\u00e9els.<\/p>\n<\/blockquote>\n\n\n\n

AGIR \u00c0 PLUSIEURS NIVEAUX<\/h2>\n\n\n\n

Afin d\u2019optimaliser la gestion des TMS suite \u00e0 une mauvaise manutention des patients et de diminuer ainsi le taux d\u2019absent\u00e9isme des soignants, il est n\u00e9cessaire de mettre en place une strat\u00e9gie globale dans laquelle tout le monde est impliqu\u00e9: de l\u2019employeur \u00e0 la ligne hi\u00e9rarchique, jusqu\u2019au soignant et son patient.<\/p>\n\n\n\n

\u2022 Analyse des risques<\/h3>\n\n\n\n

C\u2019est \u00e0 la direction avec son Service Interne de Pr\u00e9vention (SIPPT), accompagn\u00e9s du SEPPT, de r\u00e9aliser des analyses de risques sp\u00e9cifiques avec des outils cibl\u00e9s sur les besoins r\u00e9els de mat\u00e9riel d\u2019aide adapt\u00e9 au service concern\u00e9. La pr\u00e9sence de ce mat\u00e9riel est capitale pour la r\u00e9alisation correcte et moderne de la manutention. La direction doit \u00e9galement veiller \u00e0 organiser des environnements (espace et acc\u00e8s) de travail s\u00e9curitaires et ergonomiques, et \u00e0 s\u2019assurer que le soignant disposera de suffisamment de temps pour r\u00e9aliser les transferts<\/p>\n\n\n\n

\u2022 Formation de r\u00e9f\u00e9rents en manutention<\/h3>\n\n\n\n

\u00ab Depuis plusieurs ann\u00e9es, nous formons au CESI des \u201cr\u00e9f\u00e9rents en manutention des patients\u201c. Les r\u00e9f\u00e9rents sont amen\u00e9s \u00e0 r\u00e9fl\u00e9chir sur les probl\u00e9matiques rencontr\u00e9es dans le service. Ils peuvent sensibiliser leurs coll\u00e8gues \u00e0 l\u2019utilisation optimale et s\u00e9curitaire du mat\u00e9riel d\u2019aide aux transferts. Enfin, ils peuvent rendre compte des actions et des manquements dans le service \u00e0 la ligne hi\u00e9rarchique. Toutefois, ce r\u00f4le ne peut s\u2019appliquer correctement sans le soutien du responsable d\u2019unit\u00e9 et de la ligne hi\u00e9rarchique. \u00bb<\/p>\n\n\n\n

\u2022 Des formations en immersion<\/h3>\n\n\n\n

Le CESI a opt\u00e9 pour diff\u00e9rents modules de formation. Les formations \u00abcoaching en immersion\u00bb sont prest\u00e9es directement sur le terrain, dans les conditions r\u00e9elles de travail: sur leurs patients, avec leur mat\u00e9riel et dans leurs locaux. Le personnel pr\u00e9sent est accompagn\u00e9 durant les soins et les transferts afin d\u2019\u00eatre coach\u00e9 sur les risques de TMS et \u00e0 l\u2019utilisation d\u2019une m\u00e9thode globale, r\u00e9flexive (r\u00e9flexion et analyse sur sa propre pratique) et participative (favorisant le r\u00e9el mouvement spontan\u00e9 du patient).<\/p>\n\n\n\n

QUELLE M\u00c9THODE UTILISER ?<\/h2>\n\n\n\n

\u00ab Cette m\u00e9thode de manutention se doit d\u2019\u00eatre simple d\u2019utilisation, sous forme d\u2019un fil rouge, de veiller \u00e0 ne rien oublier avant le transfert du patient. Elle doit s\u2019organiser par \u00e9tapes sous forme de consignes claires et pr\u00e9cises et ax\u00e9es sur le fait, justement, de ne plus porter le patient. Cette approche en devient d\u00e8s lors tout \u00e0 fait innovante en ce sens qu\u2019elle est plus globale et plus respectueuse de la biom\u00e9canique du mouvement pour le patient comme pour le soignant. En faisant participer son patient aux limites de ses capacit\u00e9s du jour, et en utilisant intelligemment son propre corps, le soignant accompagnera son patient afin qu\u2019il se d\u00e9place de mani\u00e8re s\u00e9curitaire et non douloureuse, tout en se pr\u00e9servant lui-m\u00eame des TMS. <\/em>\u00bb<\/p>\n","protected":false},"excerpt":{"rendered":"

S\u00e9bastien GoffinetKin\u00e9sith\u00e9rapeute, conseiller en pr\u00e9vention, formateur & ergocoach aupr\u00e8s du CESI Le terme manutention est utilis\u00e9 dans les soins de sant\u00e9 pour d\u00e9signer le d\u00e9placement des patients afin d\u2019effectuer des soins, de les pr\u00e9parer pour un examen ou, simplement, pour plus de confort. \u00abMalgr\u00e9 le fait que la manutention des patients ait beaucoup \u00e9volu\u00e9 ces […]<\/p>\n","protected":false},"author":6,"featured_media":95637,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[236],"tags":[141,237,119,142,139],"class_list":["post-93709","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles-sponsorises","tag-cesi","tag-magazine-11","tag-magazine-33","tag-prevention","tag-sponsorise"],"acf":[],"yoast_head":"\nCesi - 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