Elfering Achim, Kottwitz Maria U, Häfliger Evelyne, Celik Zehra, Grebner Simone
University of Bern, Switzerland.
National Center of Competence in Research, Affective Sciences, University of Geneva, CISA, Geneva, Switzerland.
Saf Health Work. 2018 Dec;9(4):434-440. doi: 10.1016/j.shaw.2018.02.001. Epub 2018 Feb 11.
In industrial countries, home care of community dwelling elderly people is rapidly growing. Frequent injuries in home caregivers result from slips, trips, and falls (STFs). The current study tests attentional cognitive failure to mediate the association between work stressors and STFs.
A sample of 125 home caregivers participated in a questionnaire study and reported work interruptions, unreasonable tasks, quality-threatening time pressure, conscientiousness, attentional cognitive failures, and STFs.
In structural equation modeling, the mediation model was shown to fit empirical data. Indirect paths with attentional cognitive failures as the link between work stressors and STF were all significant in bootstrapping tests. An alternative accident-prone person model, that suggests individual differences in conscientiousness to predict attentional cognitive failures that predict more frequent work stressors and STFs, showed no significant paths between work conditions and STFs.
To prevent occupational injury, work should be redesigned to reduce work interruptions, unreasonable tasks, and quality-threatening time pressure in home care.
在工业化国家，为居住在社区的老年人提供家庭护理的服务正在迅速增长。家庭护理人员频繁受伤是由滑倒、绊倒和跌倒（STF）导致的。当前的研究测试了注意力认知失误在工作压力源与STF之间的关联中所起的中介作用。
125名家庭护理人员参与了一项问卷调查研究，报告了工作中断、不合理任务、质量威胁性时间压力、尽责性、注意力认知失误和STF情况。
在结构方程模型中，中介模型被证明与实证数据拟合。在自抽样检验中，以注意力认知失误为工作压力源与STF之间联系的间接路径均显著。一个替代的易出事故者模型，该模型认为尽责性的个体差异可预测注意力认知失误，而注意力认知失误又可预测更频繁的工作压力源和STF，但该模型显示工作条件与STF之间不存在显著路径。
为预防职业伤害，应重新设计工作，以减少家庭护理中的工作中断、不合理任务和质量威胁性时间压力。
