摘 要: 目的 了解护理人员职业危害发生现状及应用六西格玛管理理论进行健康教育的疾病预防效果。方法 2016年8月整群抽取辖区一、二、三级各2家医疗机构护理人员556名作为研究对象,应用六西格玛管理理论进行健康教育,分析干预前后护理工作者的职业危害发生情况。结果 不同性别、学历的护理人员职业危害差异无统计学意义(P>0.05),不同年龄、职称、医院级别护理人员的职业危害存在明显差异(P<0.05)。职称、年龄与下肢静脉曲张呈现正相关(r=1.231,P=0.000;r=1.621,P=0.000),医院级别与下肢静脉曲张呈现负相关(r=-1.032,P=0.000);职称、年龄与职业性锐器伤呈现负相关(r=-1.062,P=0.000;r=-1.614,P=0.000),医院级别与锐器伤呈现正相关(r=1.212,P=0.000);职称、年龄、医院级别与肌肉骨骼疾患呈现正相关。经干预后,护理人员下肢静脉曲张未见明显变化,锐器伤以及肌肉骨骼疾患明显下降,差异存在统计学意义(P<0.05)。结论 六西格玛管理通过对护理工作中全流程的设计与监管,降低护理工作者锐器伤和肌肉骨骼疾患的发生率,值得在临床工作中推广。 |
关键词: 护理 职业危害 下肢静脉曲张 锐器伤 肌肉骨骼损伤 |
中图分类号: R135
文献标识码: A
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基金项目: |
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Prevention effect of health education based on Six Sigma management theory on nursing occupational damage |
LI Lin,WANG Ya-nan,LIU Ying,Zhang Qi-zhi
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Health management Department of Shandong Provincial Third Hospital,Jinan 250031,China
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Abstract: Objective To survey the present status of nursing occupational damage and the prevention effect of health education based on Six Sigma management theory on this kind of gamage. Methods In August 2016,556 nurses from 2 medical institutions were selected by cluster extraction as the objects. Six Sigma management theory was applied in health education,then analyze the incidence of occupational damages in these nurses before and after intervention. Result The results showed that there was no significant difference in the incidence among nurses with different gender and educational background(P> 0.05), but there were significant differences in occupational damages among nurses with different ages,professional titles and hospital level(P < 0.05), such as professional titles(r=1.231,P=0.000)and ages (r=1.621,P=0.000)were positively correlated with varicose veins of lower extremities,hospital level(r=-1.032,P=0.000)was negatively correlated with lower extremity stillness, professional title(r=-1.062,P=0.000),age(r=-1.614,P=0.000) showed a negative correlation with occupational sharp instrument damage, while hospital level(r=1.212,P=0.000)and sharp instrument injury had a positive correlation, additionally, professional title,age and hospital level showed a positive correlation with musculoskeletal disorders. After intervention, the sharp instrument damages and musculoskeletal disorders in these nurses were significantly decreased (P< 0.05). Conclusion Six sigma management is helpful to reduce the incidence of sharp instrument damage and musculoskeletal disorder by improveing occupational design and condition of nurses by designing and supervising whole process of nursing , that suggested it should be worth popularizing in clinical work. |
Keywords: occupational damage varicose veins of lower extremities sharp instrument damage musculoskeletal injuries |