无锡市三级甲等医院手术室医护人员亚健康状态与职业损伤状况  

Investigation on sub-health and occupational injury status of medical workers in the operation room of a grade-A tertiary hospital

作　　者：辛丽雅[1] 许珏 XIN Li-ya;XU Jue(Operation room,Wuxi Hospital of Traditional Chinese Medicine,Wuxi Jiangsu,214071,China)

机构地区：[1]无锡市中医院手术室,江苏无锡214071

出　　处：《职业与健康》2018年第14期1887-1890,1895,共5页Occupation and Health

摘　　要：目的调查无锡市三级甲等医院手术室医护人员亚健康状态、职业损伤状况并分析相关危险因素。方法对无锡市3所三级甲等医院180名手术室医护人员进行问卷调查。采用医护人员工作压力源量表分析手术室医护人员工作压力的主要来源,利用自制的调查表统计医护人员亚健康及职业损伤状态,并分析相关的危险因素。结果(1)手术室医护人员亚健康状态的总体发生率为52.2%(94/180);职业损伤的总体发生率为60.6%(109/180)。(2)压力源量表得分显示,手术室医护人员工作压力主要来于工作强度及时间,其次是专业与工作相关问题。相关分析结果显示,手术室医护人员亚健康状态与压力源中的"工作强度及时间""专业与工作相关问题""患者治疗及护理"呈明显正相关关系(P<0.05);职业损伤状况与压力源中的"工作强度及时间""专业与工作相关问题"呈明显正相关(P<0.05)。(3)单因素分析结果显示,经常夜班、科室人员配备、家属埋怨辱骂、X线接触、长期被迫站位、经常抢救危重症患者、电外科烟雾接触与手术医护人员亚健康状态密切相关(P<0.05);多因素分析结果显示,经常夜班、科室人员配备、X线接触、经常抢救危重症患者是影响亚健康状态的独立危险因素(P<0.05)。结论手术室医护人员亚健康状态及职业损伤现状不容乐观。经常夜班、不合理的人员配备、长期被迫站位等是最为突出的影响因素。医院应制定相应防范措施,切实降低手术室医护人员职业损伤,改善目前亚健康状态。[Objective]To investigate the sub-health status and occupational injury status of medical workers in the operation room of a grade-A tertiary hospital in Wuxi City.[Methods] A questionnaire survey was conducted on 180 doctors and nurses in operation room of 3 grade-A tertiary hospitals in Wuxi City.The pressure sources scale was applied to analyze the main source of their stress.The self-designed questionnaire was used to investigate the sub-health and occupational injury status of medical workers,and to analyze the related risk factors.[Results]（1） The overall incidence rate of sub-health status of operation room staff was 52.2%（94/180）,that of occupational injury was 60.6%（109/180）.（2） The scores of pressure sources scale showed the main sources of stress were working intensity and time,followed by professional and work-related issues.Correlation analysis results showed sub-health status was positively correlated with ＂working intensity and time＂,＂professional and work-related issues＂,＂patient treatment and care＂（P〈0.05）.Occupational injury was positively correlated with ＂working intensity and time＂,＂professional and work-related issues＂（P〈0.05）.（3） Single factor analysis results showed frequent night shift,department staffing,family complaining and abusing,X-ray exposure,forced to stand for a long time,frequent critical illness rescue and electrosurgical smoke exposure were closely related to sub-health status of medical staff（P〈0.05）.Multivariate analysis results showed frequent night shift,department staffing,X-ray exposure and frequent emergency treatment were risk factors for independence（P〈0.05）.[Conclusion] The status of sub-health and occupational injury of medical staff in operation room is not optimistic.The most prominent influencing factors are frequent night shift,unreasonable department staffing,forced to stand for a long time.The hospital should formulate corresponding preventive measures to reduce the occupational injury of the medi

关 键 词：手术室 亚健康 职业损伤 危险因素 

分 类 号：R181.31[医药卫生—流行病学]