新冠肺炎异地医疗救治期间医护人员职业性身体伤害调查分析。

IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Medycyna pracy Pub Date : 2022-05-27 DOI:10.13075/mp.5893.01222
Chaona Gao, Guanzhong Ma, Dongdong Jiao, Jinli Guo, Yonggang Zhang, Liping Zhu, Jianli Li, Yanli Lou, Honglin Dong
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引用次数: 1

摘要

背景新冠肺炎医务人员职业健康损害问题突出。本研究旨在了解湖北省一线医护人员在抗击新冠肺炎期间的职业性身体伤害情况。采用数据与方法问卷调查方法,对湖北省3个地区的476名医护人员进行了调查,包括其一般特征和在隔离病房工作时身体不适/损伤情况。结果共收集457份有效问卷。常见的身体不适/损伤包括皮肤损伤(22.76%)、结膜炎(15.10%)、跌倒(9.19%)、不耐受性不适症状(8.53%)和锐器损伤(6.13%),工作>4h(OR=7.776,95%CI:3.197-15.663)是皮肤损伤的高危因素。连续工作4h(OR=3.248,95%CI:1.484-7.110)和工作>4h(OR3.096,95%CI:1.232-7.772)是结膜炎的高危因素。缺乏防护工作经验是跌倒的高风险因素(OR=5.508,95%CI:1.299-23.354)。不耐受性不适症状的高风险因子是连续工作4小时(OR=5.372,95%CI:12.23-01)和工作>4小时(OR=8.608,95%CI+1.843-40.217)。在新冠肺炎重症监护室工作(OR=3.449,95%CI:3.344-7.854)和实施护理(OR=9.766,95%CI:1.307-72.984)是急性损伤的高危因素。结论在新冠肺炎病房,职业性身体损伤是普遍存在的。那些从事护理、在重症监护病房工作、没有传染病隔离病房经验、当天连续工作≥4小时的人应该得到更多关注。Med Pr.2022;73(3)。
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Investigation and analysis of occupational physical injuries among healthcare staffs during allopatric medical aid for the fight against COVID-19.
BACKGROUND Occupational health impairment of medical personnel manifested as a prominent problem in COVID-19. The aim of this study is to investigate the occupational physical injuries of front-line medical staffs in Hubei province during the fight against COVID-19. MATERIAL AND METHODS questionnaire survey was conducted among 476 medical staffs from 3 regions of Hubei Province, including general characteristics and the physical discomfort/damage suffered in the isolation wards during working hours. RESULTS A total of 457 valid questionnaires were collected. The common physical discomfort/damage included skin injuries (22.76%), conjunctivitis (15.10%), falls (9.19%), intolerant unwell symptoms (8.53%) and sharp injuries (6.13%). Logistic regression analysis showed that: lack of protective work experience (OR = 2.049, 95% CI: 1.071-3.921), continuous working for 4 h (OR = 3.771, 95% CI: 1.858-7.654), and working >4 h (OR = 7.076, 95% CI: 3.197-15.663) were high-risk factors for skin injuries. Working continuously for 4 h (OR = 3.248, 95% CI: 1.484-7.110) and working >4 h (OR = 3.096, 95% CI: 1.232-7.772) were high-risk factors for conjunctivitis. Lack of protective work experience was a high risk factor for falls (OR = 5.508, 95% CI: 1.299-23.354). The high risk factors for intolerant unwell symptoms were continuous working for 4 h (OR = 5.372, 95% CI: 1.239-23.301) and working >4 h (OR = 8.608, 95% CI: 1.843-40.217). Working in a COVID-19 critical care unit (OR = 3.249, 95% CI: 1.344-7.854) and implementation of nursing (OR = 9.766, 95% CI: 1.307-72.984) were high risk factors for sharp injuries. CONCLUSIONS Occupational physical injuries are universal in the COVID-19 ward. Those who take up nursing, work in a critical care ward, with no experience in an isolation ward for infectious diseases, and work continuously for ≥4 h on the same day should get more attention. Med Pr. 2022;73(3).
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来源期刊
Medycyna pracy
Medycyna pracy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
10.00%
发文量
35
审稿时长
6-12 weeks
期刊介绍: The journal publishes original papers, review papers and case studies in Polish and English. The subject matter of the articles includes occupational pathology, physical, chemical and biological agents at workplace, toxicology, mutagenesis, health policy, health management, health care, epidemiology, etc. The magazine also includes reports from national and international scientific conferences on occupational medicine. It also contains letters to the editor. Each first-in-year issue of the magazine comprises former-year indices of authors and keywords.
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