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德国门诊护理服务中 COVID-19 大流行期间的职业健康和安全措施:一项定性研究。

Occupational Health and Safety Measures in German Outpatient Care Services during the COVID-19 Pandemic: A Qualitative Study.

机构信息

Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany.

Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), Pappelallee 33/35/37, 22089 Hamburg, Germany.

出版信息

Int J Environ Res Public Health. 2021 Mar 14;18(6):2987. doi: 10.3390/ijerph18062987.

Abstract

Due to the coronavirus disease 2019 (COVID-19) pandemic, outpatient caregivers are exposed to new serious health threats at work. To protect their health, effective occupational health and safety measures (OHSM) are necessary. Outpatient caregivers ( = 15) participated in semi-structured telephone interviews in May/June 2020 (1) to examine the pandemic-related OHSM that have been implemented in their outpatient care services, as well as (2) to identify their corresponding unmet needs. Interviews were recorded, transcribed and analysed by using qualitative content analysis in accordance with Mayring. Available OHSM in outpatient care services described by outpatient caregivers mainly included personal protective equipment (PPE) and surface disinfection means after an initial shortage in the first peak of the pandemic. Further OHSM implied social distancing, increased hygiene regulations and the provision of pandemic-related information by the employer, as well as the possibility to consult a company doctor. Our study revealed that OHSM were largely adapted to the health threats posed by COVID-19, however an optimum has not yet been achieved. There is still a need for improvement in the qualitative and quantitative supply of PPE, as well as on the organisational level, e.g., with regard to the development of pandemic plans or in work organisation.

摘要

由于 2019 年冠状病毒病(COVID-19)大流行,门诊护理人员在工作中面临新的严重健康威胁。为了保护他们的健康,需要采取有效的职业健康和安全措施(OHSM)。门诊护理人员(=15)于 2020 年 5 月/6 月参加了半结构化电话访谈(1),以检查他们的门诊护理服务中已经实施的与大流行相关的 OHSM,以及(2)确定他们相应的未满足的需求。访谈记录、转录和分析按照 Mayring 的方法使用定性内容分析进行。门诊护理人员描述的门诊护理服务中现有的 OHSM 主要包括个人防护设备(PPE)和大流行初期第一波疫情后表面消毒手段。进一步的 OHSM 意味着社会距离、增加卫生法规和雇主提供与大流行相关的信息,以及咨询公司医生的可能性。我们的研究表明,OHSM 在很大程度上适应了 COVID-19 带来的健康威胁,但尚未达到最佳状态。在 PPE 的质量和数量供应方面,以及在组织层面上,例如在制定大流行计划或工作组织方面,仍有改进的空间。

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