消防员健康监测的可行性和可接受性。
Feasibility and acceptability of workers' health surveillance for fire fighters.
机构信息
Academic Medical Center, University of Amsterdam, Department: Coronel Institute of Occupational Health, Amsterdam, The Netherlands.
出版信息
Saf Health Work. 2011 Sep;2(3):218-28. doi: 10.5491/SHAW.2011.2.3.218. Epub 2011 Sep 30.
OBJECTIVES
The objective of this study was to test the feasibility and acceptability of a new workers' health surveillance (WHS) for fire fighters in a Dutch pilot-implementation project.
METHODS
In three fire departments, between November 2007 and February 2009, feasibility was tested with respect to i) worker intent to change health and behavior; ii) the quality of instructions for testing teams; iii) the planned procedure in the field; and iv) future WHS organisation. Acceptability involved i) satisfaction with WHS and ii) verification of the job-specificity of the content of two physical tests of WHS. Fire fighters were surveyed after completing WHS, three testing teams were interviewed, and the content of the two tests was studied by experts.
FEASIBILITY
nearly all of the 275 fire fighters intended to improve their health when recommended by the occupational physician. The testing teams found the instructions to be clear, and they were mostly positive about the organisation of WHS. Acceptability: the fire fighters rated WHS at eight points (out of a maximum of ten). The experts also reached a consensus about the optimal job-specific content of the future functional physical tests.
CONCLUSION
Overall, it is feasible and acceptable to implement WHS in a definitive form in the Dutch fire-fighting sector.
目的
本研究旨在测试一种新的工人健康监测（WHS）在荷兰试点实施项目中对消防员的可行性和可接受性。
方法
在三个消防部门，于 2007 年 11 月至 2009 年 2 月，从以下几个方面测试可行性：i）工人改变健康和行为的意愿；ii）测试团队的说明质量；iii）现场计划程序；和 iv）未来的 WHS 组织。可接受性包括 i）对 WHS 的满意度和 ii）验证 WHS 中两项体能测试内容的工作特殊性。在完成 WHS 后对消防员进行调查，对三个测试团队进行访谈，并由专家研究两项测试的内容。
可行性
275 名消防员中几乎所有人都希望在职业医生建议时改善自己的健康状况。测试团队发现说明清晰，对 WHS 的组织大多持积极态度。可接受性：消防员对 WHS 的评分是八分（满分十分）。专家们也就未来功能体能测试的最佳工作特定内容达成了共识。
结论
总体而言，以明确的形式在荷兰消防部门实施 WHS 是可行和可接受的。
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