尼日利亚二级和三级卫生机构洗衣业务相关危害管理系统的比较研究

E. Omoijiade
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摘要

背景:卫生保健设施中的职业安全和健康危害可根据地点或提供的服务进行分组。被污染的衣物、噪音、热量、升降、尖锐物、滑倒、绊倒、跌倒和火灾危险都位于洗衣部。目的:本研究旨在评估减少工作场所危害的措施,从而提供关于各种氟氯烃危害管理系统的信息,因为这将有助于制定适当的干预措施,进一步确保医院洗衣房工人的健康和安全。材料和方法:本研究在贝宁市设有洗衣科的6家医院进行,由1家可用的三级HCF和5家二级HCF组成。数据是通过危险识别清单收集的,该清单用于确定工作场所的安全/不安全行为和条件。结果:二级卫生机构对医院洗衣房危害管理体系的评价百分比为39.57%±7.12%,三级卫生机构为51.85%;平均数比较显示,二级和三级卫生机构的平均评分没有统计学上的显著差异(P = 0.191)(95%可信区间= - 0.339-0.094)。结论:如果相关危害管理得当,可大大避免或减少对健康和安全的不良影响;然而,在三级和二级卫生设施中,卫生洗衣房的危害管理系统被判定为不合格。
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A comparative study of the hazards management system associated with laundry operations in secondary and Tertiary Health Facilities in Nigeria
Background: Occupational safety and health hazards in health-care facilities (HCFs) can be grouped according to location or service offered. Contaminated laundry, noise, heat, lifting, sharps, slips, trips, falls, and fire hazards are among those located in the laundry department. Aims: This study sought to assess the measures to reduce workplace hazards, thereby providing information on the hazard management system in various HCFs, as this would prove useful to establish appropriate interventions to further ensure the health and safety of workers in hospital laundries. Materials and Methods: The study was conducted in six hospitals with a laundry department in Benin city, composed of one available tertiary HCF and five secondary HCFs. Data were collected through the hazard identification checklist, which was used to determine the safe/unsafe acts and conditions of the workplaces. Results: The percentage rating for the assessment of the hazard management system in the hospital laundry between the health facility types was 39.57% ± 7.12% for the secondary health facilities, while that of the tertiary health facility was 51.85%. A comparison of the means showed that there was no statistically significant difference in the average rating between secondary and tertiary health facility (P = 0.191), (95% confidence interval = −0.339–0.094). Conclusion: Adverse health and safety effects can be avoided or minimized drastically if the associated hazards are properly managed; however, the hazards management system in the health-care laundries was adjudged to be substandard, in both the tertiary and secondary health facilities.
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