O-155 为非正式陶瓷工人开发工作场所健康促进和风险降低模型

W. Songkham, W. Suthakorn, Kunlayanee Tantranont
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摘要

非正式陶瓷工人是一个因工作场所不安全而面临风险的群体。这项参与式行动研究的目的是为陶瓷工人开发一种工作场所健康促进和风险降低模式,并通过参与过程对该模式的效果进行评估。 这项研究在泰国南邦省的 33 家小型陶瓷厂进行。该模式首先是研究情况分析,然后是参与式规划、设计,以及解决医疗服务提供者、工人和工作场所业主之间的问题。所有过程都得到了社区领导的支持。解决问题的方法是通过适当的媒体提供自我保健知识或能力建设,定期回顾和反思解决问题过程中出现的问题,并开发一个可随时改变行为的工作原型。然后,与业主协调,改善适当的工作环境,创建一个交流知识的论坛。 结果显示,通过改变参与者的工作行为和生活方式,陶瓷工人展示了建立工作场所健康促进和风险降低模型的成果。在工作行为方面,穿戴个人防护设备和遵守安全工作规范的平均行为得分在实施后显著提高(P 值小于 0.05)。在生活方式方面,压力管理和体力活动/锻炼的得分也有明显提高(P 值<.05)。 这项研究为促进陶瓷从业人员的健康和降低其工作风险提供了一个显而易见的模式。这些方法和预防措施可适用于其他小型企业。
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O-155 MODEL DEVELOPMENT OF WORKPLACE HEALTH PROMOTION AND RISK REDUCTION FOR INFORMAL CERAMIC WORKERS
The informal ceramic workers are a group that is at risk because of an unsafe workplace. The objective of this participatory action research was to develop a workplace health promotion and risk reduction model for ceramic workers and to evaluate this model’s effects through the participation process. This study was conducted in 33 small ceramic factories in Lampang Province, Thailand. The model starts with studying the situation analysis, followed by participatory planning, designing, and solving problems between healthcare providers, workers, and workplace owners. All processes were supported by community leaders. Problem-solving was conducted by providing knowledge or capacity building for self-care through appropriate media, periodically reviewing and reflecting on problems that occur during the process of solving problems, and developing a working prototype that is ready to change behavior. Then, coordinate with the owner to improve the appropriate working environment and create a forum for exchanging knowledge. The result revealed altering participants’ working behavior and lifestyle patterns, ceramic workers exhibited the outcome of building a workplace health promotion and risk reduction model. Regarding working behavior, the average behavior score for wearing PPE and adhering safe work practices was considerably higher after implementation (p-values <.05). There were also statistically significant increases in the lifestyle patterns scores for stress management and physical activity/exercise (p values<.05). This research makes the obvious model to promote health and reduce the risk of working in a ceramic workforce. Methods and preventive measures may be applied to other small-scale enterprises.
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