MAPO指数在我国人工搬运患者护理人员WMSDs风险评估中的应用  

Application of MAPO index in risk assessment of WMSDs for nursing staff carried patients with hands in China

作　　者：张曦 田素斋 贾宁[1] 李刚 曲颖 凌瑞杰[4] 徐擎 吕金艳 张雪艳[1] 任早亮 郁文龙 刘飞 张海娇 孙卫格 王忠旭[1] ZHANG Xi;TIAN Su-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;不详)

机构地区：[1]中国疾病预防控制中心职业卫生与中毒控制所,北京100050 [2]河北医科大学第二医院 [3]辽宁省卫生健康监督中心 [4]湖北省新华医院 [5]呼伦贝尔市人民医院 [6]贵州省第三人民医院 [7]河北医科大学研究生学院

出　　处：《中国工业医学杂志》2020年第2期99-103,125,共6页Chinese Journal of Industrial Medicine

基　　金：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)。

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4292%、2965%、2743%,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686%,病区中提举设备缺乏或不充足高达991%,辅助设施不充足占996%,仅有531%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。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 nursesMethods The risk of WMSDs in 226 ward areas were surveyed using MAPO index assessment by on-site interview,observation and measurementResults According to the MAPO risk index,the 226 wards were divided to three risk levels:green light(4292%),yellow light(2965%)and red light(2743%),more than half of the ward areas had yellow or red light risks;the leadingThe scores of MAPO items were statistically different in different ward;According to the analysis of the configuration of facilities in each ward,686%of the ward was short of wheelchairs,991%of the ward was short of lifting equipment,996%of the ward was short of auxiliary facilities,and only 531%of the wards nursing staff had attended relevant trainingConclusion 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.

关 键 词：MAPO指数 人工搬运 护理人员 职业性肌肉骨骼疾患(WMSDs) 

分 类 号：R68[医药卫生—骨科学]