摘 要: 目的 探讨静脉药物配置中心(PIVAS)工作人员发生职业性肌肉骨骼疾患(WMSDs)的工效学因素,为预防和控制WMSDs发生提供依据。方法 使用瑞典工效学危害识别法(PLIBEL)分析PIVAS工作过程中的工效学危害因素,并采用快速上肢评估(RULA)进行危害等级评估。结果 PIVAS操作中颈、肩和上背部工效学危害最为突出,进仓和出仓操作时下背部受危害最显著,膝和臀部、足部的危害因素较少。RULA得分手腕部(手腕+手腕旋转)最高,其次为上臂,躯干居第三,腿部最低。RULA风险评估等级,进仓和出仓操作为4级,分类装篮和装车操作为3级,贴标签、摆药和混合调配操作为2级。中风险级别岗位操作时间占总工作时间的76.9%。结论 PIVAS操作过程以颈部、手/腕部危害特别突出,进仓和出仓操作发生WMSDs的风险极高,应加强对重点工效学危险因素的管理与控制。 |
关键词: 瑞典工效学危害识别法(PLIBEL) 快速上肢评估(RULA) 职业性肌肉骨骼疾患(WMSDs) 静脉药物配置中心(PIVAS) |
中图分类号: R68
文献标识码: A
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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(131031109000150003);2018年福建省卫生计生青年科研课题(2018-2-36) |
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Application of PLIBEL and RULA in identification and assessment of adverse ergonomic factor in pharmacy intravenous admixture services |
SHEN Bo,LUO Xiu-feng,CHEN Hui,XU Xu-yan,CHEN Xi,WANG Zhong-xu
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Fuzhou Municipal Center for Disease Control and Prevention,Fuzhou 350004,China
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Abstract: Objective To investigate the ergonomic factors of work-related musculoskeletal disorders(WMSDs)in pharmacy intravenous admixture services(PIVAS)and provide some basis for the prevention and control of WMSDs.Methods The Swedish ergonomic hazard identification method(PLIBEL)was used to identify the ergonomic hazards and the rapid upper limb assessment(RULA)was used to assess the level of hazard during operation process of PIVAS.Results The results of PLIBEL showed that neck,shoulder and upper back were the most prominent parts in PIVAS operation process,lower back was the most damaged part during entering and leaving warehouse,while knees,hips and foot had less hazards.The wrist(wrist+wrist rotation)had highest RULA score,followed by upper arm,rank,and the leg.The RULA risk assessment levels was as follows:entering warehouse and leaving warehouse were at level 4,classified basketing and loading were at level 3,and labelling,drug dispensing and mixed dispensing were at level 2;the middle-risk level operation accounted for about 76.9% of the total working time in PIVAS.Conclusion The results suggested that neck and hand/wrist were the highest risk parts of WMSDs in PIVAS workers,entering warehouse and leaving warehouse also had higher risk.Therefore,it is necessary to strengthen the management and control on key ergonomic risk factors. |
Keywords: Swedish ergonomic hazard identification method(PLIBEL) rapid upper limb assessment(RULA) work-related musculoskeletal disorders(WMSDs) pharmacy intravenous admixture services(PIVAS) |