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手术室护士被忽视的一种危害:与工作姿势相关的人体工程学风险及后果

An Overlooked Hazard for Operating Room Nurses: Ergonomic Risks and Consequences Related to Working Position.

作者信息

Ocaktan Nermin, Karabacak Ukke

机构信息

Faculty of Health Sciences, Department of Nursing, Acıbadem Mehmet Ali Aydinlar University, Istanbul, Türkiye.

出版信息

Nurs Res Pract. 2025 May 22;2025:7808208. doi: 10.1155/nrp/7808208. eCollection 2025.

Abstract

A working environment designed for employee comfort and safety reduces occupational risks. In hospitals, the health of service providers should be protected as much as the patients' health. During care practices, nurses interact with their environment and the equipment as well as the patients. Protecting nurses' health and welfare in the working environment is related to the protection of individual, family, and community health. The study was conducted to determine the risks of operating room nurses' body postures and working conditions in the operating room in terms of musculoskeletal disorders and the effects of these risks on nurses. This descriptive study examined the ergonomic risk assessments of operating room nurses' intraoperative positions and their musculoskeletal problems. The "Nurse Introductory Characteristics Form," "Extended Nordic Musculoskeletal Questionnaire," and "Rapid Entire Body Assessment Tool" were used to collect data. It was determined that the intraoperative body positions of nurses carry a medium-high level of ergonomic risk; they mostly experience musculoskeletal disorders between the ages of 23.5 and 25.03, and the most affected regions are the neck and lower back. A significant difference was determined between the incidence of musculoskeletal disorders and total working time, working style, receiving undergraduate ergonomics training, and participating in regular sports ( < 0.05). An increase in working years increased the risk, while receiving undergraduate ergonomics training decreased it. Nurse-specific recommendations should be developed to prevent ergonomic risks in the operating room and their negative consequences. Undergraduate training including these recommendations is effective in developing positive behaviors regarding the management of ergonomic risks.

摘要

一个为员工的舒适和安全而设计的工作环境可降低职业风险。在医院里,服务提供者的健康应与患者的健康一样得到充分保护。在护理工作中,护士会与工作环境、设备以及患者进行互动。在工作环境中保护护士的健康和福利关乎个人、家庭及社区的健康。本研究旨在确定手术室护士在手术室中的身体姿势和工作条件对肌肉骨骼疾病的风险,以及这些风险对护士的影响。这项描述性研究考察了手术室护士术中姿势的人体工程学风险评估及其肌肉骨骼问题。研究使用了“护士基本特征表”、“北欧肌肉骨骼问卷扩展版”和“快速全身评估工具”来收集数据。研究发现,护士术中的身体姿势存在中高水平的人体工程学风险;他们大多在23.5岁至25.03岁之间出现肌肉骨骼疾病,受影响最严重的部位是颈部和下背部。研究确定,肌肉骨骼疾病的发病率与总工作时间、工作方式、接受本科人体工程学培训以及参加定期体育活动之间存在显著差异(<0.05)。工作年限的增加会增加风险,而接受本科人体工程学培训则会降低风险。应制定针对护士的建议,以预防手术室中的人体工程学风险及其负面后果。包含这些建议的本科培训对于培养有关人体工程学风险管理的积极行为是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c6a/12122164/8777f24cf441/NRP2025-7808208.001.jpg

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