[1]卢美秀,谢颖.助产士产科操作项目工作负荷的工效学风险评价[J].军事护理,2022,39(07):13-16.[doi:10.3969/j.issn.2097-1826.2022.07.004]
　LU Meixiu,XIE Ying.Ergonomic Risk Assessment of Midwives' Workload of Obstetric Procedures[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(07):13-16.[doi:10.3969/j.issn.2097-1826.2022.07.004]
点击复制

助产士产科操作项目工作负荷的工效学风险评价
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年07期
页码:
13-16
栏目:
母婴护理专栏
出版日期:
2022-07-15

文章信息/Info

Title:
Ergonomic Risk Assessment of Midwives' Workload of Obstetric Procedures
文章编号:
2097-1826(2022)07-0013-04
作者:
卢美秀1; 谢颖2
(1.桂林医学院附属医院 产科,广西 桂林 541001; 2.桂林医学院 护理学院, 广西 桂林 541000)
Author(s):
LU Meixiu1; XIE Ying2
(1.Department of Obstetrics,Affiliated hospital of Guilin Medical University,Guilin 541001,Guangxi Zhuang Autonomous Region,China; 2.School of Nursing,Guilin Medical University,Guilin 541000,Guangxi Zhuang Autonomous Region,China)
关键词:
工作负荷量;  工效学;  快速暴露检查法;  助产士;  产房
Keywords:
workload;  ergonomics;  quick exposure check;  midwife;  delivery room
分类号:
R473.71; R828.2
DOI:
10.3969/j.issn.2097-1826.2022.07.004
文献标志码:
A
摘要:
目的 评价产科操作项目工效学风险,了解其对助产士健康造成的影响。方法 于2021年4-6月,便利抽样选取65名助产士名作为研究对象,采用快速暴露检查法,通过现场观察员评价平产接产、会阴切开缝合、阴道助产和新生儿复苏等4项产科操作的负荷水平。结果 <30岁年龄段、低年资(工作1～5年)、大专学历、夜班的助产士工作负荷总分最高,与其他特征组别比较,差异有统计学意义(均P<0.05); 助产士产科操作项目全身工效学负荷处于高负荷水平,其中:平产接产操作下肢工效学负荷最高,会阴缝合、阴道助产操作手腕负荷最高。结论 助产士工作负荷处于高水平,产科操作项目对助产士工效学负荷较高,应引起管理者对护士自身的关注。
Abstract:
Objective To assess the ergonomic risk of obstetric procedures and explore their impact on midwives' health.Methods Convenience sampling method was adopted to select 65 midwives from April to June,2021.The quick exposure check method was used to assess the workload of four obstetric procedures,including midwifery of normal delivery,perineal incision suture,vaginal midwifery and neonatal resuscitation,by field observers.Results Those midwives who were younger than 30 years old,with working experience of 1 to 5 years,and associate degree,as well as working in night shifts reported highest workload scores, with statistical significance found when compared with groups with other characteristics(all P<0.05).The systemic ergonomic workload of obstetric procedures among midwives were at a high level.The midwifery of normal delivery imposed highest workload on lower extremities,while the perineal suture and vaginal midwifery imposed highest workload on wrists.Conclusions The workload of midwives is at a high level.Obstetrics procedures may impose high ergonomic workload on midwives,which should arouse the attention of managers on midwives themselves.

参考文献/References:

[1] 宋挺博.职业性肌肉骨骼疾患危险因素现场评价[D].武汉:华中科技大学,2011.
[2] 颜萍,张莉,李富业,等.临床护理操作项目的工效学负荷评价[J].中华劳动卫生职业病杂志,2017,35(8):581-584.
[3] 柏兴华,苏兰若,高蕾,等.ICU护士职业暴露现状及防护行为的相关因素分析[J].中华护理杂志,2011,46(5):442-444.
[4] SERRANHEIRA F, SOUSA-UVA M, SOUSA-UVA A.Hospital nurses tasks and work-related musculoskeletal disorders symptoms:a detailed analysis[J].Work,2015,51(3):401-409.
[5] 邵志强.抽样调查中样本容量的确定方法[J].统计与决策,2012(22):12-14.
[6] 林嗣豪.工作场所工效学负荷综合评估及其应用研究[D].成都:四川大学,2006.
[7] 叶朝,郭路,张清梅,等.助产士对职业性下背痛认知的调查[J].中华劳动卫生职业病杂志,2014,32(6):421-424.
[8] 江秀敏,黄欣欣.福建省助产士工作有关疾病及其影响因素的研究[J].中华劳动卫生职业病杂志,2016,34(6):433-435.
[9] 王晓明.导乐分娩模式下的助产士职业危险因素与防护[J].护理研究,2014,28(7):786-787.
[10]陈玲.无保护会阴接产法对降低助产士职业性腰背痛的效果研究[J].医药前沿,2017,7(23):214-215.
[11]WATERS T R, DICK R B.Evidence of health risks associated with prolonged standing at work and intervention effectiveness[J].Rehabil Nurs,2015,40(3):148-165.
[12]徐晓,黄萍.手术室人体工效学实践情况调查[J].护理研究,2017,31(28):3582-3587.
[13]曹文静.广东省助产士职业伤害的现状调查及干预研究[D].广州:南方医科大学,2013.
[14]崔娅,袁志伟,徐相蓉,等.社会心理因素对妇产科医务人员工作相关肌肉骨骼疾患的影响[J].中国工业医学杂志,2016,29(4):256-258.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-09-09 【 修回日期 】 2022-04-20
【 作者简介 】 卢美秀,硕士,副主任护师,从事临床助产教学及产房管理
【 通信作者 】 谢颖,电话:0773-8622168
更新日期/Last Update: 2022-07-15