2012年至2021年葡萄牙一家三级医院报告的职业病概况特征

Rui Ribeiro, N. Saldanha, P. Matos, Vanessa Teófilo, Salomé Moreira, P. Pinho, Pedro Norton
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引用次数: 0

摘要

职业病是暴露于职业危害和工作条件的必然和直接后果,而不是由于身体的正常磨损造成的身体伤害、功能障碍或病理。与工作有关的疾病的发病率随着年龄的增长而增加,在女性中更为常见。肌肉骨骼损伤和瘫痪,如腕管综合征,是最常被认为是职业病的伤害类型。在最主要的部门,发病率较高的是工业,其次是建筑业和卫生领域。由于卫生专业人员面临人体工程学、物理、生物和化学风险,他们很愿意患与工作有关的疾病。目的描述葡萄牙三级医院报告的职业病概况,评估其时间分布、受影响最严重的职业类别以及伤害类型和主要身体部位。方法对葡萄牙某三级医院2012年1月至2021年12月的职业病报告进行观察性、横断面性和分析性研究,查阅职业卫生服务数据库。结果调查期间共报告职业病610例,其中78.0%为女性。受影响最大的专业类别是护士(40.8%),其次是手术助理(28.5%)。通报最多的年份是2021年(53.9%)。SARS-CoV-2感染最普遍,有431例,其次是肌肉骨骼损伤,有153例。上髁炎和肩关节肌腱病是最常见的肌肉骨骼疾病,分别占39.7%和24.0%。如果我们排除SARS-CoV-2感染的影响,肌肉骨骼损伤是最常报告的损伤类型,这很容易解释为暴露于卫生部门职业固有的风险。对该病的诊断和识别非常重要,因为这样可以发现问题,并产生在工人和雇主中预防疾病和促进健康的基础上提供有针对性对策的需要。关键词:卫生专业人员,职业病,肌肉骨骼损伤,职业医学,职业危害
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Caraterização do perfil de Doenças Profissionais notificadas num Hospital terciário Português entre 2012 e 2021
Introduction An occupational disease is a bodily injury, functional disturbance or pathology that is a necessary and direct consequence of exposure to occupational hazards and working conditions and does not result from the normal wear and tear of the body. The incidence of work-related diseases increases with age, being more frequent in females. Musculoskeletal injuries and paralysis, such as carpal tunnel syndrome, are the types of injuries most often recognized as occupational illnesses. Concerning the most predominant sector, the incidence is higher in industry, followed by construction and in the health area. Health professionals, given their exposure to ergonomic, physical, biological and chemical risks, have a high willingness to suffer from work-related illnesses. Objectives Characterize the profile of occupational diseases reported in a portuguese tertiary hospital, assessing their temporal distribution, the most affected professional category, as well as the type of injury and predominant body region. Methods An observational, cross-sectional and analytical study was realized using the analysis of occupational diseases reported in a portuguese tertiary hospital from January 2012 to December 2021, by consulting the Occupational Health Service databases. Results During the period considered, 610 occupational diseases were reported, of which 78.0% were female. The most affected professional category was nurses (40.8%), followed by operational assistants (28.5%). The year with the most notifications was 2021 (53.9%). SARS-CoV-2 infection was the most prevalent, with 431 cases, followed by musculoskeletal injuries, with 153 cases. Epicondylitis and tendinopathies of the shoulder joint were the most frequently notified musculoskeletal diseases with 39.7% and 24.0% of the participations, respectively. Conclusion Musculoskeletal injuries stand out as the most frequently reported type of injury, if we exclude the impact of SARS-CoV-2 infection, which is easily explained by exposure to the risks inherent in professions in the health sector. Its diagnosis and recognition are of great importance as they allow identifying problems and generate the need to provide a targeted response based on disease prevention and health promotion, among workers and employers. Keywords: Health Professionals, Occupational Diseases, Musculoskeletal Injury, Occupational Medicine, Occupational Hazards
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