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气候变化背景下护理可持续预防方案对农业老年工人热应激的影响。

The impact of nursing sustainable prevention program on heat strain among agricultural elderly workers in the context of climate change.

机构信息

Faculty of Nursing- Cairo University, Cairo, Egypt.

Faculty of Nursing-Ain Shams University, Cairo, Egypt.

出版信息

Geriatr Nurs. 2024 Jul-Aug;58:215-224. doi: 10.1016/j.gerinurse.2024.05.021. Epub 2024 Jun 4.

Abstract

BACKGROUND

This study assesses a geriatric nursing-led sustainable heat prevention program for elderly agricultural workers. It targets those aged 60 and above, addressing the heightened risk of heat strain in the era of climate change.

METHODS

A community-based quasi-experimental design involved 120 elderly agricultural workers, divided into intervention and control groups. The program, spanning three months, included education on hydration, rest, protective clothing, and recognition of heat-related illnesses.

RESULTS

The intervention led by geriatric nursing professionals showed significant improvements in heat strain metrics. The Heat Strain Score Index (HSSI) and the Observational-Perceptual Heat Strain Risk Assessment (OPHSRA) Index indicated increased safety levels and reduced risk categories among participants.

CONCLUSIONS

The study demonstrates the effectiveness of a geriatric nursing-led, tailored prevention program in reducing heat strain among elderly agricultural workers. It highlights the crucial role of nursing in adapting healthcare practices to the challenges posed by climate change.

TRIAL REGISTRATION

ClinicalTrials.gov, ID NCT06192069 retrospectively registered.

摘要

背景

本研究评估了一项由老年护理主导的可持续热预防计划,针对的是 60 岁及以上的老年农业工人。这是因为在气候变化的时代,他们面临着更高的热应激风险。

方法

采用社区为基础的准实验设计,共纳入 120 名老年农业工人,分为干预组和对照组。该计划为期三个月,包括有关水合作用、休息、防护服和识别与热相关疾病的教育。

结果

由老年护理专业人员主导的干预措施显著改善了热应激指标。热应激评分指数(HSSI)和观察-知觉热应激风险评估(OPHSRA)指数表明,参与者的安全水平提高,风险类别降低。

结论

这项研究表明,由老年护理主导的、量身定制的预防计划可以有效降低老年农业工人的热应激。它强调了护理在适应医疗保健实践以应对气候变化挑战方面的关键作用。

试验注册

ClinicalTrials.gov,ID NCT06192069 号,回溯注册。

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