Moreira da-Silva Valéria, Pontes Daniela Oliveira, Pereira Priscilla Perez da Silva, Monteiro Janne Cavalcante, Cruz Mônica Nascimento
Departamento de Enfermagem, Fundação Universidade Federal de Rondônia, Porto Velho, RO, Brazil.
Departamento de Medicina, Fundação Universidade Federal de Rondônia, Porto Velho, RO, Brazil.
Rev Bras Med Trab. 2021 Dec 30;19(4):472-481. doi: 10.47626/1679-4435-2021-623. eCollection 2021 Oct-Dec.
Environmental conditions and the work process in the Central Sterile Services Department expose workers to many hazards.
To analyze the working conditions that have an influence on the overall health of workers at a Central Sterile Services Department of a hospital in northern Brazil.
This study used employed the ergonomic analysis of work. Three data collection tools were applied to characterize sociodemographic and occupational profiles. Furthermore, physical environmental hazards were analyzed using specific equipment. Descriptive and bivariate analyses were performed in Stata13 software.
Thirty-five workers participated in the study, most of whom were women, aged above 40 years, and worked as nursing technicians. It became evident that workers were exposed to inappropriate lighting and to noises coming from autoclaves, from the central air conditioning, and from the use of medicinal gas. The risks for musculoskeletal injuries on spine, shoulders, and lower limbos were specifically related to overload resulting from the posture maintained for long periods. Female sex was associated with severe or excruciating pain" (p = 0.04).
Sound, mechanical, and visual hazards were found. Most participants complained of musculoskeletal pain, and the cervical spine was the site with the most frequent reports of excruciating pain. These results point out to the need of a policy to improve the quality of work in the health care unit studied; however, these findings may also bring light to the problem in other institutions that have a physical structure similar to that found in this research.
中央消毒供应部门的环境条件和工作流程使工作人员面临许多危害。
分析巴西北部一家医院中央消毒供应部门中对工作人员整体健康有影响的工作条件。
本研究采用工作的人体工程学分析。应用三种数据收集工具来描述社会人口统计学和职业概况。此外，使用特定设备分析物理环境危害。在Stata13软件中进行描述性和双变量分析。
35名工作人员参与了研究，其中大多数为40岁以上的女性，担任护理技术员。很明显，工作人员暴露于不适当的照明以及来自高压灭菌器、中央空调和医用气体使用的噪音中。脊柱、肩部和下肢肌肉骨骼损伤的风险尤其与长时间保持的姿势导致的负荷过重有关。女性与“严重或剧痛”相关（p = 0.04）。
发现了声音、机械和视觉危害。大多数参与者抱怨肌肉骨骼疼痛，颈椎是剧痛报告最频繁的部位。这些结果指出需要一项政策来改善所研究的医疗保健单位的工作质量；然而，这些发现也可能为其他具有与本研究中发现的物理结构相似的机构中的问题带来启示。
