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重症监护病房中的轮班工作与热应激

Shiftwork and heat stress in an intensive care unit.

作者信息

Liu L W, Costa G, Schallenberg G, Trinco R

机构信息

Institute of Occupational Medicine, Tongji Medical University, Wuhan.

出版信息

J Tongji Med Univ. 1994;14(2):98-104. doi: 10.1007/BF02886784.

Abstract

This paper reported the results of investigation on shiftwork and heat stress in an intensive care unit. The aim of this study was to analyse the physiological strain of nurses during the three shifts (Morning, Afternoon, Night) in relation to the specific microclimatic conditions and job activities. 8 professional nurses (6 female and 2 male), aged between 21 and 38 years (mean 29.8 +/- 5.6 years), having from 3 to 18 years service, were monitored throughout a complete working cycle of 4 days. They worked on a three shift system at fast rotation. Their working environment was an independent unit for intensive care and expert surgical treatment which was entirely air conditioned. The observation indexes included: twenty-five blood parameters, ten urine parameters, net cardiac cost and relation cardiac cost, etc. The results of the investigation have not evidenced serious alterations of the psycho-physical conditions of the nurses, but do pointed out some problems pertaining both to the environmental and physiological conditions.

摘要

本文报告了对重症监护病房轮班工作和热应激的调查结果。本研究的目的是分析护士在三个班次(早班、中班、夜班)期间的生理应激情况,以及特定的微气候条件和工作活动之间的关系。8名专业护士(6名女性和2名男性),年龄在21至38岁之间(平均29.8±5.6岁),工作年限为3至18年,在一个完整的4天工作周期内接受了监测。他们实行快速轮换的三班制。他们的工作环境是一个独立的重症监护和专业外科治疗单元,完全配备了空调。观察指标包括:25项血液参数、10项尿液参数、净心功和相对心功等。调查结果并未证明护士的心理生理状况有严重改变,但确实指出了一些与环境和生理状况相关的问题。

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