摘 要: 目的 评估我国医院病房人工搬运患者护理人员职业性肌肉骨骼疾患(WMSDs)发生风险,为预防WMSDs提供科学依据。方法 采用现场访谈和观察与测量方式,选择MAPO评估方法,对11家医院226个病区的WMSDs发生风险进行评估。结果 依据MAPO风险指数分级,11家医院226个病区风险等级为绿灯、黄灯、红灯的分别占42.92%、29.65%、27.43%,超过半数以上的病区存在黄灯和红灯风险;各病区MAPO指数均值排在前三位的依次是神经外科、神经内科、老年病科,均为黄灯和红灯;MAPO各项目分值在不同病区比较中均具有统计学意义;各病区设施配置情况分析,轮椅缺乏的病区占总体病区的68.6%,病区中提举设备缺乏或不充足高达99.1%,辅助设施不充足占99.6%,仅有53.1%的病区护理人员参加过有关培训。结论 建议医院及管理人员改善并补充相应设施,加强护理人员工作中的工效学培训,并在风险较高的重点病区增加护理人员。 |
关键词: MAPO指数 人工搬运 护理人员 职业性肌肉骨骼疾患(WMSDs) |
中图分类号: R68
文献标识码: A
|
基金项目: 中国疾病预防控制中心职业卫生与中毒控制所职业健康风险评估与国家职业卫生标准制定项目(项目号:131031109000150003) |
|
Application of MAPO index in risk assessment of WMSDs for nursing staff carried patients with hands in China |
ZHANG Xi, TIANSu-zhai, JIA Ning, LI Gang, QU Ying, LING Rui-jie, XU Qing, LV jin-yan, ZHANG Xue-yan, REN Zao-liang, YU Wen-long, LIU Fei, ZHANG Hai-jiao, SUN Wei-ge, WANG Zhong-xu
|
National Institute of Occupational Health and Poisoning Control, China CDC, Beijing 100050, China
|
Abstract: Objective To evaluate the risk of work-related musculoskeletal disorders (WMSDs) in nurses hand-carried patients in China, thereby provide a scientific basis for the prevention of WMSDs for these nurses. Methods The risk of WMSDs in 226 ward areas were surveyed using MAPO index assessment by on-site interview,observation and measurement. Results According to the MAPO risk index, the 226 wards were divided to three risk levels: green light (42.92%), yellow,light (29.65%) and red light (27.43%), more than half of the ward areas had yellow or red light risks;the leading three wards with high MAPO index values were neurosurgery, neurology, and geriatrics, all at yellow or red light level. The scores of MAPO items were statistically different in different ward;According to the analysis of the configuration of facilities in each ward, 68. 6% of the ward was short of wheelchairs, 99.1% of the ward was short of lifting equipment, 99.6% of the ward was short of auxiliary facilities, and only 53.1% of the ward's nursing staff had attended relevant training. Conclusion The results showed that more than half of the wards were lacking of wheelchairs, lifting equipment and auxiliary facilities, therefore, it was reasonable and necessary to improve and supplement equipments, strengthen training on ergonomic for nurses, and increase nursing staff in key areas with high risk. |
Keywords: MAPO index manual handling nursing staff work-related musculoskeletal disorders(WMSDs) |