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新招聘医疗保健辅助人员的入职前检查。

Pre-placement examinations for newly recruited health care support staff.

作者信息

Wong Joyce Yuk Ping

机构信息

Queen Mary Hospital, Hong Kong.

出版信息

Hong Kong J Occup Ther. 2020 Dec;33(2):55-62. doi: 10.1177/1569186120979426. Epub 2020 Dec 17.

Abstract

OBJECTIVE

While musculoskeletal disorders (MSD) and physical strength have been extensively studied in health care professionals, little attention has been paid to health care support staff, such as patient care assistants and operation patient assistants, whose jobs are physically demanding. The purpose of this paper was to examine the musculoskeletal symptoms and physical strength of newly recruited health care support staff.

METHOD

Convenience sampling was conducted on 111 newly employed health care support staff in a public hospital. A custom-made pre-placement examination was performed. Data were analysed using descriptive, correlation, and regression analyses.

RESULTS

Nearly one-third (32%) of the newly recruited health care support staff had experienced musculoskeletal symptoms in at least one body part during the preceding 12 months. Two-thirds (68%) of subjects were physically inactive, and sixty percent was overweight or obese. Handgrip strength was weaker than the local norm. The subjects' dominant handgrip strength, bilateral lifting, pushing, and pulling force were significantly correlated. Only bilateral lifting was significantly associated with MSD among the newly recruited health care workers.

CONCLUSIONS

This study reports the baseline prevalence of MSD symptoms in the newly recruited health care support staff. Their sedentary lifestyle and suboptimal physical strength may render them susceptible to occupational injuries and disease. An effective occupational health programme that provides periodic health surveillance should be considered for high-risk health care workers to allow proper interventions in a timely manner.

摘要

目的

虽然医疗保健专业人员的肌肉骨骼疾病(MSD)和体力已得到广泛研究,但对诸如患者护理助理和手术患者助理等体力要求较高的医疗保健辅助人员却鲜有关注。本文旨在研究新入职医疗保健辅助人员的肌肉骨骼症状和体力。

方法

对一家公立医院的111名新雇用的医疗保健辅助人员进行便利抽样。进行了定制的入职前检查。使用描述性、相关性和回归分析对数据进行分析。

结果

近三分之一(32%)的新入职医疗保健辅助人员在过去12个月中至少有一个身体部位出现过肌肉骨骼症状。三分之二(68%)的受试者身体活动不足,60%超重或肥胖。握力低于当地正常水平。受试者的优势手握力、双侧举力、推力和拉力显著相关。在新入职的医护人员中,只有双侧举力与MSD显著相关。

结论

本研究报告了新入职医疗保健辅助人员MSD症状的基线患病率。他们久坐不动的生活方式和欠佳的体力可能使他们易患职业伤害和疾病。对于高危医护人员,应考虑实施有效的职业健康计划,提供定期健康监测,以便及时进行适当干预。

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