Association of overtime work and obesity with needle stick and sharp injuries in medical practice  

作　　者：Yong-Hsin Chen Chih-Jung Yeh Gwo-Ping Jong 

机构地区：[1]Department of Occupational Safety and Health,Chung Shan Medical University Hospital,Taichung 40201,Taiwan [2]Department of Public Health,Chung Shan Medical University,Taichung 40201,Taiwan [3]Department of Internal Medicine,Chung Shan Medical University Hospital and Chung Shan Medical University,Taichung 40201,Taiwan

出　　处：《World Journal of Clinical Cases》2021年第35期10937-10947,共11页世界临床病例杂志

基　　金：the Institutional Review Board of Chung Shan Medical University Hospital on December 2,2019(CSMUH No:CS19137).

摘　　要：BACKGROUND Needle stick and sharps injuries(NSIs)may cause infections among medical personnel.Obesity and overtime work among medical personnel increase the incidence of work injuries.AIM To investigate whether overtime work and obesity increase the risk of NSIs.METHODS This cross-sectional study used the data of 847 hospital personnel,including 104 doctors,613 nurses,67 medical laboratory scientists,54 specialist technicians,and nine surgical assistants.Of them,29 participants notified the hospital of having at least one NSI in 2017.The data collected included age,overtime work,body mass index,medical specialty such as doctor or nurse,and professional grade such as attending physician or resident.Theχ2 and Fisher’s exact tests were used to compare categorical variables.Multiple logistic regression analysis and the Sobel test were used to assess the risk of NSIs.RESULTS Overtime work,body weight,and medical specialty were significantly associated with NSIs(P<0.05).After adjustment for risk factors,heavy overtime work was an independent risk factor for NSIs,and healthy body weight and nursing specialty were independent protective factors against NSIs.After adjustment for risk factors,medical personnel with healthy body weight has half as many NSIs as those with unhealthy body weight;the proportion of NSIs in doctors with healthy body weight was 0.2 times that in doctors with unhealthy body weight;the proportion of injuries among residents was 17.3 times higher than that among attending physicians;the proportion of injuries among junior nurses was 3.9 times higher than that among experienced nurses;the proportion of injuries among nurses with heavy overtime work was 6.6 times higher than that among nurses with mild overtime work;and the proportion of injuries among residents was 19.5 times higher than that among junior nurses.Heavy overtime work mediated the association of medical specialty with NSIs.CONCLUSION In addition to promoting the use of safety needles and providing infection control education,managers

关 键 词：Medical staff Needle stick and sharps injuries Overtime work Healthy body weight OBESITY 

分 类 号：R13[医药卫生—劳动卫生]