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医护人员使用视频显示终端引起的计算机视觉综合征:风险因素探讨。

Computer vision syndrome in healthcare workers using video display terminals: an exploration of the risk factors.

机构信息

Occupational Health Service, Healthcare Area IV, Public Health Service of the Principality of Asturias (SESPA), Oviedo, Spain.

Doctoral Programme in Health Sciences, University of Alicante, Alicante, Spain.

出版信息

J Adv Nurs. 2022 Jul;78(7):2095-2110. doi: 10.1111/jan.15140. Epub 2022 Feb 3.

Abstract

AIMS

To estimate the prevalence of computer vision syndrome (CVS) in healthcare workers and its relationship to video display terminal (VDT) exposure, sociodemographic, optical correction and work characteristics, and to analyse whether there are differences among occupational groups.

DESIGN

Cross-sectional study.

METHODS

A sample of 1179 physicians and surgeons, nurses, and nursing assistants from two hospitals in Spain between January 2017 and February 2018 were invited to participate in this study. Of these, 622 workers from both hospitals were finally included. CVS was measured using a questionnaire, the CVS-Q . Logistic regression was used to identify the factors associated with CVS. All the results were stratified by occupational group.

RESULTS

The prevalence of CVS was 56.75% with nurses being the most affected occupational group (61.75%). It was associated significantly with female sex (aOR = 2.57; 95% CI 1.36-4.88) and morning shifts plus on-call (aOR = 2.33; 95% CI 1.11-4.88) in the physicians and surgeons group. Among the nurses, it was associated with female sex (aOR = 2.35; 95% CI 1.03-5.37), seniority between 10 and 20 years (aOR = 2.17; 95% CI 1.03-4.59), VDT exposure at work of 2-4 h/day (aOR = 6.14; 95% CI 1.08-35.02), VDT exposure at work >4 h/day (aOR = 7.14; 95% CI 1.29-39.62) and self-perception that using the software application was not easy (aOR = 2.49; 95% CI 1.23-5.01).

CONCLUSIONS

A high prevalence of CVS among healthcare workers was observed. The risk factors that increased the likelihood of suffering from this syndrome depended on the occupation.

IMPACT

The findings may be used as a reference for occupational health services to implement specific preventive measures to reduce CVS for each occupational group. Such measures should consider both individual factors and the working conditions.

摘要

目的

评估医护人员中计算机视觉综合征(CVS)的患病率及其与视频显示终端(VDT)暴露、社会人口统计学、光学矫正和工作特征的关系,并分析不同职业群体之间是否存在差异。

设计

横断面研究。

方法

2017 年 1 月至 2018 年 2 月期间,邀请西班牙两家医院的 1179 名医生和外科医生、护士和护理助理参加这项研究。最终,两家医院共有 622 名工作人员参与了这项研究。使用 CVS-Q 问卷来衡量 CVS。使用逻辑回归来确定与 CVS 相关的因素。所有结果均按职业群体进行分层。

结果

CVS 的患病率为 56.75%,护士是受影响最严重的职业群体(61.75%)。它与医生和外科医生群体中的女性(aOR=2.57;95%CI 1.36-4.88)和上早班加值班(aOR=2.33;95%CI 1.11-4.88)显著相关。在护士中,它与女性(aOR=2.35;95%CI 1.03-5.37)、10-20 年工龄(aOR=2.17;95%CI 1.03-4.59)、VDT 工作暴露时间 2-4 小时/天(aOR=6.14;95%CI 1.08-35.02)、VDT 工作暴露时间>4 小时/天(aOR=7.14;95%CI 1.29-39.62)和自我感知使用软件应用程序不容易(aOR=2.49;95%CI 1.23-5.01)有关。

结论

医护人员中 CVS 的患病率较高。增加患这种综合征可能性的危险因素取决于职业。

影响

调查结果可作为职业健康服务机构的参考,为每个职业群体实施特定的预防措施,以减少 CVS。这些措施应同时考虑个人因素和工作条件。

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