文献类型：期刊文献

中文题名：兰州地区急诊医护人员职业伤害现状及危险因素分析

英文题名：Analysis of occupational injury status and risk factors among emergency medical staff in Lanzhou

作者：辛阳[1];王静[1];张东鑫[1];曹娟[2];刘颖[3];郑贵森[1]

第一作者：辛阳

机构：[1]甘肃中医药大学公共卫生学院,甘肃兰州730101;[2]甘肃中医药大学附属医院公共卫生科,甘肃兰州730020;[3]甘肃中医药大学附属医院急诊科,甘肃兰州730020

第一机构：甘肃中医药大学公共卫生学院

年份：2023

卷号：40

期号：2

起止页码：106

中文期刊名：甘肃中医药大学学报

外文期刊名：Journal of Gansu University of Chinese Medicine

基金：甘肃省卫生行业科研计划项目(GSWSKY2018-58)。

语种：中文

中文关键词：兰州地区;急诊科;医护人员;职业伤害;危险因素

外文关键词：Lanzhou;emergency department;medical staff;occupational injuries;risk factors

摘要：目的调查兰州地区急诊医护人员的职业伤害现状并分析相关危险因素。方法采用整群随机抽样法,选择2022年3月至2022年7月兰州地区11家医院的急诊科医护人员作为研究对象,以已有问卷为模板设计本次职业伤害问卷并展开调查。结果兰州地区急诊医护人员亚健康状态总体发生率为75.48%(157/208),主要表现为睡眠质量差(74.52%)和头晕脑胀、肌肉酸痛(74.04%);职业相关性损伤总体发生率为76.44%(159/208),以针刺伤(35.10%)和口腔溃疡(29.46%)为主;职业相关性疾病总体发生率为64.90%(135/208),以神经衰弱(35.10%)和腰颈椎病(22.12%)为主。经单因素及多因素Logistic回归分析,工作年限>10年、经常接触射线(X线)、经常接触危险化学物质、经常接触传染性疾病者是医护人员亚健康状态的危险因素(P<0.05或P<0.01);三级医院、年龄>40岁、经常掰安瓶或使用锐器器具是医护人员职业相关性损伤的危险因素(P<0.05或P<0.01);工作年限>10年、工作满意度低、经常接触光辐射、经常面临生离死别的场面是医护人员职业相关性疾病的危险因素(P<0.05或P<0.01)。结论兰州地区急诊医护人员亚健康状态、职业相关性损伤、职业相关性疾病的发生率较高,建议加强医护人员职业防护培训,尤其是职业暴露后的紧急处理措施。
Objective To investigate the occupational injuries status among emergency medical staff in Lanzhou and analyze the related risk factors.Methods From March 2022 to July 2022,the researchers used the cluster random sampling method to select medical staff in emergency departments of 11 hospitals in Lanzhou as the study subjects, designed the occupational injury questionnaire on the template of existing questionnaire and carried out this investigation.Results The overall incidence of sub-health among emergency medical staff in Lanzhou was 75.48%,mainly manifested by poor sleep quality(74.52%),dizziness, brain distention, and muscle pain(74.04%);the overall incidence of occupation-related injuries was 76.44%(159/208),dominated by needle-stick injuries(35.10%) and oral ulcers(29.46%);the overall incidence of occupation-related diseases was 64.90%(135/208),mainly being neurasthenia(35.10%) and lumbar cervical spondylosis(22.12%). By univariate and multivariate logistic regression analysis, working years10 years, frequent exposure to radiation such as X-rays, frequent exposure to hazardous chemical substances, and frequent exposure to patients with infectious diseases were the main risk factors for the sub-health status among emergency medical staff(P<0.05 or P<0.01);tertiary hospitals, age40 years, and frequent breaking of ampoules or use of sharp instruments were risk factors for occupationally related injuries(P<0.05 or P<0.01);years of work10 years, low job satisfaction, frequent exposure to light radiation, and frequent facing to death were risk factors for occupationally related diseases(P<0.05 or P<0.01).Conclusion The ratio of incidence of sub-health, occupational-related injuries, and occupational-related diseases among emergency medical staff in Lanzhou is high, and it is recommended to strengthen the training of medical staff in occupational protection, especially the emergency treatment measures after occupational exposure.