Taskingul Ayse Betul, Kiran Sibel, Emerce Esra
Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Gazi University, Ankara, TUR.
Department of Public Health, School of Medicine, Koc University, Istanbul, TUR.
Cureus. 2024 Jul 29;16(7):e65614. doi: 10.7759/cureus.65614. eCollection 2024 Jul.
It is essential to protect the health of healthcare workers who constitute a large part of the workforce worldwide and whose importance has become more evident after the recent pandemic. There are numerous occupational hazards for healthcare workers in hospitals.
The study aims to assess the exposure hazards of healthcare workers and their health complaints, as well as their awareness, knowledge, opinions, and attitudes towards occupational health and safety (OHS), considering workers' professions and departments in a public hospital. This cross-sectional study conducted a survey among healthcare workers (n=608) who worked at Yozgat City Hospital, Yozgat, Turkey.
The majority of workers were nurses (43.4%, N=264/608). Latex exposure (63.7%, N=387/608) and noise (55.8%, N=339/608) were the most common exposed hazards, and the risk varies depending on their professions and job descriptions. However, the risk perception of workers was priorities of infectious diseases (48.5%, N=292/602) and violence (27.4%, N=165/602). Musculoskeletal system problems (71.9%, n=439/608) were observed very frequently in workers. Additionally, 9.2% (N=56/608) of workers were diagnosed with an occupational disease. The unit and profession most commonly diagnosed with occupational diseases were the laboratory (22.5%, N=9/40) and midwives (19.4%, N=14/72), respectively. The frequency of workers who stated that they had a work accident at least once in their lives was 31.9% (N=194/608), and higher frequencies belonged to nurses, health officers, and midwives. Additionally, the emergency department was the riskier unit. The study conducted relationship analyses between exposure to various occupational agents at different exposure frequencies and various health complaints. The relationships of occupational hazards such as chemotherapeutics, anesthetic gases, aerosol type drugs, sterilization and disinfection agents, xylene, toluene, formaldehyde, and surgical smoke with health complaints such as liver, dermal diseases, respiratory problems, and varicose veins have been determined.
The hospital workers had a high rate of injuries to sharp objects and musculoskeletal systems. Remarkably, operating rooms and emergency rooms were found to be riskier in terms of work accidents. More than half of healthcare workers may delay using personal protective equipment (PPE) due to excessive workload. Further studies are needed on the effects of more specific occupational chemicals and diseases, such as varicose veins, fertility, and neurological problems. Frequent risk assessments, effective training, workload reduction, and biomarker monitoring are crucial for hospital workplace safety.
保护医护人员的健康至关重要,他们是全球劳动力的重要组成部分,且在最近的疫情之后其重要性愈发明显。医院里医护人员面临众多职业危害。
本研究旨在评估医护人员的接触危害及其健康投诉情况,以及他们对职业健康与安全(OHS)的意识、知识、意见和态度,同时考虑公立医院中工作人员的职业和科室。这项横断面研究对在土耳其约兹加特市约兹加特市立医院工作的608名医护人员进行了调查。
大多数工作人员是护士(43.4%,N = 264/608)。接触乳胶(63.7%,N = 387/608)和噪音(55.%, N = 339/608)是最常见的接触危害,风险因他们的职业和工作描述而异。然而,工作人员的风险认知主要是传染病(48.5%,N = 292/602)和暴力(27.4%,N = 165/602)。工作人员中经常观察到肌肉骨骼系统问题(71.9%,n = 439/608)。此外,9.2%(N = 56/608)的工作人员被诊断患有职业病。最常被诊断患有职业病的科室和职业分别是实验室(22.5%,N = 9/40)和助产士(19.4%,N = 14/72)。表示一生中至少发生过一次工作事故的工作人员比例为31.9%(N = 194/608),护士、卫生官员和助产士的比例更高。此外,急诊科是风险更高的科室。该研究对不同接触频率下接触各种职业因素与各种健康投诉之间进行了关系分析。已经确定了化疗药物、麻醉气体、气雾剂类药物、灭菌和消毒剂、二甲苯、甲苯甲醛和手术烟雾等职业危害与肝脏、皮肤病、呼吸道问题和静脉曲张等健康投诉之间的关系。
医院工作人员锐器伤和肌肉骨骼系统损伤的发生率较高。值得注意的是,手术室和急诊室在工作事故方面风险更高。超过一半的医护人员可能因工作量过大而延迟使用个人防护装备(PPE)。需要对更具体的职业化学物质和疾病,如静脉曲张、生育能力和神经问题的影响进行进一步研究。频繁的风险评估、有效的培训、减轻工作量和生物标志物监测对医院工作场所安全至关重要。