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运用 REBA 和 RULA 方法对医学院附属医院护士工作姿势进行人体工程学风险评估。

Ergonomic risk assessment of working postures of nurses working in a medical faculty hospital with REBA and RULA methods.

机构信息

Department of Public Health, İstanbul University Faculty of Medicine, İstanbul, Turkey.

Department of Public Health, Bezmıalem Vakıf University Faculty of Medicine, İstanbul, Turkey.

出版信息

Sci Prog. 2023 Oct-Dec;106(4):368504231216540. doi: 10.1177/00368504231216540.

Abstract

The aim of the study is to reach objective results about the ergonomic risks of nurses' working postures not only by using questionnaires but also by using Rapid Entire Body Assessment (REBA) and Rapid Upper Limb Assessment (RULA) methods, which are risk assessment methods used in engineering fields. This study is a cross-sectional study. First of all, 383 nurses were evaluated with a survey. 91.4% of the nurses were women and 6.5% were men. Average age (female: 38.20; male: 31.5), average weight (female: 65.60 kg; male: 81.50 kg), average height (female: 162.7 cm; male: 176.80 cm) and average body mass index (female: 24.80; male: 26) were calculated. In the hospital, which we grouped into in the hospital, which we divided into eight workstations, the REBA and RULA scores of the three nurses working at each workstation were calculated and the average REBA and RULA scores of the workstations were determined. The percentage of those who experienced musculoskeletal pain in the last 1 year at each workstation and the mean REBA-RULA scores were as follows; ward (92%; 6.92-5.69), operating room (98%; 10-7), emergency department (100%; 6.08-5.33), outpatient clinic (75%; 5.5-5.16), intensive care (94%; 6.21-5.57), administrative affairs (94%; 5-5), laboratory (95%; 5.80-5.2) and interventional procedure (92%; 6.4-5.4). In these stations, the highest scores were seen in the operating room. In the questionnaire, 92.46% of the nurses reported having complaints in at least one part of the musculoskeletal system in the last year. The hospital weighted mean score was REBA 6.86 and RULA 5.71. When REBA and RULA measurements were evaluated, it was determined that the risk in the departments where the nurses worked was generally at the medium risk level. REBA and RULA scores indicate that ergonomic changes and adjustments should be made. For this determination, the risks of working postures should be determined with quantitative methods.

摘要

本研究的目的不仅是通过问卷调查,还通过在工程领域中使用的快速全身评估(REBA)和快速上肢评估(RULA)方法,获得有关护士工作姿势的人体工程学风险的客观结果。本研究为横断面研究。首先,对 383 名护士进行了调查评估。91.4%的护士为女性,6.5%为男性。平均年龄(女性:38.20;男性:31.5)、平均体重(女性:65.60kg;男性:81.50kg)、平均身高(女性:162.7cm;男性:176.80cm)和平均体重指数(女性:24.80;男性:26)。我们将医院分为八个工作站,计算了每个工作站工作的三名护士的 REBA 和 RULA 评分,并确定了工作站的平均 REBA 和 RULA 评分。每个工作站在过去 1 年中经历肌肉骨骼疼痛的护士比例和平均 REBA-RULA 评分如下:病房(92%;6.92-5.69)、手术室(98%;10-7)、急诊室(100%;6.08-5.33)、门诊(75%;5.5-5.16)、重症监护病房(94%;6.21-5.57)、行政事务(94%;5-5)、实验室(95%;5.80-5.2)和介入程序(92%;6.4-5.4)。在这些工作站中,手术室的得分最高。在问卷调查中,92.46%的护士报告在过去一年中至少有一个部位的肌肉骨骼系统出现问题。医院加权平均 REBA 得分为 6.86,RULA 得分为 5.71。当评估 REBA 和 RULA 测量值时,确定护士工作部门的风险通常处于中等风险水平。REBA 和 RULA 评分表明,应该进行人体工程学的改变和调整。为了做出这一确定,应该用定量方法确定工作姿势的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ded/10686032/b6e48b56070d/10.1177_00368504231216540-fig1.jpg

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