Lee Edwin W C, Fok Joan P C, Lam Augustine T, Law Rainbow K Y, Szeto Grace P Y, Li Philip P K
Occupational Medicine Care Service, New Territories East Cluster, Hospital Authority, Hong Kong, China.
Physiotherapy Department, Alice Ho Mui Ling Nethersole Hospital, Tai Po, Hong Kong, China.
Work. 2014;48(4):511-9. doi: 10.3233/WOR-141918.
Work-related musculoskeletal disorders (WRMDs) are recognized as a major source of significant pain and disability in the healthcare sector. However, they are preventable if appropriate surveillance and intervention programs are implemented.
The purpose of this paper is to describe the holistic ergonomic approach that was used to address the multifactorial problems encountered by healthcare workers in their daily work.
Using participatory ergonomics, healthcare workers in this study teamed up with management and staff with expertise in ergonomic analysis, design, and implementation of remedies. Selected participatory ergonomic intervention programs targeted at an organizational level are elaborated. Interventions included pre-work stretching, workplace surveillance at a psychiatric department, on-site ergonomic teaching for community nurses, and display screen equipment consultancy.
Changes in workplace design, equipment re-arrangement, awareness of proper posture, and adoption of good work practices all play important roles in reducing musculoskeletal disorders among healthcare workers. Prompt occupational medicine and rehabilitation services were also provided to complement the work disability prevention process. The impact of the various intervention programs on staff health, costs and productivity of the organization are simultaneously discussed.
工作相关的肌肉骨骼疾病（WRMDs）被认为是医疗保健部门严重疼痛和残疾的主要来源。然而，如果实施适当的监测和干预计划，这些疾病是可以预防的。
本文旨在描述用于解决医护人员在日常工作中遇到的多因素问题的整体人体工程学方法。
本研究采用参与式人体工程学，医护人员与在人体工程学分析、设计和补救措施实施方面具有专业知识的管理人员和工作人员合作。详细阐述了针对组织层面的选定参与式人体工程学干预计划。干预措施包括工作前伸展运动、精神科部门的工作场所监测、社区护士的现场人体工程学教学以及显示屏设备咨询。
工作场所设计的改变、设备重新布置、正确姿势意识的提高以及良好工作习惯的采用，在减少医护人员肌肉骨骼疾病方面都发挥着重要作用。还提供了及时的职业医学和康复服务，以补充工作残疾预防过程。同时讨论了各种干预计划对员工健康、组织成本和生产力的影响。
